Homestead_Schmitt (23)INDIANA SALES DISCLOSURE FORM SDF
DANIEL A. MOON
Preparer o/rhe Svles Dittimure Form
116 S. MAIN ST.
Addr� (Num6rl and StreztJ
PRINCETON IN 47670
Ciry, Smte, andZlPCade
�OLJNTRYAVRF WC
Seller 1- Nome as appeirs on cmveyonre dacument
1982 E. WARRFNTON RD
Addr� (Numder and StreetJ
Title
Seller 2- Name as a➢peurs on ronveyoncedorumen[
Addr� (Number ond Sbee[f
E-mail
HAUBSTAnT IN 47639 I
Ciry.Srore. andLPCade Ciry, Smtg and ZIPCode I
E-mail Tde honeNumber � E-moil
Under penal 'es of pe ' ,1 e rh'fy,th�tfhis Sales Disclosure, to the best of my knowledge and belief, is true, corred
and co�plet as,Se ire a d is gfepay�d in accordance wit61C 6-1.1-5.5, "Real Property Sales Disclosvre Act".
� �r cw�2� �� ' d '�7
DORIS J. SCHMITT
Buyer 1- Name asappmrs on tmveyonce dorument
608 W. CHURCH ST
Addr� (NUmber ard Strery
HAUBSTADT. IN 47639
City, Smte, andZlPCode
Sjgnamreo(Seller
Bvyer 2 -
Addr� (Number and Stree[)
Ciry.Smte, and ZIP lode
THE SALFS DLSdOSURE F00.M MAY BE USED TO APPLY FOR CERTAIN DEDUCf10NS FOR TNLS PROPER'IV. IDEMILY ALL
YES NO CONDI770N
Q� 1. Will this property be [he buyer's primary
residence? Provide complete address of primary
residence,inclu7�ngco ty:
ddr �N� and5treet) ^
y
iry.Sm�ZlPfnde f«+nry
Q ❑ 2. Does the buyer have a homestead in Indiana to be
vaca[ed for this residence? If yes, provide
complete address of residence being vaca[ed,
induding wunty:
608 W. CHURCH ST
Addr� (Number and Stree[)
HAUBSTADT, IN 47639 GIBSON
Ciry.Sm�llPCOde Counry
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3. Homestead ' qU,
4. Solar Energy Heating/Cooling S�
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heatlng/Coi
8. Is this property a residential rer
9. Would you like to receive tau st
propercy via e-mail? (Provide coi
6elow. Please see instrucdons jor
Not availa6le in all countles.)
ownerconmc[name
g Device
property?
❑ents for this
:t injormation
re information.
E-moil
Under enaldes of perjury, l hereby certify [hat this Sales Disdosure, to the best of my knowledge and belief, is trve, corred
and co plete as require by 1 w, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Ad". (Note:
Spouse'nforma ', S ial Sec rity and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
bein fi d. ,� )�LC� � �' _ I
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mNrea 1 SjgnamreofBUyerZ/Sporcse I
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Rin�d Legal Nameo/Buyn 1 Sgn Date [.vx/on/m'Y7 Pnnted I.�al Name o(Bvya 2/Spwrse Sgn Dvfe (NH/DD/YYYI]
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LostSdigiao%Buyer2/SpouseDriveis Stn[e LastSDi�iCSO%Social5ecuriry
Lirense/fD/OtherNum6er Number Lirense/!D/OtherNumber