Homestead_Schmitt (26) -- — —.
H. PREPARER
Prepare' of the Sales DISCIOtAlte Form title
Slianneri Valiant 65C-41eicm.,..,
..— ..„.... . . _ .,,,,
Company
Address(number and street,city,state,cautery,and ZIP cole)
oor,SE Martin Luther King Jr Boulevard.Evartsvale.IN United States of Attic:m..1i 47713
I. SELLER(5)/GRANTOR(S)
Seller 1 -Names as it appears on conveyance document -Seller 2-Narne as it appears on conveyance.dOCAzfnent
Vincent N Slone Emily D Slone
_. _ ._......_
Address(number and street)
Address(number and street)
1331 W.Chultrir Hollow 1331 W Chukar Hollow
_
City,State and ZIP Code
City,Stale end ZIP Code -----
Haubstedt,IN 47630 Haubstadt, IN 47639
Country
Country
United States of America United States of America
E-mail address
best of my knowledge and belief. Is true, correct arid
complete as required by law, and Is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally falsifies th(,,
value of transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. _
Signature of S Vf
A-" (1'1 )e---e--- Signature of Seller
,, -.) '"
Printed Nam of Seller , Date signed(mon/dd/yyyy) Printed Name of Seller ,) signed(mmtddiyyyy)
Vincent N.Stone i? /), 7 ac,),1 Emily D. Slone
. J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AL AT A
Buyer 1 -Name as it appears on conveyance document
mitt
Addmsa(number and street) Buyer 2-Name as It a Address(number and stre s
Dakota R.Schmitt
yance docume _
Logan Sch
I 5 LI.•
I 3041 Kennesaw Dr. 3841 Kennesaw Dr. vC)KN-
- City,State and ZIP Code City,State and ZIP Code
C.. ) Evansville,IN 47725 Evansville, IN 47725 ),Ast,1 c.,-tc-4
00
Country Country Pli'40"‘
United States of America
to apply for certain deductions.Identify all of those that apply:
COND
NO YES ITION
§- YE,S NO CONDITION
LI
V 1. Will this property be the buyer's primary residence? „N 0 3. Homestead
0 9:i 4. Solar Energy Heating or Cooling System
bir 0 2. Does the buyer have a homestead to be vacated for 0 9., 5. Wind Power Device
t this residence? If yes,provide address:
i . 6. Hydroelectric Power Device
'---' Address(number and street) 0 pa, 7. Geothermal Energy Heating or Cooling Device
t 3S1-4%• csr.s.) Dv-.-
0 City.State,and ZIP Code County
I G.A1Nr.. ..4.‘ ,.1/4.,,,C. i 14 4-11-2-5- VIAADQYZICA>W25q1-,_ Qua- k'8-' k_o- cx:).- 00 71aa- Ci- •Li .
CN3Under 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.A person who knowingly and intentionally falsifies the
(:0.< value of transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: