Homestead_Schnautz H. PREPARER
Preparer of the Sales Disclosure Form Title
Daniel A. Moon Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
111 N Hart Street, Princeton, Indiana 47670
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Alan R. Hoefling Brenda K. Doty
Address(number and street) Address(number and street)
11792 S US Highway 41
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt, IN 47639
Country Country
USA USA
E-mail address
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.el
Signature of Selled 4ignatu o /�r`
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Alan R. Hoefling g- J - S. Brenda K. Doty /07 a70a7. 7
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIF L THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on v,.ya document
Cody B. Schnautz Amber M. Schnautz �C�
�
Address(number and street) Address(number and street)
11792 S. US Highway 41 11792 S. US Hi&vay 417a6,
City,state,and ZIP Code City,state,and ZI 1
Haubstadt, IN 47639 Haubstadt, IN 47 s<"0
Country Country 0OG�-� ��`
USA USA 'I'T lS"�..
E-mail address
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all o1"those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary FA O 3. Homestead
O residence?
0 CZ 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 l I 5.Wind Power Device
O m for this residence?If yes,provide address: 0 t i 6. Hydroelectric Power Device
Address(number and street) 0 WI 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County z�_Z3-'fl? LI CO _ co•0' _�r
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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