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Homestead_Wilkinson
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER . . • ' Britany Barnes title agent Preparer of the Sales Disclosure Form Tide 226 W Broadway Broadway Title, Inc Address(Number and Street) Company 226 W Broadway Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Lauren E Schmidt Myles D. Schmidt Seller I-Name as appears on conveyance document Seller 2•Name as appears on conveyance document 211 S Main St 211 S Main St Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 Oakland City, IN 47660 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a d mplete as requ' d by law,and is prepared in accordance with IC 6-1.1--S.'5,"Re/Ial Property Sales Disclosure Act". /_ E s_..-........ / J IV ia, J/ .f�J�s/� ' Sig attire of Seller S nature of Seller Lauren E Schmidt g---,5-- / Myles D Schmidt - .5 - /6 Printed Name of Seller Sign Date VIM/OD/YYYI) Printed Name of Seller Sta�DOy{. F.BUYER(SJGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS TJP LLY E p p gJr James L Wilkinson Diana J. Brown-Wilkinson uyer I-Cnras appears on conveyance document Buyer 2•Name as appears on conveyance document AU 4140 Racers Way 4140 Racers Way 8 2016 Address(Number and Street) Address(Number and Street) Brooksville, FL 34604 Brooksville, FL 34604 4 THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES jJO rnvnITIQJ a ❑ 1.Will this property be the buyer's primary P" ❑ 3.Homestead-) residence? Provide complete address of primary 4--E—R1 4.Solar Energy Heating/Cooling System residence,including county: ❑ © 5.Wind Power Device 211 S Main St Address(Number and Street) ❑ IN 6.Hydroelectric Power Device Oakland City, IN 47670 Gibson ❑ 13 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 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 ❑ g 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: e- • •. - •• e see Ins tic . -• • in ormation. Not available in all counties.) Address(Number and Street) €24 %/Y i8 . 3o(f - 000 . 8 z oo 7 City;State ZIP Code •umy rty owner contact name E-