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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