Homestead_Schmidt INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Dc,PREPARER` -C7Dt1 s: a z *{ 31; s__ �-�_1, �
CHRISTINA LENFERS CLOSING AGENT
Preparer of the Sales Disclosure Form Tide
501 MAIN ST STE 101 BOSSE TITLE CO
Address(Number and Street) Company
EVANSVILLE IN 47708 812-421-4000
City,State,and ZIP Code Telephone Number E-mail
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-6?SEf:QER(S)%GRANTOR(S)..�t - '�- - -.L7.. . �%_�..1"``�n-,-,v ;TC.. .-:.--::7-:',11: :. . . .. _: - _.
TIMOTHY." POWERS SHERI L POWERS
Seller l-Name as appears on conveyance data t Seller 2-Name as appears on conveyance document
C192o S Gt 1�iL�eriins �l R / C 19 Z0 S. Whispering tills Rd
Address(Number and Str et) Address(Number and Street)
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and tom I lete as re if by law,and is prepared in accordance with 6-1.1.5.5,"Re;ll Pr erty Sales Disclosure Act".
e C/l /-[J.relL dJ
Signature of 4 Stature of Seller
TIMOTHY JOWFRS 06/26/2017 SHERI L. POWERS 06/26/2017
Printed Name of Seller Sian Date(MM/DD/YYYYI Printed Name of Seller Sian Date(M.M/DD/YYY!)
LA.BUYER(S)/GRAN;TEE(S)'APPLICATION;FOR?PROPERTY TAX,DEDUGTIONS=IDENTIEWAELf ITEMS?THAT APPL'Y? _ . 7,7----;:5-r-:
MYLES SCHMIDT LAUREN E.SCHMIDT
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document
CIF 14 S WAsplri�y W:/Is Ad �167A. S WAA',et1•-l'nj gas Rot
Address(Number and Street) Address(Number and Street) J
Oakland C;1.. I. 87660 Oak ctrvi tw 4'1LoLb0-
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TH OS
YES NO CONDITION I YES NO CONDITION
El ❑ 1.Will this property be the buyer's primary [J1 ❑ 3.Homestead
residence? Provide complete address of primary ❑ d 4.Solar Energy Heatit) o2l1 }wem
residence,including county: ❑ S.Wind Power Device c�u ' V
j% z- S Whtsp..rrtrS1411sQ-d
Ad es(Nuumber and nd steet U r,., ❑ t0-� 6.Hydroelectric Pow•t Devici ,
� -'4 A 4 0(00 v(v ❑ L{z 7.Geothermrr���pp t 1F `ilit'�Rge�p Yyice
City,State ZIP Code County ,�,/ UICS e • •rental I�K
❑ 2 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 ❑ L'7 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)
40 - 13-2 3 -to1 - ocol 9N-Doca
City,State ZIP Code County
Primary property owner contact name E-mail