Homestead_Schneider (2) .
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INDIANA SALES DISCLOSURE FORM JDF}6 ' Ya I
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KAREN HARBISON VP
Preparer of the Sales Disclosure Farm Title
� 803E STATE HVvY68 HAUBSTADT STATE ANK
Address(Number and Sweet) Company
HAUBSTADT IN 47639 812'768'5800 khp/hiovn(aoshuoo.com
City,State,and ZIP Code Telephone Number E-mail
IrsCBlERiSWAN '����T:".7=±7� `—�.;-- 71 '''
rREG0RYSCHxE|nFR TR|/xTrrnFToFmxnGirASCHNE|nGS|RREY0CxB| FTnuSTAGRFEMENTO&TFDAUCUST17 2016
Seiler/ Name mon,wo.n conveyance document Seller?-Name as appears on conveyance document
11575 SnvvEwSV|| | pRO
Address(Number and Street) Address(Number and Sneer)
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 require s pre redinacc^rdanccn/i\blC6'l.l'5.5,"ReulProyerty3a|esDisc\osure&d".
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Signature
Signature of Seller
GRpGnRYSCHNFlnrR TRUSTFF 0818'2017
Printed Name of Seller Sian Date(MM/DD/YYYYJ Printed Name ofSeller Sian Date(1ov00/nn)
cT.:RU.Y[—S—G RA NitD(S)Iit AP,A E I-GAnAh:TM-P.RO P E RTj�TAX+V EU�C-T/0N�;I0CWji�Y‘A.LITdE M SIT AAJAJP,P,LYTT. :_-7 7-7--
STEVEN GSCxwE|DEn MARIA R SCHNEIDER
Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
15849 PECK RD 15849 PECK RD
x�nn/xumb�and umxy ^a��(Number and Street)
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EVANSVILLE IN 47725 EVANSVILLE IN 47725
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n/E SxLoo/oLoSoxsFORM MAY oEwsoro APPLY FOR oxruNDEDUCTIONS FOR rxopxorsxrsIDENTIFY Auorrxvo THAT Army. `'//
YES NO CONDITION I YES NO CONDITION GY.
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0 [l l.Will this property br the buyer's primary 0 3.Homestead
A'
residence? Provide complete address of primary 9 V 4.Solar Energy Oeabng/[oo|i "�a *°«/
}"/"rcsidcnco,inc|odiog county: (1 12 S.Wind Power Device
0488S1S0vY
Address(Number and Street) 9 I7) 6.Hydroelectric Power Device
FORT BRANCH IN 47648 GIBSON F-1 M 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
9 Igl 8.
Is this property a residential rental property?
Eli 0 2.Does the buyer have a homestead in Indiana to be
9 �q 9 \Yox|dyov|ikctorcccire tax statements k�rthis
vacated hr�hi�rc�idcncc� |�y��'p,ovidc �� �� 9.
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: be/ow /9eososooinstrvcdons/ormo/e/n/ormodou
15849 PECK RD Not available in all counties.)
Address(Number and Street)
EvxNSV|LLE |N 47725 VANDERBURG 2 /"~ /F- 0R5-30o co, , +R / ' {} z 5
City,Scott ZIP Code County
Primoty property owner contact name E-mail
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