Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Schmitt (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D PREPARER 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.S.1aLI S)%GRANTQR(S)r ';, - - _- . • _.:,�. :. ;„ >• „_.._ _, .:-. . Timothy D Chamberlain Mia B Chamberlain Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5884 W 350 S 5884 W 350 S Address(Number and Street) Address(Number and Street) Owensville, IN 47665 Owensville, IN 47665 City,State,and ZIP Code City, E-mail Under penalties of perjury,I reb certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an .plete req re aw, nd is prepared in accordance with IC 6-1.1-5.5,"Real Pr pe ty Sales Disclosure Act". Signature of Sel Signa re of Seller Timothy D.Chamberlain Mia B. Chamberlain - : 0 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller � Sign Date(MM/DD/YYYY) x ._ i�cat H� -AAPPLY'F BUYERS)%GRANT_EE(S)_APPLICATION.FOIL PROPERTY TAX;pEDUCTIONS_.;IbENTIFY ALL I ,5��` C -Spencer D. Schmitt_r Mariah D. Schmitt $ .\•41 / Buyer 1-Name as appears on conveyance document 'Byer 2-Name as appears on conveyance documeistO 2080 S. Old SR 65 2080 S. Old SR 65 0 14- Address(Number and Street) Address(Number and Street) . P� Owensville,IN 47665 Owensville, IN 47765 A o��- 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 CONDITION IZ ❑ 1.Will this property be the buyer's primary —"❑-3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device City,State ZIP Code County 0 7.Geothermal Energy Heating/Cooling Device ❑ 0 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) City,State ZIP Code County Primary property owner contact name E-mail