Homestead_ScherzerINDIANA SALES DISCLOSURE FORM SDF ID: Pa�e 2
D. PREP,4RER
Preporer o� the Soles Disrlosure Form
PO Box 13 219 N. Hart St. �
�iress (Number ond Strre[J
ceton IN 47670
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ThP irrc+vocabla InrnmP-Only Trust of Omar T Wallar.e dtA 6-4-� 2
Shcer 1- Nome as appears om m�vmm�ce dotvment
144R F Warrenton Rd.
Addres (Number and Sneet)
Hau6stadt IN 47fi39
Tirle ,
Hall. Partenheimer 8 Kinkle
The Irrevor.ahle Income-Only Trust nf Omar T. Wallar.e dtd fi-4-12
Seller Z� Name os oppearson ronre�nnce doaument
AdJrecs (Number anJ 5[mQ
Haubstadt IN 47639
Ciry.Smte, ouJZIPCaJe
Under penal[ies of perjury, l hereby certify that this Sales Disclosure, to [he best o( my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance �vitlS'IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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Barbara rayle Stolz Co-Trustee S'3/" �O� Thomas Lee Wallace. Co-Trustee �-3i -� 1-
darument
dddrea (Number and SrreeQ
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T APPLY
THOSE THAT APPLY.
Heating/Cooling System
5. Wind Power Device
6. Hydroelec[ric Power Device
❑ 0 7. Geothermal Energy Heating/Cooling Device
❑ Q✓ 8. Is [his property a residen[ial rental property?
❑ Q 9. Would you like to receive tax statements for this
properry via e-mail? (Provide contoct information
6elo�v. Please see instructions%r more information.
Not available in all counties.)
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Dale R. Scherzer & Stacy R. Scherzer
name
E-moil
Under penal[ies of perjury, 1 hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
be' filed.) n��
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