HomeMy WebLinkAboutHomestead_Workman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Chris Sullivan Closer
Preparer of the Sales Disclosure Form : Title
7820 Eagle Crest Blvd Ste 201 !Regional Title Services
Address(Number and Street) ! Company
Evansville,IN 47715
Stanley J.Schmidt ! Carol L. Schmidt
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
7998 S Andee Ln 7998 S Andee Ln
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648 Fort Branch,IN 47648
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 c,o,,,t plete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Air: ,
Stanley
e. ecer I 1- G�] /� Signature ofceller ( n z, '! ' 11.
�'Stanley J.Schmidt i7I/--I�ll(l.il/1 Carol L. Schmidt /1...�(//y�,['�^'ly ,1i�7
23?1)
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
'iF BLIYER(S1/GkANTE°EfSIB4APRLICATIONr) ORyPROPER'IvaX DED[JCTIONS_ IDENTIFY ALtiITEMS>THAT AMPLY i,. _ .. w.'.. .
Benjamin Workman
Buyer 1-Name as appears on conveyance document i Buyer 2-Name as appears on conveyance document
1633 Proverb Lane ; 1633 Proverb Lane
Address(Number and Street) Address(Number and Street)
Louisville,I162858 Louisville,I162858
FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. �y,
YES NO CONDITION ' YES NO CONDITION �l/�Y
�] ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBBON COUNTY AUDITOR CB
J residence? Provide complete address of primary ❑ p 4.Solar Energy Heating/Cooling System
residence,including county: ❑ p 5.Wind Power Device
7998 S Andee Ln
Address(Number and Street) ❑ Er 6.Hydroelectric Power Device
Fort Branch,IN 47648 Gibson ❑ ICJ 7.Geothermal Energy Heating/Cooling Device
City State Z,JPCode County ❑ X 8.Is this property a residential rental property?
❑ 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 instructions for more information.
including county: Not available in all counties.)
Address(Number and Street) 26-19-19-103-001.188-026
' Benjamin Workman
City,State ZIP Code County Primary property owner contact name E-mail
! Number License/ID/Other Number