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Homestead_Bent (2)
'INDIANA SALES DISCLOSUREFORM SDF ID: Page 2, . 2 . 'DrPREPARR' J _ t -,,ifi y f t `.x j _UfT; t _ ' vs_r . i Angela M.Satterfield Paralegal Preparer al the Sates Dedosure Form Title 3525 Frederica Street.Unit 4 Mattingly Ford Title&Closing,LLC Address(Number and Street) Company Owensboro,KY 42301 270-240-4006 anaie(Ematlinolvford.com City,Rata and ZIP Cade Telephone Number E-mail ES EEL ER(S1/GRANT0R(5)r . .: F£ I 2 _r s _o ikit'` 2 '_<,r, . A ,-' I'i _— Vis r ?; ar Timothy L Schmits Thomas K Schmits Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveyance document 37 6/ .1 , C255--.5 /� �7 �/Q SO2 /L_ .573 J //,/� Address i t Street) / i / 4 / 6O 5/ ' Art (Na iza4 he x� 9 7v'7 Under penalties of,erjury, he -by certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete a f quir• , ,� lair,and;. prepared in accordance with IC 66.1.1-5.5,"Real Pro errty Sal Disclosure Act'. .•./.SAU - , I .A1,.Ji� ,114,-,e4 /K,%..1n . Signature of Seller / - e of Seller 777 el(9 V ASC, frri( 6 4-0.13 ,--774{o,r1.N C. e/6ne7S 6-p-/_5 Printed NameofSeller Sian Date(MM/DD/Yn1) Printed Name of Seller Sign Date(utt/oont") fir:BUYER(S)%GRANTEE(S),:APPLICSITIONEOR'P,ROPErtr toXDEDUOTIONS-IDENTIF'YAL1sITEMSTHATAPELy ': . ' Gregory Blake Fetcher Kimbery M. Schmits Buyer I-Nome as appears on conveyance document Buyer 2-Name as appears an Fr mentED 501E 575 S 5161E 575 S 11®1-',1 Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 Fort Branch,IN 47648 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OFT O YES NO CONDITION YES NO CONDITI(GIBSON COUNTY AUDITOR 7 ❑ 1.V/ill this property be the buyer's primary ❑ 7 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ El 574'/ 57- Kei .5-75 �S 5.Wind Power Device Ac ism a and Street) /� ❑ 7 6.Hydroelectric Power Device (f)f'b bra/vi, J IU �7 to Y ? ` its,)'! ❑ 7 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 7 2.Does the buyer have a homestead in Indiana to be ❑ 7 6.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 7 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) AU- f -1 a- 9 b0-OD . 361 -C -s My,State ZIP Code County Primary property owner contact name E-mail 44