Homestead_Wilzbacher (8) H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTER(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Kevin P. Hess Kendra F. Hess
Address(number and street) Address(n mber d sleet)
61 I(n JC ahtNt5 6.--. '1 • 1I 1 dt nh. 11 is C4
City,state ZIP Code City,s two and ZIP Code
fnd✓c1 S k A/ 14 `7 V 5 1= € Y,s t( ' `7 r7c-S
Country Country
US US
of my knowle e and belief,is true,correct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifie e value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Siure`"2 .--_
ooffSeller . ' ignatui eller
/ * )_A�Y �'LCt
inted Name of Seller Date signed(mm/dd/yyyy) inted Name of Seller 1/6Datie
sign m de
Kevin P. Hess 11/02/2023 Kendra F. Hess 02/2023
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDEN Y ALL THAlr5
"Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears e ante document
Dustin K.Wilzbacher Sarah E. Wilzbacher ' S0
Address(number and street) Address(number and street) C 04/
Q
407 West Elm Street 407 West Elm Street "�Y
City,state,and ZIP Code City,state,and ZIP Code ilu'
Haubstadt, IN 47639 Haubstadt, IN 47639 Zr 1
Country Country /
us
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes, provide address: 0 O 6. Hydroelectric Power Device
Address cniumber and street)l 0 f 7. Geothermal Energy Heating or Cooling Device
4/14 )n,(10%v"B gCty I-ow(
City,stat IP code, nd coun
-e w 2 J : '`r A/ l fc7(v.3Q . C -/1-3/- 1100— 000. 7 75--0aor
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