HomeMy WebLinkAboutHomestead_SchmittH. PREPARER _
Preparer of the Sales Disclosure Form
Title
Katie Felty
Escrow Officer
Company
Email Address
Telephone Number
Foreman Watson Land Title
kfelty@fw-It.com
(812 1 9OD-4543
Address (number and street, city, slate, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, Its 47715
I. SELi.ER(S)IGRANTOR(S)
Seller 1— Name as it appears on conveyance document
Seller 2 — Name as appears o onveyance document
Lance R. Davis
Address (number and street)
Address (number and street)
City, State, and ZIP Cafe, _
ILSIC'V/`J 'T to
City, Slate, end ZIP Code
4
counw
-till
Country 2026
u$
US
Email A dross
hone Number
Email Address
Telephone Number
�le
Underpenoltles of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and 1 , 40NI¢ejt complete ao
required bylaw, and Is prepared in accordance with .IC 64.1-6.6. A person Who knowingly and intentionally taisi re b'�tA;Itle of transferred
real property, or.om t_ lslfiss arty information requlred to be provided, commits a Level 6 felony.
Sign a of s 0
Signature of Seller
Printed NarMe of Seller
Date Sig ed ( middlyyyy)
Printed Name of Seller
Date Signed (mm/ddfyyyy)
Lance R. Davis
J. BtlVER(S)IGRANTEE(S) - APPLICATI *'0 PROPERTY TAX DEDUCTIONS —IDENTIFY ALL THAT APPLY
Buyer 1— Name as it appears on conveyance document
Buyer 2 — Name as it appears on conveyance document
Gage M. Schmitt
Address (number and street)
Address (number and street)
182 W 50 S Unit 303
City, State, and ZJP Code
City, State, and ZiP Code
Princeton IN 47670
Country
Country
u5
us
Email AddressM/A
Telephone Number
Email Address
Telephone Number
1(fS ia ) 29. a s
( )
Pursuant to iC 6. .1-1244, the Sales Disclosure Forth may be used to apply for certain deductions. identify all of.those that apply.
YES NO CONDITION
YES NO CONDITION
❑ 1. Will this property be the buyer's primary
13
ID [33. Homestead
residence?
❑ 0 4, Solar Energy Heating or Cooling System
❑ Q 5. Wind Power Device
2. Does the buyer have a homestead to be vacated
❑
for this residence? If yes, provide address:
❑ ® 6. Hydroelectric Power Device
❑ 0 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
sr�(,
City, State, and ZIP Code County
Under penalties of perjury, I hereby certify that this Sales Dlsclosu re, to the beat of my knowledge and belief, ib true, correct, and complete
as requlred by taw, and Is prepared in accordance with IC 64.1-6.6. A person who knowingly and Intentionally falsifies the value of
transferred real property, or omits or falelflas`any Information required to be provided, commits a Level 6 felony. (Note: Both spouse's
Information, 3SWDrlver's Lleensefl=lher Number la necessary, only If Homestead Deduclfon is being filed.)
Si natureBuyer i
Signature of Buyer 2/Spouse
ri ed Legal Name of Buyer t Sig Date (MWDD/YY)
Printed Legal Name of Buyer2lSpouse Sign Date (MMIDDIYY)
G ge M. Schmitt 1 f LD 20 Z.Lo
Last 5 Digits of Buyer 1 SSNlDriver's LiconselID10ther Number
Last 5 Digils of Buyer 2JSpouse SSNIDrivees LicenserlD/Other Number
Last 5 of SSN: r
Last 5 of SSN:
Page 3