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Homestead_Schroeder
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER ' Britany N Barnes Agent Preparer of the Soles Disclosure Form Title 226 W Broadway Broadway Title, Inc Address(Number and Street) Company Princeton, IN 47670 812-386-1687 britany,bti @mw.twcbc.com City,State,and ZIPCode Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Melody J Tooley Melinda A Sams Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 410 Kensington Dr 322 W Washington St Address(Number and Street) Address(Number and Street) Princeton , IN 47670 Oakland 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". Signature fSeAlrt ° p Signature of Seller FILE Melody J Tooley y/1 p�t-i Melinda A Sams p i�/J! /g.'2017 g Printed Name of Seller Sian Da (14.31/oD/YYM Printed Name of Seller n;e(M14/DD/YYIY) F. B S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Ricky Wayne S c h r o e d e_r__--) SEP 1 9 2017 Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 3130 Green River Dr. A Address(Number and Street) Address(Number and Street) WIW74 11 X Evansville, IN 47715 GIBSON COUNTY AUDITOR 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 I ',ITION p ❑ 1.Will this property be the buyer's primary trirl ❑ 3.Homestea• residence? Provide complete address of primary U © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 419 S Gibson St. S.Wind Power Device Address(Number and Street) ❑ IN 6.Hydroelectric Power Device Oakland City,IN 47660 Gibson ❑ 12 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 19 2.Does the buyer have a homestead in Indiana to be ❑ 12 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 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) o1(O AO/ _000. '7S9 007 City,State ZIP Code County Primary property owner contact name E-mail