HomeMy WebLinkAboutHomestead_Schmitt (11) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
I'A215,REPARER.:4 1z:_::_ : • ,,
Ann Leek Escrow Officer
Preparer of the Sales Disclosure Form Title
7321 Eagle Crest Blvd, Ste.A
E-mail
i
y'.E SELLER.(S)/GRANTOR(S) .:. , w-..
James L. Pohl
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on cony c o fitment
/0 2'4 F_ 7.S0 S `R.. a
-Address(Number and Street) • Address(Number and Street) 1g
r0 r - ro,.,.c fn-I !N �{7 Co u �, Q 1_1- `lo
haerreeby certify that this Sales Disclosure,to the best of my knowlegi elief,is true,correct
and complete s equired bye an 's prepared in accordance with IC 6-1.1-5.5,"Real Pr6 ' ty Sales Disclosure Act".
Signature-o Seller_'
f Signature of Seller
James L. Pohl 06/25/2019
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
•.BIIYER(S)/GRAN`F (S)t APPLICATION FOR•P'R'OPERTY T UCTIONS_=•IDENN 'IF LL ITEMS;.THAT APPLY=_ . ,.
Grant Schmitt Tabor Schmitt
e as appears on conveyance document -- 'vy" - ame as appears on conveyance document
702 South Lincoln Street 702 South Lincoln Street
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
1
b YES NO CONDITION ,DES- CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary ( n ❑ 3.Homestead
residence? Provide complete address of primary ❑ ❑✓ 4.Solar Energy Heating/Cooling System
residence,including county: 5.Wind Power Device
702 South Lincoln Street ❑ ❑
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
Fort Branch, IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 02.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 ❑ ❑✓ 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 hr-all counties.
Address(Number and Street)City,StateZlPCode County 26—/9'i 9-"/OV^ COO, 8 �L5- ^ p 2,49
Primary property owner con ac E-mail