Homestead_Schmitt (10) INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER •
Abbigail Moers CSGtz,oW dk-,"--Tf{, '
Preparer of the Sales Disclosure Form Title �
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
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E. SELLER(S)/GRANTOR(S)
Household Thoughts, L.L.C., an Indiana limited liability company
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7199 Newman Rd
Address(Number and Street) Address(Number and Street)
Elberfeld, IN 47613
City, State,and ZIP Code City,State,and ZIP Code
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Telephone Number E-mail Telephone Number
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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
Brian K. Ellis, MI a(Y\i!Y 10/22/2020 10/22/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAcf !LY
Grant A. Schmitt Tabor Schmitt ;;7
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance\o bment
702 S. Lincoln St. 702 S. Lincoln St. X.."a,, ). �(1
Address(Number and Street) Address(Number and Street) ry' `\. �}
Fort Branch, IN 47648 Fort Branch, IN 47648 �1� �,•
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THE SA S DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSrr AT APPLY.
YES NO CONDITION YES NO CONDITION ��O
❑ 1. Will this property be the buyer's primary 0 3. Homestead G\
residence? Provide complete address of primary 0 El 4. Solar Energy Heating/Cooling System
residence, including county:
0 RI 5. Wind Power Device
6058 S 175 E
Address(Number and Street) 0 0 6. Hydroelectric Power Device
!Fort Branch, IN 47648 Gibson; ❑ El 7. Geothermal Energy Heating/Cooling Device
Ci ,State ZIP Code County 0 RI 8. Is this property a residential rental property?
El 2. Does the buyer have a homestead in Indiana to be 0 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
10Z S Li ac/.�1� t Not available in all counties.)
dress(Number and Street)
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r-f' \( .Y\C \ l N TQL-te ap•l9-.b9-300- cno -aoo-Da5
City,State ZIP ode � ,County Primary property owner contact name E-mail
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