Homestead_Shoultz (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
ID.PREPARER
0 Long&Mathies Law Firm, P.C. _ Attorney
Preparer of the Sales Disclosure Form Title
415 E.Main Street, PO Box 250
Address(Number and Street) Company
Boonville. IN 47601 812-897-6868
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
•
0 Joye Shoultz
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
Highway 65 North
Address(Number and Street) Address(Number and Street)
Patoka. IN 47666
Under penalties of perjury,I hereby ertifv that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and con)I lete as require r by law,a prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
_-., 'A Ate •
Signgur.3tIer 2 29.
.w S�`i� Signature of Seller
J1Jj a.� t 4 w ADS • VJ_e
Printed Name of Seller i Sian Date(.ax/DDMTY) Printed Name of Seller Sian Date p4x/D0/1TYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Greg Shoultz
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
7412 East 450 North
Address(Number and Street) Address(Number and Street)
0 Francisco,IN 47649
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES +NDITION
0 ❑ 1.Will this property be the buyer's primary Z 0 3.Homestead
residence? Provide complete address of primary 0 Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑
7141 b-' 450 4./ ig S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device V,S)
Fr&a LI SGe 1 Ge 6s o n ❑ z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
n 171 7.Does the buyer have a homestead in Indiana to be ❑ IZ 8.Is this property a residential rental property? •
vacated for.ttiis residence? If yes,provide -- - -. --❑ - -0 - -9:Would you-like to-receive tax statements-for this — —
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) afp —O(n—(l— 400 pOa. ((RI—or?
City,State ZIP Code County
Primary property owner contact name E-mail