Homestead_Jutzi INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Donna Zehner Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street)
-E:SEILER(S)/GRANTOR(S) 7
Andrew J Stolz
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
Address(Number and Street) Address(Number and Street) ,
City,State,and ZIP Code City,State,and ZIP Code
Telephone Number 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
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller • Signature of Seller
Andrew J Stolz
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller v Si.n Date(MM/DD/YYYY)
-F.BUYER(S)/GRANTEE(S)—APPLICATION.FOR PROPERTY TAX,DEDUCTIONS—IDENTIFY ALL IT 5' S1-I -.1.411f
ryce Jutzl
D y,,, - ame as appears on conveyance document Buyer 2-Name as appears on conveyance document -
i k Z.u 7 SD S JAN O 6 2020
Address(Number and Street) Address(Number and Street)
E-mail Telephone Number E-mail _
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--eoNnl-TInNj
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary W' 4.Solar Energy Heating/Cooling System
residence,including county:
11 ZLl z t % S ❑ ❑✓ 5.Wind Power Device
Address(Number and Street)
❑ 0 6.Hydroelectric Power Device
OA tIG1 Ina C 1 tl y i \ ) \'11 660 (n )S01'1 ❑ 0 7.Geothermal Energy Heating/Cooling Device
City, tate ZIP Code County
❑ 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 ❑ 0 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) •
,916••• /3 - lot- 41Od - COI. 43g-0, 4
Number License/ID/Other Number