HomeMy WebLinkAboutHomestead_Hoehn INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
DiIMPAE 5.`4:. Trim t:Try x" 751 `7 :77:g•^r "^' t S•'' t :. -•i
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
!E:-Sal ITOR(S) =^t': 1-7774:77— #« _ r-;- i • ,
I eroy J Schmitt and Phyllis A Schmitt Revocable I iving Trust dated 10/1/14
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
923.E R00 S
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
andete as required by aw,and is prepre accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
(_Signpoire of Seller I Signature of Seller
I isa A May Successor Trustee P'\--'fb
Printed Name o(Seiler Sign Date(MM/DD/YYYY) Printed Name of Seller on to iMM/DO/YYY11
IF?BUY 18)'/•GRANTEE(S)(`.-.7AP,PLTIGATION;F,QR4I5,ROPER•TYT MDEI TIONS1'+IDENTIVtALLMF4SITHATtAPPL' , J
Daniel M. Hoehn Qtnthia A. Hoehn 406,
Buyer 1-Name os appears on conveyance document Buyer 2-Name as appears on conveyance document 8
770 Old Sand Rd. 770 Old Sand Rd. 0, X0/6
Address(Number and Street) Address(Number and Street) JQN
New Harmony, IN 47631 New Harmony, IN 47631 Co,.
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES - NO CONDITION YES NO CONDITION
N ❑ 1.Will this property be the buyer's primary N ❑ 3.Homestead
residence? Provide complete address of primary ❑ N 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 151
901 Chickasaw Dr n 5.Wind Power Device
Address(Number and Street) ❑ N 6.Hydroelectric Power Device
Ft. Branch, IN 47648 Gibson
City,State ZIP Code County 7.Geothermal Energy Heating/Cooling Device
I�J . V"2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
ry
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
nc u county: below.Please see instructions for more information.
r1'7O Oki got? Not available in all counties.)
•dress(Number•nd Street) it -/92/f/
City,State ZIP Code Coun
Primary property owner contact name E-mail