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Homestead_Hulfachor
C 4 INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 686995 Page t D_ PRE PARER Samantha Cutsinger Preparer afthe Sales Disclosure Form Title 1 226 W. Broadway _Broadway Title, Inc. Address (Number and Sheet) E-mail E. SELLERS GRANTORS Larry A Schwiersch Andrea J Schwiersch Seller I- Name as appears on ceni,,,ame document Seller2 Namem.;parsanmaveyancedocument 10362 S 550 E 10362 S 550 E Address (Number and Soxet) Address (Number and Street) Haubstadt, IN 47639- Haubstadt, IN 47639 - Email Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and comple a as required by law, and is prepared in accordance %�thh I�C,6- 1.1 -5.5 "Real Property Sales Disclosure Act ". tit,t 1LU 'Z tore ofSe'r Sigmmreofseller /n/ `` �if�t�f� tf, c�L'G1cd7c72S�K o?'�7'�l! �11�IerZ!'1 C2-�Z-2D( ,r F. BUYERS GRANTEE S - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Michael A Hulfachor Amie Hulfachor Buyer I- Name as appears an cams,ance document BuyerZ Nam easappearsanconveyancedocument 5778 E 1050 S 5778 E 1050 S Address (A'umder and Street) Address (Number and Street) Haubstadt, IN 47639- Haubstadt, IN 47639 - E -nail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION O CONDITION Q ❑ 1. Will this property be the buyer's primary x 3. Homestead residence? Provide complete address of primary ❑ ❑ 4. Solar Energy Heating /Cooling System residence, including county: ❑ © S. Wind Power Device 5778E 1050 S ❑ ❑ 6. Hydroelectric Power Device Address(Numberand Street) Haubstadt, IN 47639 GIBSON ❑ ❑ 7. Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? City, State ZIP Code Caunry ❑ ❑ 2. Does the buyer have homestead in Indiana to be a vacated for this residence? If yes, provide ❑ ❑ 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.) 6-ao -3 r- 3 00 -voa_ o Gs -C2 o Address (Number and Street) Ciry, Sint, ZIP Cade Caunry Primary property ouamr mrmrt name E -mail 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 with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is being filed. m. Signatu reof Bvyerl Signamre of Bvyer2 5 poY Up I License /!D /other Number Number License /ID /Other Number