Homestead_Roberts (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Timothy Shea Processing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
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Bret W.Schutz Sharon A. Schutz
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
7923 Whitetail Trail 7923 Whitetail Trail
Address(Number and Street) Address(Number and Street)
Evansville,IN 47711 Evansville,IN 47711
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 to a re r d y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property ales Disclosure Act".
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Sigma re ofSeller Signature of Seller
Bret W. Schutz 1 ! 0 � Sharon A. Schutz 'r] j L� ()
Printed Name of Seller Sig Dale M/DD/YYVY) Printed Name of Seller Si n Date MM/DD/YYYY)
yF`i YER(Sl/GRANTEE( PPLICATION.EOffPROPERTYTAXoDEDU&T.IONS xIDENTIFYALL!ITEIvIS.THATAAPPLYit0a zi =i
Brandon J.Roberts
Buyer 2-Name as appears on conveyance document
I.
Ad%-• (Number ndStree ` Address(Number and Street)
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Telephone Number E-mail
THE SALE ISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERT . IDENTIFY ALL OF THOSE THAT APPLY. FILED
YES NO CONDITION YES NO ION
❑ 1.Will this property be the buyer's primary 3.Homestead Jul 17 2020
residence? Provide complete address of primary ❑ izr 4.Solar Energy Heating/Cooling
residence,including county: ❑ El 5.Wind Power Device GIBSON COUNTY AUDITOR CB
801 Creek Dr
Address(Number and Street) ❑ El 6 ydroelectric Power Device
Fo Branch,IN 47648 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
ct ,State ZIP Code
iCounty
❑ 8.Is this property a residential rental property?
E 2.Does the buyer have a homestead in Indiana to be ❑ Q 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instr n ormation.
(la s i it ludin o nnty: Not avail in all counties.)
41/
pAddr7(NucmberandStreet)� �11 OVl J Ai 4'70 Brandon J.Robe s 26-19-18-200-001.. 381-06
ity,State ZIP Code / C9-`
Number License/ID/Other Number