HomeMy WebLinkAboutHomestead_Schmitt (16) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Lindsay B.Schmitt Attorney
Preparer of the Sales Disclosure Form Title
20 NW Fourth St.7th Fl. Hulman Bldq. Bamberger,Foreman. Oswald&Hahn.LLP •
Address(Number and Street) Company
Evansville. IN 47708 8124251591
City,State and ZIP Code Telephone Number . E-mail
E.SELLERS)/GRANTOR(S) . •
Kurtic F Schmitt Stenhania F Schmitt .
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
11760S50F 1176nS50F
Address(Number and Street) Address(Number and Street)
I-4 uhvtadt 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 complete as required by law,and is prepared in accordance w/," 1 6.1.1-55," e I P operty Sales Disclosure Act".td.
Signature of Seller atu a .0Ie
I(tBtis E Schmitt s-S if ohanie E Schmitt S'S'15
Printed Name of Seller Sign Date(MMTD/TA Printed Name ofSeller Jt ' 'y�'c�nnrflIM/DD(YYYIt .
F.BUYERfSVGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE T PP
Adam W.Schmitt y
�eerir}-Ne rson conveyance document
Buyer asye appears on conveyance document
102 S.Vonna Lane MAY 1 1 2015
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION Y y7yp,�
Q ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary
❑ ® 4.Solar Lnergy eating/Cooling System
residence,including county:
102 S Vonna I ane ❑ fg 5.Wind Power Device
Address(Number and Street) ❑ [ 6.Hydroelectric Power Device
Haubstadt,IN 47639 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Z 2.Does the buyer have a homestead in Indiana to be ❑ 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 or more information.
'ot available in all counties.)
Address(Number and Street)
City,State ZIP Code County Z . - II -3‘ - %o3 -000 . 3-5 2 -00 9
Primnrvnronerty nwnarrnntort name E-mail