Homestead_Schmitt (24) INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Abbigail Moers
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (
mail
E. SELLER(S)/GRANTOR(S)
Walter W. Schmitt
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
10716 S 550 W.
Address(Number and Street) Address(Number and Street)
Cynthiana, IN 47612
City, State,and ZIP Code City,State,and ZIP Code
\\/
Telephone Number 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 comp ete as required by law,an ' re ared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
•
Signature of Seller -nJ Signature of Seller
Walter W.Schm 11/10/2020 11/10/2020
Printed �'• nnDDate(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. B ER(S)/GRANTEE(S)-APPI ATION FOR'R-OPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMSiTH T APPLY
i
panda N. Schmitt 1
/ Buyer 1-Name as appears on conveyance document Buyer 2-Name as s co J' ance document
6207 W. SR 68 p`L�
Address(Number and Street) Address(Number a Street) g�'
1
Cynthiana, IN 47612 0
City,State,and ZIP Code 41 UQ\�O�
Tele ne Nu er E-mail phone Number E-mailCP
T SALES DISCLOSURE FORM MAY • ED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. I ENp(T . LL OF THOSE T • A"-LY.
YES YES NO CONDITION Oo
❑ 1. Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of prima 0 2 4. Solar Energy Heating/Cooling System
residence, including county: /
0 0 5. Wind Power Device
6207 W Highway 68
Address(Number and Street) 0 0 6. Hydroelectric Power Device
-- — 0 0 7. Geothermal Energy Heating/Cooling Device
'Cynthiana, IN 47612 G bsonJ
City, Code Coun 0 El 8. Is this property a residential rental property?
'-' 2. Does the buyer have a homestead in Indiana to e 0 2 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide comp to property via-email? (Provide contact informatio
address of residence being vacated, including co ty: below. Please see instructions for more inform tii n.
Not available in all counties.)
Address(Number and Street)
aQ- a-o-1-koC-uoa.. St ,0a.
City,State ZIP Code County P' ary property owner contact name -mail
License/ID/Other Number