HomeMy WebLinkAboutHomestead_Doss INDIANA SALES DISCLOSURE FORM SDF ID: Page 2-
D.PREPARER —_.
Stephanie Miller Closer
Preparer of the Sales Disclosure Form Title
4962 Lincoln Avenue First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485
City,State,and ZIP Code Telephone Number E-mail
- -. .. .:.n _-_ - _. - _- _.
_E.SELLERS)/GRANTOR[S): -" - • - --: -
Thomas R Schmitt Carol F Schmitt
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2107 Fast Presley Drive 2107 Fast Presley Drive
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639 Haubstadt IN 47639
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co/ t lete as req 're* by law,and is prepared in accordan with IC 6-1.1-5//...5,"",RealPrro/perty Sales Disclosure Act".
1—.11101-, - ear g,Signature of Seller f l` gnnature of Seller I 0.60-/
Thomas R Schmitt (O( (f UN IT (��r/Carol F Schmitt 4 I
Printed Name of Seller Sian Date(MM/DD/1TYY) Printed Name of Seller an Date(MM/DD/VYY)
F.BUYERSS]/GRANTEE(,-APPLICATION-FOR-PROPERTY TAX DEDUCTIONS-.IDENTIFY ALL ITEMS THATAPPLY
Tod D Doss M ie-nnice N Doss
- 1-Name as appears an .nveyance doocme s appears on canveyanc um t
. de _. 4,�r-I' Pr 56irn2 }
Address(Num•-rand Street) Address(Number and Street)
E4nCV( PP at gilt l OCT 24 2014
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS�TNAT DPPLQUNTY AUDITOR
YES
[� � \'DrrIQY_
NO CONDITION I 1'1�NO CO❑ 1.Will this property be the buyer's primary I IL ❑ 3. Homestead
residence? Provide complete address of primary ❑ . o ar Energy Heating/Cooling System
residence,including county:
❑ 5 5.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
❑ 7 7.Geothermal Energy Heating/Cooling Device
City,State Zl ode County
❑ 2.Does the buyer have a homestead in Indiana to be 111 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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.
Nota •' •• f • e n les.
Address(Number and Street)
. 6- x3 _ / 6 . zoo - ool. "as -0A (7/
City,State ZIPCode Coon c
, nmaname E-mail