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HomeMy WebLinkAboutHomestead_Schmidt INDIANA SALES DISCLOSURE FORM SDF ID: Pane 2 v CHRISTOPHER E.CARL ATTORNEY AT LAW Preparer of the Sales Disclosure Form Title 101 PLAZA EAST BLVD.. SUITE 102 TRUE TITLE SERVICE,LLC Address(Number and Sneer) - Company EVANSVILLE, INDIANA 47715 812-402-6555 dosinos @truetitlein.com Ciry,State,and ZIP Code Telephone Number E-mail `E SELLER S'*.GltANTORIS°se_ate - _ p -±z S s -_— — y2 ._ - r — OHIOINVFSTM;NTS I LC 91;�Mint Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyan•-•acu":;It I - t ;-. 7799 Daytnn-Springfield Road • /� Address(Number and Street) Address(Number and Street) MAY 1 4 2014 Fnnn Ohio 45373 Under !ehalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and con . e as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 1$ `:ti/ II Sig!..•'o SYer Signature of Seller I ;tc-ilit Ann t 'r, I) liel- 04/ Z S7 nnla Printed Name o(Seller Sian Date(MM/DD/n1'n I. Printed Name o Seller Sian Dote(MN/DD/MTI xEzBUYER __RINiBEE&L- r1Y,P.LIC3T]ONiBORIBROP.ERIIIIII AX'DEDDG3'IONS IDENTJF ,ALEilaEgraf A,T4APPf `' r STAN J.SCHMIDT CAROL L.SC MIDT ruyer - 'ame as appears on conveyance document Buyer 2-Name as appears on conveyance document 7998 S.Andee Lane 7998 S.Andee Lane Address(Number and Street) Address(Number and Street) Fort Branch, Indiana 47648 Fort Branch. Indiana 47648 - , THE SALES DISCLOSURE FORM MAY BE USED TOAPPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT °° q l'IW e1 1; ��S�ON COUNTY AUDITOR YES NO CONDITION YES • ..• •••r 9 r- ig ❑ 1.Will this property be the buyer's primary id © ❑ 3.Homestead • residence? Provide complete address of primary III r4 4. o ar nergy Heating/Cooling System residence,including county: ❑ IN 7998 S Ande=I am 5.Wind Power Device Add=(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Fort Branch, Indiana 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device Ci I CaState ZIP Code unry ❑ 2.Does the buyer have a homestead in Indiana to be ❑ IN 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Z 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. 800 S.Werner Avenue Not available in all counties.) Address(Number and Scree) t; - /9—CA CAROL SCHMIDT 07. 7 1 o� (o Evansville, Indiana 47712 Vanderburqh STANLEY J.&CAROL L SCHMIDT Ciry,State Zlp Code County - -- - - -Primary property owner contact name E-mail