HomeMy WebLinkAboutHomestead_Sellers H. PREPARER 1
Preparer of the Sales Disclosure Form Title
Kandace Rogers Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Sandra S. Schmitt David E. Schmitt
Address(number and street) Address(number and street)
9774 S 450 W 9774 S 450 W
City,state,and ZIP Code City,state,and ZIP Code
Cynthiana, IN 47612 Cynthiana, IN 47612
Country Country
USA USA
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.
Signs ure of Seller �Sigr r. ' Sf L 2-
�� ,fi t K in JI B !7.:-._
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Sandra S.Schmitt December 2, 2022 David E.Schmitt December 2, 2022
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears orrnr oe, I
Nicholas Sellers
Address(number and street) Address(number and street)
703 E.Tretter Park Drive DEC 0 7 2022
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648 � /
Country Country ` ��il a .1 - a)
USA GIBBON COUNTY AUDiTO�
NO CONDITION
1.Will this property be the buyer's primary
0 ❑ 3.Homestead
Q ❑ residence? ❑ Q 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated DI El 5.Wind Power Device
❑ for this residence? If yes,provide address: ❑ El 6.Hydroelectric Power Device
Address(number and street) ❑ pX 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county %-,q -I % -Sol -Goo , 6 Z -o z-
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