HomeMy WebLinkAboutHomestead_Butowsky INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
LANA C.HARPER CLOSER
Preparer of the Sales Disclosure Form Title
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES,LLC
Address(Number and Street) Company
EVANSVILLE,IN 47708 812-468-8485
City,State,and ZIP Code Telephone Number E-mail
"- -
BRIAN F SCHMITTI FR BRENDA S SCHMITTLER
Il I-Name as appears on conveyanr dacume Seller 2-Name as appears on conveyance document
VOr7 S. Lincoln Yf SCC/ne2
ddr (N'u r and Street) Address(Number and Street)
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Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and� e as. required y law,and is prepared in accordance w' ithyrllC 6-1.1-5.5,"Req•},Prop al`�Disci ure Act".
Signature of Seller F Sanamre of Seller /V, at
BRIAN E. ,Se/m/rZuR 51/49/v /3REWM ,c'.S&Nn7/rrLCC 09071
Printed Name of Seller Sign Date(tat/oa/YYYY) Printed Name of Seller Sign Date(war/ao/YYY1)
F.BUYER(S)/GRANTEE(S)r APPLICATION.FOR.PROPERTY TAX,DEDUCTIONS jDENTIFYALLITEMS_THAT,APP,LY,` _,
ARIC C. BUTOWSKY REBECCA J.BUTOWSKY
Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
in (CO Coven y Cm A-pf b 4L-
.f.ldress(Number and Street) ' Address(Number and Street)
avw'1SU1lit (tit 14 7713
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE Hkr.p PL
YES NO CONDITION I YES NO CONDITION .IySI f f
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ HI 4.Solar Energy Heatir 6o�lch tom
23 Willoswe(t3elioof/2gc� ❑ ig 5.Wind Power Device
kuivi5ljln1l 10 ri/ 7t/'c g(t3C aid ❑ ig 6.Hydroelectric Power evic 1 tL �(J ❑ 7.GeothermalGIBn PLa8 r e ifii
City,State ZIP Code County
�2.Does the buyer have a homestead in Indiana to be Ill si $ Is this property a residential rental property?
vacated for this residence? If yes,provide n 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) /
City,State ZIP lade County a(9-11 -a1-aoo-004 . 79.3 -&a
Primary property owner contact name Email