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Homestead_Neufelder
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Deena Hendrickson Closing Services Preparer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd., Suite 201 Regional Title Services. LLC Address(Number and Street) Company Evansville, IN 47715 812-759-5555 deena.hendrickson(a)regionaltitlellc.com City,State.and ZIP Code Telephone Number E-mail E-SEGLER(S)%GRANTOR(SJ� -- Mark A I uch Jennifer K I ush Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document • 1316 W Chukar Hollow Rd Same Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and com lleteeaas required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /!LLLller �'1/> ik • o`er-^-°i/i� �-^�$' . Signature of Seller i nature of Sale Mark A Lush 2/2P/2015 Jennifer K Lush Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DDMYY( }E.BIPER(S)/,G12A\!TEE(SJ_ APPLGATIONyFOR PEROPERTY TAX.,DEDUCTIONS'IDE\TIES':LC ITEMS T 9T;APPLY;T Aaron B Neufelder ;- - _ Buyer I-Name as appears on conveyance document Buyer 2-Name as op•-.rs on conveyance me' 13649 Double Tree SQ.y ? A i i,' Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE rusIALL' �1..� YES NO CONDITION lJilDIJ�TS) IkbUPI'rY AUDITOR I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar-Energy Heating/Cooling System residence,including county: ❑ 0 5.Wind Power Device 131 l e W Chi)IBC r itt)ktdl..) Address(Number and Street) —��-.f �2/� Ifs^ �� ❑ 0 6.Hydroelectric Power Device NV 1 1 t } { j" �, "�"\ 11V,... l ❑ ❑ 7.Geothermal Energy Heating/Cooling Device Ci ,StateZlPCade County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ Z 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 2 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information nd ng con below.Please see instructions for more information. j 1 (P Li trf�t �O u TAI Ic I r-c-t Not available in all counties.) j-Addrgs(A,'/u�`mtbe-8.idI I(1 f L A.� (,. b - l ' 3L -Soo-c oa -59 -oaY City,State ZIPCode 1 County Pr/ 11 `N*1 IAIC Primary property owner contact name E-mail