Homestead_Schultheis (8) INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
D. PREPARER
Rocksan Underhill Escrow Officer
Preparer of the Sales Disclosure Form - Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 rocksan @swinland.com
City, State,and ZIP Code Telephone Number E-mail
E. SELLER(S)I GRANTOR(S)
Terry Maurer Joann Maurer
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2562E 1200 S 2562E 1200 S
Address(Number and Street) Address(Number and Street)
• Haubstadt, IN 47639 Haubstadt, IN 47639
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".
Si `ler a-'-t-t-c-L_ { /�wrl `�'eru^!nJ
Signatur f Seller % ignature of Seller
Terry Maurer 9/16/2016 Joann Maurer 9/16/2016
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYERS)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY
Mark W. Schultheis
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on convey ce do t
bAddress(Number and Street) Address(Number and Street)
, IN as-c
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OIQQ IT AP Y.
X. NO CONDITION YEES-I NO CONDITION A00l
❑ 1. Will this property be the buyer's primary I / ❑ 3. Homestead TO.4
residence? Provide complete address of primary A 4. Solar Energy Heating/Cooling System
residence, including county:
2562E 1200 S ❑ fit 5. Wind Power Device
Address(Number and Street) ❑ /de 6. Hydroelectric Power Device
Haubstadt, IN 47639 1 Gibson ❑ rerTh 7. Geothermal Energy Heating/Cooling Device
City, ate P Code County ❑ A 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ Q-� 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete (-' property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
a‘- 3 -/0- ico -ado. Y9-- 007V
City, State ZIP Code County Primary property owner contact name E-mail