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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