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HomeMy WebLinkAboutHomestead_Schmitt (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 `D:RREEAER' ' a - 77 - -r-= j Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 patti.bti(a�mw.twcbc.com Ciry,State,and ZIP Code Telephone Number E-mail FE inf(i$)/GRANTQR(W - ' 1:7 . :7-7 ,•t-�-r -- :U <; -;7 - r-s --F. Darwin G Neufelder Seller]-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 205 S West St Address(Number and Street) Address(Number and Street) Fort Branch IN 47648 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct dile omplete as reeq/` ' ed by law,a is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". %ll - 2/ f'1i.,t .� S�Y/�/7 Signature ofSeller f Signature of Seller Darwin G NenfeMer Printed Name ofSeller Sign Date(MM/DO/YYrr) Printed Name of Seller Sian Date(M.st/DO/YYYY) yRBUNIER(S)GRANTEE(S)SARRSCATIQNIFLO P,ROP,,ERTt YLITAX4DED_WilONS IDENJTIFY(dlig!I:TEMS(THATi7pPPLYt ' -7I Spencer D. Schmitt Mariah D. Schmitt Buyer]-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 5884 W 250 S 5884 W 250 S Address(Number and Street) Address(Number and Street) Owensville,IN 47665 Owensville, IN 47665 i1, THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPM, YES NO CONDITION YES NO CONDITION /11T)',l 17] 0 1.Will this property be the buyer's primary (7) 0 3. Homestead �0/T residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling SystemOR residence,including county: 304 E Made St ❑ fl 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Owensville, IN 47665 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP ode County L la 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 ❑ 0 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.) Addresr thr. mMr,mid taro's) '�T�t��/f-/ n�yr Ciry,State ZIP Code _/2-0/_ ' . O-gm " ""' County Primary property owner contact name E-mail