Homestead_Hisch INDIANA SALES DISCLOSURE FORM SDF ID:
Page 2
) PREPARE rfn :=1 M A, r f c -Y.Wa c ' f t 1
Rebecca M.Schmitz Escrow Closer
Preparer of the Sales Disclosure Form Title
11711 N. Pennsylvania Street, Suiie 110 Meridian Title Corporation
Address(Number and Street) Company
Carmel, IN 46032 317-571-3330 indy(a)meridiantitle.com
City,State,and ZIP Code Telephone Number E-mail
-.SE iffER(S)%GRANTOR(S).WN l' ''ar: ¢Wr. Matti e' lIfi ,tof calls ,:a s-``z:
Stephen W Hisch
Seller -Name as appears conveyance document Seller 2-Name as appears on conveyance document
/69 S. yeti Avc
Address(Number and Street) Address(Number and Street)
N/ Q(
Telephone Number E-mail
Jnder penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
Ind o pie a as rretq/uired b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act'.
ignller Signature of Seller
itephen W Hisch 9 t,-N
Printed Name of Seller Sign Date(MM/DD/rm'] Printed Name of Seller Sign Date(MM/Da/YYY)
,ABU) - -- E1—.t_ .
%GRANT •(S),�APP,LICAT,IQN,FO}2 PR01?EIt17YTAX+DEDUCT'IONMIDEN TIES iAtiOITEMSTHAT APP.GY."=,4 A. �$'"i�°'�.�;
Mary A. Hisch
Bu er -•• .s appears on conveyance document Buyer 2-Nome as appears on conveyance document
1037 West 1200 South
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION a NO COND I •
XJ ❑ 1.Will this property be the buyer's primary ja ❑ 3. Homestead
residence? Provide complete address of prima • • 4 , . , ,
residence,including county: - ' "�T'ngte
0-3r1 UU 1Q_0O '50(CL(-(ti ❑ je S.Wind Power De c 7 e jr��t
dress((pIumberand Spee() i , ❑ a 6.Hydroelectric Power Device
t, ARb ci .G�+)J- Ai`� /&3`� ��O ❑ ® 7.Geothermal Energy 8E#Li 1�g Device
City,State ZIP Code C my
❑ X 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ kl. 9.Would you like to j '• q ► . - ents for this
complete address of residence being vacated, property viaVel�a5 • R8uip. • ALt•16Iin ormation
including county: below. Please see instrucI ons for are motion.
Not available in all counties.)
Address(Number and Street) HARyl , /1C//a-.096743106�I. V9
City.State ZIP Code County /r �/