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Homestead_Scott (12)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 tDDPREPARER_ --_. _ 77.1-7 _ —.?. J. .__IC,._..— - :a _, _ t __._7:74 THOMAS L. MONTGOMERY TRUE TITLE SERVICE, LLC Preparer of the Sales Disclosure Form Tide 101 PLAZA EAST BLVD., SUITE 102 TRUE TITLE SERVICE, LLC Address(Number and Street) Company EVANSVILLE, INDIANA 47715 812-402-6555 closingsa( truetitlein.com City,State,and ZIP Code Telephone Number E-mail eEtSELLER(S)'/,GRANTOR(S)r __ s- K ROBIN A SCHMIDT Seller 1-Name as appears on conveyance document Seller 2•Name as appears on conveyance document 1712 OUTER I AKF ROAD Address(Number and Street) Address(Number and Street) 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". Signature of Seller Signature of Seller ROBIN A SCHMIDT 07/ Printed Namga(Seler Sion Date( ,M/OD/IYYIl Printed Name of Seller Sian Date(104/0D/YYYYI F ER(S GRANTEE - SAP.PGICATIONiF,ORPRDPERTY.TAX,DEDUCTIONS:(IDENTIFY/ALffITEMSaTHAVAP.P.I;YI ,.__4 KODY J. SCOTT K... Buyer 1-Name as appears on con ante document Buyer 2-Name as appears on conveyance document K... 1712 OUT OAD erg Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF949S T :T7'PLY. G1ol YES NO CONDITION I YES NO CONDITION 04/ V 7j ❑ 1.Will this property be the buyer's primary (J7 ❑ 3.Homestead �OUti�WWir. residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Coo '•• Syste residence,including county: ❑ *s/ 1712 OUTER 1 AKF ROAD S.Wind Power Device TOR Address(Number and Street) ❑ (77j 6.Hydroelectric Power Device PRINCETON, INDIANA 47670 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State Z Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ El 8.Is this property a residential rental property? 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.) Address(Number and Street) c2 - 70?_O 9 70 _CC:). aa-Oa?2 KODY J.SCOTT City,State ZIP Code County Primary property owner contact name E-mail