Homestead_Neufelder (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Page 2
D. PREPARER
Teresa S. Holifield Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 teresa@swinland.com
City, State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Eric M. Kassenbrock Kristen J. Kassenbrock
Seller I -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
11655 S Honeysuckle Lane 11655 S Honeysuckle Lane
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and corn lete as required b law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
I ,CS+yhe of eller/ _ / ' Signature
Eric M. Kassenbrock 10/5/2018 Kristen J. Kassenbrock 10/5/2018
Printed Name of Seller Sign Date(MM./DO/MY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY
Ryan J. Neufelder IntSr sea,Knldvrl_1v;,iina5fd-hd-Iof`vl Natalie A. Neufelder/T(u /VegefdelArviri Trust
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document ailfd iiThiS
10530 Pumpkin Run Rd 10530 PaArn pI n Run Rca.
Address(Number and Street) - Address(Number and Street
Poseyville, IN 47633 ,IN- ecf&, vl (et j ic-7b33
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIF
YES NO CONDITION YES NO CONDITIONE D
0 El 1. Will this property be the buyer's primary 0 ❑ 3. Homestead IL
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heatin g/ Qoling Sy tn
residence,including county: OCT 9 L0Itf
❑ 0 5. Wind Power Device
11655 S Honeysuckle Ln. ❑ 0 6. Hydroelectric Power ewce
Address(Number and Street)
❑ 0 7. Geothermal Energ Device
Naubstadt, IN 47639 , Gibsoh p
City, St to ZIP Code County ❑ 0 8. Is this prope�®8giMARa( optercg
0 7 2. Does the buyer have a homestead in Indiana to be 0 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
rc—a a—is-3oo— ooa. 341 - ba 4
City, State ZIP Code County Primary property owner contact name E-mail