HomeMy WebLinkAboutHomestead_Schmidt (2)i..
'Stephanie Miller
Title Agent
Preparer of the Sales Disclosure form
Title
600 N. Weinbach Ave.
Foreman Watson Land Title LLC
Address (Number and Sheet)
Company
Evansville, IN 47711
E -mail
Seller 1 -Name as appears{. �conveyoncedocument
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ddr (Number and Street)
Cynthia E Walker
Seller 2- Name as appears on cony nce document
Address (Number and Street
OALIGn� ( 1M L-( %(oCay
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance Zvi /t/s�(,} IIC{6- 11/..11- -55 .55, "Real Property /Sn/ales Disclosure Act ".
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7ignomre ofSeller Sonamre of Seller
to as appears on conveyance document Buyer 2- Name as appears on conveyance document
3 M -1. n al ( h'lc,A 1 gee_ -
'umberandStreet) /A�ddress(Numberand te[)
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E�,Tr)lQodC41 ZN H1 6(,C>
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and ZIP Cade I I �(jiry, State, and ZIP Code —rr/
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THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
❑ 2. Does Ve buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (Number and Street)
City, State ZIP Code County
[T ❑ 3. Homestead
❑ ❑✓ 4. Solar Energy Heating/Cooling System
❑ Q S. Wind Power Device
❑ Q 6. Hydroelectric Power Device
❑ ✓❑ 7. Geothermal Energy Heating /Cooling Device
❑ Q 8. Is this property a residential rental property?
❑ ❑✓ 9. Would you like to receive tax statements for this
property via e-mail? (Provide contact information
below. Please see instructions for more information.
Not available in all counties.)
a�- N- 1S&041cY� X6-007
Pnmarv.ranertv..ar mnmct name E -mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6- 1.1.5.5, "Real Property Sales Disclosure Act ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
Printed Legal Nam ?af Buyer 1 Sign Date (MM/DD/rrrh
-
Security Number
License /ID10ther Number
SIg azure offhyer2 /Spouse
Myles D Schmidt
Printed
Number License /ID10ther Number