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Homestead_Wilson (7)INDIANASALES DISCLOSUREFORM SDFID:
DrPREPARER
Addr� (Number andSVee[)
Evansville. IN 47708
Ciry, Smu, and ZIPCade
KIfI( N. PP1Pf50t1. Sl1CCP55pf TlIlSIPP
Seller I- Name as appears an ranveyancr darumen[
Address (NUmber and SVee[)
Hau6stadt. IN 47639
[
�
Closina Aaeni
Title
Bosse Title Comoanv
Telephone Number E-mail
Under penalties of perjury, 1 hereby certify [ha[ [his Sales Distlosure, [o [he bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordante wi[h IC 6-11-5.5, "Real Proper[y Sales Disclosure Act".
%�L'h.. �..��.. _, �.�...�� C�....� '� �•.�.�._ L..✓ 7�,L�. I?.�.., � !�'.c F
Signamre o/Seller SignaNre of5eller
Kirk N PPtPrcon Successor Trustee 11I04/9011 Hirlc N. Pete�son. AIF 11/04/2011
Pnn[edNameo Seller Si nDa¢(MM/00 Pnn¢dNameo Seller Si nDare HM/OO
F.BOYERS GRA\TEES =APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALL:ITEMSTHATAPPLY�.�'� -
David J. Wilson Melanie R. Wilson
Bvyer 1� Name as appears an ronveyanre dotumen[ Buyer 2� Name es appears on conveyanre docummt
734 E. Eisenhower Lane 734 E. Eisenhower Lane
Addrea(NumberandSVee[) Addr�(Num6erand5vee[)
THE SALFS �ISCLOSIIRE FORM MAY BE USED TO APPLY FOR CERTAIN OEOURIONS FOR THIS PROPERTY.
�✓ � 1. Will this property be the buyer's primary (
residente? Provide complete address of primary�
residence, including county:
�14 E 1025 S
Address (Number and Stree[)
Haubstadt IN 47639 Gibson
liry, Smre ZIPCode Cavnry
�� 2. Does [he buyer have a homestead in Indiana to be
vaca[ed for this residence? If yes, provide
comple[e address of residence being vacated,
induding county:
✓❑ ❑ 3. Homestead
� �✓ S. Wind Power Device
❑ ❑✓ 6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy Heating/Cooling Device
� ❑J 8. [s this proper[y a residenrial ren[al property?
� ❑✓ 9. Would you like to receive tax statements for [his
property via e-mail? (Provide mntoct information
below. Please see instrucponsfor more information.
Not availa6le in all caunties.)
Addrea(Num6erandSveeQ � /�, ( /
� c�- �9 -31-4-oa -oc� a� "���»
[iry, Smte ZIPCade Counry /
Prfmary propertyawner ronma name E-mail
Under penalties of perjury, I hereby certify tha[ [his Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other nambers are not necessary if no Homestead Deduc[ion is
bein IedJ
u' � //,✓ A�. o Rsr,h„:�, (Z. (.tJ�,Pe�w
SignaNreof yerl Signamreo(Bvyer2/Spouse