Homestead_Schwartzlose INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
I ID,PREPARElt , _, „ : ; 2 .__ .. ._ _.. ..-. • ''_:_•:_';'_,`_
Leon C. Stone President
Preparer of the Sales Disclosure Form Title
226 West Broadway Street Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 (
E-mail
E SELLERS)/GRANTOR(S)._
Weber Investments LLC
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1017W150N
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
City,State,and ZIP Code City,State,and ZIP Code
(
E-mail Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
complete as re uired by law, nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
n 0)
Signature of Seller Signature of Seller
Pamela K.Weber
Printe e SeN Siqn Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYYJ
UYER(S)/GRANTEE(S .APPLIGATION;FOR`PROPERTY TAX-,DEDU,GTIONS,IDENTIPYALLIT _- f•_P'r _.
Susan E. Schwartzlose b P A Alice Paulette S ur eon 1--)
s once document Buyer 2-Name as appears on conveyance ocument
112 E. Emerson Street
Address(Number and Street) Address(Number and Street) O C T 2 9 2019
MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTH '''• RTY. IDEN THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary IZI ❑ 3.Homestead
residence? Provide complete address of prim. • F 4.Solar Energy He • g/Cooling System
residence,including county: —
212 S. Seminary Street ❑ 0 5.Wind Power Device
Address(Number and Street) ❑ 7] 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ WI 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 ❑ IZI 9.Would you like to receive tax statements for this
complete address of residence being vacated, • , via e-mail?(Provi s e co •. • ormation
including county: below.Please see instructions for more info ••tion.
Not available in all counties.)
Address(Number and Street)
City,State ZIP Code Co4 (0�12�7 ^LAO i — 001 27-I—0Z8 )
Primary property owner contact name , E-mail A
Number License/ID/Other Number 1