Homestead_Schleter (4) 1 H. PREPARER
Preparer of the Sales Disclosure Form Title
Lindsay M.Phelps Searcher
Company
Address(number and street.city,state,country,and ZIP Code)
226 W Broadway St, Princeton, IN, USA,47670 FILE
I.SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Scot A.Hornby JUN 2022
Address(number and street) Address(number and street)
5562 E 500 S
City,state,and ZIP Code. City,state,and ZIP Code gth & 14(.2.2 ems,,,..
Francisco,IN 47649 Country Country
USA GIBBON COUNTY AUDITOR
E-mail address
• ( )
Under penalties of perjury,I hereby certify 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 falsities the value of transferred
real property.or omits or falsifies any Information required to be provided,commits a Level 6 felony.
Si n tureSeller Signature of Seller
�r� /4-7-V
Printed Name of Setter Dale signed(mmldNyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Scot A. Hornby ..j'--3/-X2
J. BUYER(S)/GRANT (S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer I-Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Olivia Schleter Michael Schleter
t� A ess(number and street) — Address(number and street) y-'
ct 5 r�c� 5f)0
City,state,and ZIP Code City,state.and ZIP Code
•
\ IY 1 :.4 C.O is 1 1Lz.'It( -axi t-+.5c_t)r /r '-i74'/41
v •
Country Country
USA USA
`.. E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
o e 0 3.Homestead
`mot n _, 1. ide this property be the buyer's primary
s O O residence? 0 O 4.Solar Energy Heating or Cooling System
t 2.Does the buyer have a homestead to be vacated
0 O 5-Wind Power Device
`/ 8 en this residence?if yes,provide address: 0 p 6.Hydroelectric Power Device
(2 Address(number and street) O C) 7.Geothermal Energy Heating or Cooling Device
`9 City sl"ae,�IPcode and"couut �,�}� �� ,�6,,3170 -OO 010_'0 D I
O Francisco, IN 47649
I Under penalties of perjury,I hereby certify that this Sates Disclosure,to the best of my knowledge and belief,Is true,correct and complete
gas
Page 3 off