HomeMy WebLinkAboutHomestead_Stobel INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000 closing.dentOieffbosse.com
City,State,and ZIPCode Telephone Number E-mail
E.SELLER(S)/GaANTOR(S) -
Beth A Schmitt
Seller I Name as appears on conveyance document Seller 2-Name as appears on conveyance document
114-514 Cemel-P-42.1 &DAP
Address(Number and Street) Address(Number and Street)
EVAN 5V i (A-r-- N 47725•
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an omplete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
-4C7f-
&anon:re of Seller Signature of Seller
BP1h A Schmitt
Printed Name of Seller 'an Date(14140D/TYYY) Printed Name of Seller
Ff BUYER S GRANTEE(S):f4 APPLICATION;FORPROPERTY;FAX•DEDUCTIONSIDENTIFY,ALL ITEMS rirjaigni,511116':1,c.;"...-'
7 I arr
atthew L Strobel M Jessica K. Strobel
Buyer I-manic as appears on\conveyance document Buyer 2-Name as appears on conveyance document
211-39 S Country Rd 200 W 2839 S County Rd 200 W JUN 1 6 2017
Addar....s.(rNu mbo e r *Ltrzeit) . g.c7t pi:21er and Street)
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 CONDIT ON
D 1.Will this property be the buyer's primary Li 3.Homestead
residence? Provide complete address of primary . olar Energy Heating/Cooling System
residence,including county:
0 5.Wind Power Device
Address(Number and Street) D 0 6.Hydroelectric Power Device
El 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
a 8.Is this property a residential rental property?
0 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 E 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.)
Address(Number and Street)
A6 _ Lc . 3/ - Yot -001. 0 y
City,State ZIP Code County
Primary property owner contact name E-mail