HomeMy WebLinkAboutHomestead_Schmits H. PREPARER
Preparer of the Sales Disclosure Form - — —1 Title r
Milton Norman - - j Settlement Agent _
Company
u Address (number and street, city, state, contry, and ZIP Code)
25 NW Riverside Dr ve, Suite 310, Evansvi'.le, IN 47708
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 -- Name as appears on conveyance document
Julie A. Evans
Address (number and street) Address (number and street)
118 Shady Lane
City, State, and ZIP Code City, State, and ZIP Code
I
Owensville, iN 47665
Country Country
US
Email Address
. I ( ) !
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 falsifies the value of transferred "
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
) ., , .
' gria of Seller r r ' .- - _- Signature of Seller
\ ' J 3 C'' =:-Ivi 44 1---'11
me Date S ned (dirn/ddlyyyy) Printed Name of Seller _ a igned (mrn/dd/yyyy)
Julie-4.-E�ians ifl.,______
J. BUYERS)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THA '
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on eon ncy document
Kathy M. Schmits C / 8
Address (number and street) Address (number ands 415-
2
03 S West Mill St S0
City, State, and ZIP Code City, State, and ZiP Code 0 , .
. ,
Patoka, IN 47666 �'
Country I Country 7T09
US
for certain deductions- Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary ® ❑ 3. Homestead I
residence? n
(__, ® 4. Solar Energy Heating or Cooling System
fx 2. Does the buyer have a homestead to be vacated 0 ® 5. Wind Power Device
for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device I
Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County a-04 -2_ - \o L, 1 ZS - O2-0
1
_ .L_________
__________
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete
5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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