Homestead_Pfeil INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
1 _ a _;s-- y '
Thomas D.Holzappel Dawn D.Holzappel
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
10375 S 150E 10375 S 150 E
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639 Haubstadt,IN 47639
state,and ttw Lode state,and ZIP Lode
--/- --
E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co lete as required b
Signature of f Seller la ,and is epared in accordant w'th IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Si gnature of Seller . e n
Thomas D.Holzappel ?- 7 A , !/ Dawn D.Holzappel 9''?'Z2Q
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
;R.BUYER(Sl/GRANII'EE(S)IC�APPLICATIONFOR4PROPERTYPAX•CDEDUCPI NS- dDENTIF.thIlITEMSTHATAPRLY ._. :-r_
Sara M.Pfeil Adam S.Pfeil
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
14144 Warner Street 14144 Warner Street
Address(Number and Street) Address(Number and Street)
Evansville,IN 47725 Evansville,IN 47725
FILED E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY Sep 15 202U
YES CONDITION YES NO CONDITION 7fJL
1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 0 5.Wind Power Device
10375 S 150 E
Address(NumberandStreet) El RI6.Hydroelectric Power Device
Haubstadt,IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ [ Is this property a residential rental property?
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
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) 2 6-19-3 2-400-000. 604-02 4
Sara M.Pfeil Adam S.Pfeil