Homestead_Schmitt (25) INDIANA SALES DISCLOSURE FORM SDF ID: 2019 Page 2
D. PREPARER
Kristina Watson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
mail
E. SELLER(S)/GRANTOR(S)
Charles D.Arnett Ashley N.Arnett
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
207 S Vine St 207 S Vine St
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
City,State,and ZIP Code
---— E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and com as required w,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disci sure Act".
‘ Ait� a cV
rc
Signature of Seller' Signature-of ''
f " u"
Charles D.Arnett ///-/q Ashley N.Arnett 1 1 - \ - 19
Printed Name of Seller Sign Date-(MM/DD/YYYY) Printed Name of Seller (Sigri DatU.(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
(�Kaitlyn-E_Schmitt__ /) Elizabeth M. Schmitt
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document i'
3258 W 1050 S 3258 W 1050 S 't `' ,,)
Address(Number and Street) Address(Number and Street) ��
r" J O
Haubstadt, IN 47639 Haubstadt, IN 47639 �`1, /
' '' .��• F-
Telephone Numtier E-mail Telephone Numbei- _, /�10 �c3ail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THO I T, L.
S NO CONDITION YES NO CONDITION DGO
li
❑ 1. Will this property be the buyer's primary C 0_3_ Homestead ) ef-
residence? Provide complete address of primary ❑` 4. Solar Energy Heating/Cooling System
residence, including county:
0 5. Wind Power Device
207 S Vine St.
Address(Number and Street) 0 � 6. Hydroelectric Power Device
-- — - - 0 7. Geothermal EnergyHeating/Cooling Device
;Haubstadt, IN 47639 Gibson! 9 9
City,State ZIP Code County 0 8. Is this property a residential rental property?
I: 'jF 2. Does the buyer have a homestead in Indiana to be ❑ 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
2 -19-31- 30d- ea°. 42-3-- Co9
� -• -