Homestead_Schmittler (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
(DaP,REPARER+i[:lI�lAnElr., ti ' c'>zi� •.':�P-:P7„n- ,4 ni jr Atitk 9aV i[sic irin[ gtaE ''rf: :",1 -.- a.a
Christian Hall Title Agent
Preparer of the Sales Disclosure Forni Tide
9 South 9th Street Empire Title
Address(Number and Street) Company
Richmond, IN 47374 765-935-9966 christian(ohemoiretitleservice.com
Oty,State,and ZIPCode Telephone Number E-mail
:EfSELr1iE1 S CRANYOR ST ` ').r..Lj I. — -4 iit rl ,-•-.,may. t g t:l: I gilt'd,-4i &r,
CMH Homes Inr by Scott Warren General Manager
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
100 N Fastvipw ctreet Fort Rranrh IN 47648
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 c 4itt/p/,,ras required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
ignature of,iee fSeller �` Signature of Seller
CMH Homes Inc by Scott Warren G M c3'0A0/6
Printed Name of Seller Sian Date DO/DO/M71 Printed Name of Seller Sian Date(wl/UD/YYY)1
1%..130YER(S)%GRAN;TEE(S).`.r18 PLIGATION,ED12113 R0$ERT;Y,,TAK DEDUCTIONS il DENTIFYPAIThriENISTHAWAI;PatT'F?.L
Brian E.Schmittler Brenda S. Schmittler
Buyer I-Name as appears on conveyance document Borer 2-Name as appears on conveyance document
1°° N ��r
tt cu1 �1YC(t • dc I
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648
THE SALES DISCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR T DS PROPERTY.IDENTIFY ALL OF THOSE TIIAT APPLY.
YES,(' NO CONDITION I YES Ni) CONDITION NOV O 2016
�V n I.Will this property be the buyer's primary - ❑ 3.Homestead
residence? Provide complete address of primary ❑ IS 4.Solar Energy HeaS5IIY.tg/Co In tem
residence,including county: 5. Power De}�i�tPM�
/00 A) CgS'vie u J7. (on7 gm nick, ,of ti-wiS ❑ 1 AUDITOR
Address(Number and Street) ❑ El 6.HydroelLILPPAv1 NiTY
G1 g„Ad ❑ Q 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Cafe County
❑ [0 2.Does the buyer have a homestead in Indiana to be n ❑ B.Is this property a residential rental property?
vacated for this residence? If yes,provide I1 ❑ 9.Would you like to receive tax statements for this
na{ c complete address of residence being vacated, property via e-mail?(Provide contact information
q" b' including county: below.Please see instructions for more information.
`7o / s z-r - Not available in all counties.)
Address(Number and Street)
aco - R-�T -3D4 - oao.%%-t1 - tNic.
City.State ZIP Code County
Primary property owner contact name E-mail