Homestead_Fehrenbacher INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - - - - .. - .. _ 1
1
Christina Ferguson Closing Agent
Preparer of the Sales Disclosure Form Tide
•
501 Main St.Suite 101 Bosse Title Company
Address(Number and Street) Company .
Evansville,IN 47708 812-421-4000
City.State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Ryan S Neufelrier
Ile -Name as appears on conveyance docvmenh Seller 2-Name as appears on conveyance document cot_
Address(Number and Street) Address(Number and Street)
oc-'e -sv;'/eXN u766<
Und "penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and omplete as equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
acre o/ � Signamre of Seller
Ryan S Neufelder 12/30/2015
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sion Date(M.M/DD/YYYI)
F.BUYERS)/GRANTEE(S)-APPLICATION,FOR PROPERTY TAX DEDUCTIONS-'IDENTIFY A iip'E S'I A - •PL t_ -L
t t
adc A. Fehrenbacher ' i 41 '
-- pears on conveyance document Buyer 2-Name as appears on conveyance document
/N ) P 16 15 A.) BU An JAN 4 2016
Address(Number and Street) Address(Number and Street)
pCi�
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 NO ratio ION
❑ 1.Will this property be the buyer's primary 151 ❑� 3.Homestead
residence? Provide complete address of primary u ki 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
city State ZIPCode county
El Cr 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 ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties)
Address(Number and Street)
24-6-! 5'-3o y-000. 34, -ooh
City,State ZIPCade County
Primary property owner contact name E-mail
•