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Homestead_Neufelder (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.-PREPARER_° -•-• —_— -- 77:777777:7711 Kandace Rogers Closer Preparer of the Sales Disclosure Form Tide 3101 N.Green River Road Suite 130 Columbia Title Address(Number and Street) Company Evansville. IN 47715 812-471-8563 kandaceecolumbiatitlegroup.com Ciry.State,and ZIP Code Telephone Number E-mail _ETSELLER(S)%6RANT6R(Sf C—_ELL- III_1-.217 17 .-- -- - _ - ,_-3- Skyler J Fpperson Jennifer J Fonerson Seller l-Name as appears on conveyance document Seller 2-Name as a rs on conveyance eyance document 9408S US HWY41 9408S USHWY41 Address(Number and Street) Address(Number and Street) Under penalties of pe ' ry,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and compld b -w,and is prepared in accordance with 6-1.1-5.5 "Real Pro. •rty Sales Disclosure Act". ":.•'cur'of -r. • ' Sig .•re of Seller 1 . ' ��- �• le- 17_ Jennifer J Epperson h S fi IPlr I . ep(Xfcst7+� —I `tii I Th -Printed Name ofSeller Sign Late(MMloo/YYYYI Printed Name of Seller -_� , Sian Date(MM/DD/Y'YP ll E:13- , •r, -17A -TAX.DEDUGTIONS=I11' ",` .. TEMS-THAT;AP,P,LY Joshua M Neufelder assandra N. Neufelder Burr - ogconv�•gnce document B. • 2-Name as appears on •-•eyggce document-ate"- CK/ ,JI11 JI 'ate s Ad ress(N r and Street) dres(Number'-��t / ff jvanCl, , NJ q-%q ?' . • / _, d t jj/ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TH I -i;' �e'S YES No CONDITION I YES NO CONDITION O� 1.� Ca") ❑ ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead G4., �O residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Coolin • tern residence,including county: ❑ p 5.Wind Power Device /)., Address(Number and Street) ❑ Q 6.Hydroelectric Power Device 0.c ❑ 0 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County ❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 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) aCity,State ZIP Code County