Homestead_Lupfer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.iPREPARER . 74.:" 14 +_x 7 ;15 ^'=C.A.:! r e r :is 7i ' '::j ` lYX.-;: d ' f,
JoAnn Jacob Krantz Attorney
Preparer of the Sales Disclosure Form Title
P.O.Box 779 Fine&Hatfield,A Professional Corporation
Address(Number and Street) Company
Evansville. Indiana 47705-0779 (812)425-3592 iak(o)fine-hatfield.com
City,State,and ZIP Code Telephone Number E-mail
E.SEILER(S)7GRANTOR(S) ±- `• _ -,.2,:_ ' _.)y, r.,,a.f_._5.,'i%- ,.4.-C gx W_: f . ` �==•z;-
Jeffrey A I upfer
Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document
9(171 Cleveland Road
Address(Number and Street) Address(Number and Street)
Cynthiana Indiana 47612
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as r:•y \;y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller C. '� — Signature of Seller
Jeffrey A Limier (9) \e� —at)\8
Printed Name of Seller Sian Date(N.11/OD/VYY1) Printed Name ofSeller Sian Date(MN/DD/sY1'Y)
r.`BUYER(S)/GRANTEE(S)y APPEIGATION FOR PROP,ERT,Y TAXtDEDUCTIONS [DENTIF.Y AEL(TEMS_THA LY-T;fa,f.Wa
Sara L. Limier ti
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document `Z
., 9665 Winvard Place °ems )3_,
Address(Number and Street) Address(Number and Street) 'LUG .''— %/ 11
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY, '
.'C/,.
YES NO CONDITION I YES NO CONDITION .Jt .
ID ❑ 1.Will this property be the buyer's primary 0 Li 3.Homestead t''4Y
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county:
9665 Winyard Place ❑ ❑� 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, Indiana 47612 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 02.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) �)
City,State ZlPCode Countya'- /9- 0, dad-C./o5/ (4'D0P/
Primary property owner contact name E-mail