Homestead_Schneider INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Preparer of the Sales Disclosure form Title
5D1 h'ta.vn S#- lo( _ Bosse- I4 Co
Address Number and SPee[) I ���� Corr \ ls
Ciry,State,and ZIP Code Telephone N( is,l5er E-mail
Seller I-Name as a pears on conveyance document Seller 2-Name as appears an conveyance document
8901 Ho 2 5 c aD l Pr
Address(Number and sr t) Address(Number and Street)
lEYan5 Vl t -e l 47 Tat _
Telephone Number E-mail
Under penalties of perjury,I 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".
,A/ (/Y a i� .,67,L .c. ,[_Lp
Sign reofSell ((��.. � ! J Signature of Seller
U A e. 50,ion �13o1b--(ap 3�17bo
Printed Name ofSeller Sian Date(MM/DD/YYYY) I' Printed Name of Seller Sian Date(MM/DD/YYYI)
:F:BUYER S)/GRANTEE(S '::::,APPLICATION FOR.PROPERTY,TAX.DEDUCTIONS,IDENTIFY ALL ITEMS-THAT APPLY.:; _ . ._ .
e , chnei der-
Buyer I-Name ppears on conveyance d ent Buyer 2-Name as appears on conveyance document
ll S(15 S. (srer5v e d
Andras(N bera^d Sweet) Address(Number and Street)
t—a( s fz� ��6 39 1 11
Telephone Number I r E-mail
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
IFS NO CONDITION I YES NO CONDITION Y/G_
�❑ 1.Will
residence? Provide Provide come let eaddress of primary ["❑ 3.HomestMi PSONttt777CGGGOUNT._�--TL—}�P��– T—R
P P ry ❑ R- 4.Solar Energy Heating/Cooling Syss/11R
LLD resid c ion ring county: a�
513 Std ❑ [J 5.Wind Power Device
Add (Numb r n SSeer)�/ ^� 1 (,� /,� �M ❑ 6.Hydroelectric Power Device
�'ydl�` ^ �'v t 7'�^'� "'��� ❑ a- 7.Geothermal Energy Heating/Cooling Device
City State Z/ Code County �Y
❑ 2.Does the buyer have a homestead in Indiana to be ❑ ,Et: 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ E 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)
a (- IS -3 b- 4o4-0oo. DYS-oo5 -
City,State ZIP Code County
Prins asy property owner contact name E-mail