Homestead_Wellmeyer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Britany N Bradshaw Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street)
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E SELLERS)/GRAL�T,OR{S)_ �.,� .._:.,___..._ �: _�...:.,. _N ..�.�-�� . v_ .._:w,,. ,_.. ._�,�.,.__,__,.�._�zu�._.��r�.. __,�r._::.� ��.�-��__..._ .,... EV
Michael J Shoultz
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5826 F 115 S
Address(Number and Street) Address(Number and Street)
Francisco_ IN 47649
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 ,and's prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
.7 ' ''-'r-----
Sig lure ojS ler i Signature of Seller
Michael J Shoultz 6 > '-//9-20aZ'7
Printed Name ofSeller Sign bate(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
„F - _WGRATIM S), IRELATIONEOfi AC1P_TX A}X.,D.Eb l,C 1=0N TAD_EN.TIM ALL'IT;EMS='1'_HA'1'.'A`PPL' MMtai_:Y . ..,,
Kalya Jo Wellmeyer
Bu conveyance document Buyer 2-Name as appears on conveyance document
7282 East SR 64
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649
FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT AP •
YES NO CONDITION S NO CONDITION {�
❑ El1.Will this property be the buyer's primary TO Et3.Ho estead SON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ ® 4.Solar Energy System
residence,including county:
130 W Washington St ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Oakland City,IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be El WI 8 Is this property a residential rental property?
vacated for this residence? If yes,provide 0 Z 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: belo s for more information.
otavailable in all counties.)
Address(Number and Street)
—14-18-302-000. 727-007
City,State ZIP Code County ryp p tname Prima ro er o E-mail
Number License/ID/Other Number