Homestead_Schmitt (26) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
?D.PREPARER . .. _. .
_J
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer, Kinkle&Ricker
Address(Number and Street)
E-mail
g.SELLER(5)/GRA SitOO. -:-• . : • • • -_
Kyle M.7iliak Sarah L 7iliak
Seller 1-Name as appears on conveyance document -Seller 2-Name as appears on conveyance document .
805 W Gibson St 805 W. Gibson St.
Address(Number and Street) Address(Number and Street)
Haubstadt. Indiana 47639 Haubstadt, Indiana 47639
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 .5,"Real Property Sales Disclosure Act".
1 3%-ft-
Sur of Seller Signature of Seller
Kyle M.7iliak February 28.2020 Sarah L.Ziliak February 28, 2020
Printed Name o Seiler Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
!F.' .___ §)/GRA D EN..__,APPLI:CATIO_N_FOP PROPERTY_TAX DEDUCTIONS IDENTIFY ALL ITLEMS THATTAPPLY __ .Y: _ _ J
Bradley D. Schmitt Nicole L. Meny .. 1`
Buyer 1r-[ on conveyance document Buyer 2-Name as appears on conveyance•.- men
� �
403 W Walnut Street 403 W Walnut Street At,_) A---
Address(Number and Street) Address(Number and Street)
, .
Princeton, IN 47670 Princeton, IN 47670 0City,State,and ZIP Code
THOSE THA O0N-(Y P
YES NO CONDITION YES NO CONDITION $SON G
0 ❑ 1.Will this property be the buyer's primary E tead C1�
residence? Provide complete address of primary —1—Solar Enceating/Cooling System
residence,including county:
805 W.Gibson St. ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt, Indiana 47639 Gibson ❑ 17I 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be El ❑✓ 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, r eL-m ' ? Provide contact information
including county: below.Please see instructions re information.
403 W Walnut Street Not available in all counties.)
Address(Number and Street)
Princeton, IN 47670 Gibson Lg' 1 g--- Lk -H -bOO, 2 l -bpq
City,State ZIP Code County
ro e owner con1