Homestead_Schmitt (10) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Karen S.Creek Closing Agent I f
Preparer of the Sales Disclosure Form Title
501 Main Street.Suite 101 Bosse Title Company
Address(Number and Street) Company
I
_Evansville, IN 47708 812-421-4000 karen.creeklajeffbosse.com _
Ciry,State,and ZIP Code Telephone Number I E-mail
iE?•SEL EL R(S)%GRANTOR'(S]L,_ ' .- ' _'? ..,. ' i .. .-. ,- _ . =: (.._--- . - 7'.. --
Len F Neufelder Judith E Neufelder
Seller 1-Name as appears on a nveyanr document Seller 2-Name as appears on conveyance document
/67 II • to l K _/a _7_ /V. PA, IC
Adddrrrrr (Num rand Street) L y� Address(Number and StrAet) l/ /'
finer }4A,`k 7'/1( 97440 Fe n� 66 Per AJ4 11 . 77678
City.State,and ZIP Code City,State.and ZIP Code
fr -1 Qf-J3A1t&, pia-757- 4n? g/ • IS 3 -1a-ap
Telephone Number E-mail Telephone Number I E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosur• to the best of my knowledge and belief,is true,correct
and mple4e as re uired gy lla ,and is prepared in accordance w C 6-1.1-5.5 "Real Property Sales Disclosure .
tgnature of Seller •tore of eller
I
I
en F Netdelder 11/25/13 .•Ith E Neufelder 11/25/13
Printed Name of Seller Sian Date(POI/DD/MT) Printed Name of Seller I Sian Date(H.M/DD/YYYY)
W
EdBUYYER(SliMiSITEE(S);-APP,I AT10NFORIP,ROP,ERTyYtTAgiiDEDUCTIONS' IDENTIFY(ALLITEMSITHAVAP.P,L ? —Y
Jeremy Schmitt
Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
307 W.Vine Street I _ -
Address(Number and Street) Address(Number and Street)
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION I,NOV 2 / 2013
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ Q 4.Solar Energy takkoatystem
residence,
D
.3 7 v U/iti S T including county: ❑ 0 5.Wind R11(b§�GQUNTY AUDITOR
`Address(Nu ber and Street) ❑ 0 6.Hydroelectric Power Device
faRT 0RANel/. r,d y1.48 6 ens 50,✓
City,State ZIP Code Counry ❑ 0 7.Geothermal Energy Heating/Cooling Device
❑ E 2.Does the buyer have a homestead in Indiana to be ❑ 0 8 Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via a- mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) 1/^
City,State ZIPCode County �CI4 -13-Y03-1 ,/ia3 '9 o
Primary property owner can tact name I E-mail