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HomeMy WebLinkAboutHomestead_Schumacher - INDIANA SALES DISCLOSURE FORM SDF ID:- _ Page 2 D.PREPARER _- -- - - - - - - - - - • -- - --- - - — Laura Rininger Closing-Coordinator Preparer of the Sales Disclosure Farm Tide 7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC Address(Number and Street) Company Evansville,,IN 47715 812-759-5555 City;State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) . Stanley I May I isa A May Seller I-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document 223 F 800 S 223E 800 S Address(Number and Street) Address(Number and Street)•Ft Branch IN 47648 Ft Branch IN 47648 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and comp ete as required by law,and is prepared in accordance with IC/6-1.1-5.5,"Real Property Sales Disclosure Act". `/ • Signature of Seller Signature of Seller / Stanley,I May 10/9/2014 1 isa A May 10/2/2014 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(NM/['DIVVY)" F.BUYER(S)/GRANTEE(S).-APPLICATION_FORPROPERTYTAX.DEDUCTIONS±IDENTIFY;ALLITEMS.THATAPPLY) _ _- - Jeffery Ervin Schumacher Michelle Marie Schumacher Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document PO Box 492 PO Box 492 Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton IN 47670 28 246, THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.OCT 6 YES NO CONDITION I YES NO CONDITION C 20 4 Q ❑ 1.Will this property be the buyer's primary IS ❑ 3. Homestead n, residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/ ?P p 'eP residence,including county: ❑ 0 5.Wind Power DoSteSON COUNTY AUDITOR '1 I Chickasaw a Address and Street) El 5 6.Hydroelectric Power Device A Ft. Branch, IN 47648 Gibson ❑ IS 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be n 5 8.Is this property a residential rental property? vacated for this residence? (ryes,provide ❑ 5 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) �� Cary,State ZIP Code County (0- 1q—12. 00-001,3(9- �0 Primary property owner contact name E-mail