Homestead_Bane H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document Seller 2 — Name as it appears on conveyance document
Philip L. Wickham and Phyllis A. Wickham Joint Revocable Trust
dated April 23, 2015
Address (number and street) Address (number and street)
522 S Ninth Ave
City, State and ZIP Code L —
City, State and ZIP Code
Haubstadt, IN 47639
Country '
Country
United States of America SEP 12 2025
Email Address 11
my knowledge and belir ,4C(' �1, i4 to as re ui
by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the vaallu�eo`f'tfa�� q red
omits or falsifies any informati n required to be provided, commits a Level 5 felony. Kcal property, or
‘,Signa /f -21e;ey `------7. Signature of Seller
Pri eti me of Seller Date Signed (mm/dd/ Printed Name of Seller
Jeffry D. Wickman, Successor Trustee YYYY) Date Signed (mm/ddlyyyy)
9/10/2025
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY
Buyer 1 — Name as it appears on conveyance document Buyer 2 — Name as it appears
ent
Barry N. Bane and Sandra J. Bane Revocable Family Trust dated April Barry N. Bane and Sandra J Bane Revocable Family cable Tr
Trust dated April
6, 2023 6, 2023
Address (number and street) Address (number and street)
4594 N SR 65 4594 N SR 65
City, State and ZIP Code City, State and ZIP Code
Patoka, IN 47666 Patoka, IN 47666
Country Country
United States of America United States of America
Email Address Email Address
YES NO CONDITION YES NO CONDITION
RI lb CI 1. Will this property be the buyer's primary residence? ElEl 3. Homestead
Airi
,.„ ,,,
C7 2. Does the buyer have a homestead to be vacated for E Q 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: CI Q 5 iigiiig:', 4 ga
. Wind Power Device
Address (number and stree ‘ 7 j - S T - O --1 _ Elr} 6- ❑ 6. Hydroelectric Power Device !
Z
ii g'/ /\/ S coo.
o z3 _ on- 0 Q 7. Geothermal Energy Heating or Cooling Device
City, State and ZIP Code County
P&)Liff. TN 776� - _ __ �,
r 2 DCv , 0� fie/ 7W
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge
, and complete
required by law, and is prepared In accordance with IC 6-1.1-5.5. A person who knowingly and tentionally falsifies the valute of transferredas real
property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's Information, SSN/Driver's