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Homestead_Schmittler INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - - _
THOMAS L MONTGOMERY GENERAL MANAGER
Preparer of the Sales Disclosure Form Title
-101 PLAZA EAST BLVD., SUITE 102 TRUE TITLE SERVICE, LLC
Address(Number and Street) Company
EVANSVILLE. INDIANA 47715 812-402-6555 closings(ahtruetitlein.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S) .. - -
•
BRIAN E SCHMITTI ER BRENDA S SCHMITT! FR
ler I-
A
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c mplete as requ d by law,and is prepared in accordance with IC 6-1,1-5.5 "Re rope Sales Disclosure Act".
XSignamre of Seller ignature of Seller
BRIAN F SCHMITT! FR 05/ 16 /2016 JiiRFNDA S SCHMITTI FR 05/ l cQ /2016
Printed Name of Seller Sian Date(MM/DD/YYYI) Printed Name of Seller ���'''``` ion Date(rrTTM/OD/YYTY)
F.B t - . •-• • _ --APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY I Ivy THEP��'. -
MATTHEW R. SCHMITTLER -, gl
Buyer l-Mime as appear.orrrenveye.re,irument Buyer 2-Name as appears on conveyance u ent�o��
907 S. LINCOLN STREET, JUN
Address(Number and Street) Address(Number and Street)
FORT BRANCH, INDIANA 47648
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
Ej ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary • r4 a• —, . . _. —eating/Cooling System
residence,including county: ❑ ❑
S.Wind Power Device
907 S I INCOLN STREET
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
FORT BRANCH. INDIANA 47648 GIBSON ❑ E 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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 ❑ I71 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) q
_ _ - __ _ - — MATTHEW R.SCHMITftER a6 -/ / _/g_/a3- o.a3/-04_ --
Ciq;State ZIP Code County
Primary property owner contact name E-mail