HomeMy WebLinkAboutHomestead_StrangeI�DIANn SALHS DISCLOSURE FORN
Preyarero(the Sales Oua/osvre Form
226 W. Bmadvray
eea.o, �N�mn�, a�d wee��
Princeton, IN 47674
Ciry.Smcq md21P Code
SDFID
SDO ID 705182 Pa�e 2
Title
BroaWray Title, Inc.
Patriaa Miller Co-Personal Rep of Estate of Ernes� Lee Schneider Susan Bender Co-Personal Rep of Estate of Emest Lee Schneider
Seller ]- Name us opyevrs on aonveynnae Juvument Se11ei�I � Nemr as appears om m�veyunie dxument
9 W Red Bank Rd. 10650 Hwy 165
Addrezt (Num6er ond SvreQ AEdrus (Number and Svee[J
Ft. Branch, IN 4764& Poseyville, IN 47633-
Under penalties o(perjury, I hereby certify tha[ this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
an�.sqmplete as re�uir law, and is prepared in accordance with�6-1.1-5.5, " eal Property Sales Disclosure Act".
/„�.�� /�i1i i�. I ,... .^, C.e'. - /19--✓J
Buyer 1. Nmne ns appmrs nn
111 Cleveland Rd. �
47633
THE SALES D6CLOSURE FORh1 MAY BE USED TO APPLY FOR CERTAIN
te �Su�'�rf"B'@ii'i1'er, Co-Personal
bf Ernest Lee Schneider
,,, I PrnrM.i'nrnenlCdio�
4X DEDUCTIONS- IDENTIFY ALL ITEMS THA'
Buyer 2� Name as aAPevrs am m�vevnnre dotumen[
dadrm (,VumAe� and Street)
[iry.5tarq andZIPCoJe
VES YO COYOITION /
Q ❑ 1. Will this properry be the buyer's primary \
residence? Provide complete address of pri ry�
residence, including counry:
7953 WARRENTON RD.
Addrns (NUmbrr and SneecJ
Haubstadt, IN 47639 GIBSON
Ciry. Sw[e ZIP Codr Counry
�� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
induding rount}':
Address (A'umbn andSVee[�
Ciry, Slnte ZIPCade Counry
Rep o: Estate
OFTHOSETNATAPPLY.
�X � 3. Homestead
APPLY
Heating/Cooling Sys[em
� c� 5. 6Vind Power Device
❑ Q 6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy HeaUng/Cooling Device
� Q 8. Is this property a residen[ial rental property?
� Q 9.1Vould you like to receive tax statemena for Ihis
property via e-mail? (Provide contnct information
below. Pleose see ins[ructions for more information.
A'ot available in all caunties.J
dG -a� -/G -300 -oao. �G 7-o�fL
6'-mail
Under penalties of perjury, 1 hereby certify that this Sales Uisclosure, to the best of my knowledge and belief, is tne, correct
and comple[e as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse iri oi i�ma �on, Social Securiry and Driver's Li�ense/Other numbers are not necessary if no Homestead Deduction is
being filed.]� \
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De n . tranQe 02/10/11
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LrAal Nume oJBuy�er Z/Spouse
$ign Date (M.M/00/1'Itl7
LastSdigicso(Buyer2/SpauseDnver's Smte LastSDigi[co(Sotial5etunry
Number License/lD/OrherNumAer