Homestead_Neufelder (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Lindsay M. Phelps
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway Princeton, IN, USA, 47670
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Larry Bemis Diane Bemis
Address(number and street) Address(number and street)
4949 S 350 W 4949 S 350 W
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665 Owensville, IN 47665
Country Country
USA USA
E-mail address address
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller Signature f Seller 4,.1
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Printed Name of S,tir Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Larry Bemis 1, -I'7 - I Diane Bemis /a -1-1- - a i
J. BUYER(S)IGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Logan M. Neufelder Sara Neufelder
Addre snumber rid street4 . Address(wrriber and strio k
e2et) . ,
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City,state,and ZIP Code City,state,and ZIP Code
'<Ilia tv5 (_-) A. P.PC---)4iAQ \1• T') )'`-lqQ)Country . Country
USA
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION a)
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ars 0 0 3.Homestead 4 a
rs1 0 0 1.Will this property be the buyer's primary co 11-11
residence? 0 9:i 4.Solar Energy Heating or Cooling S - a
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i (7. 2. Does the buyer have a homestead to be vacated a 0 5.Wind Power Device
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.--i for this residence?If yes,provide address: 0 (21 6.Hydroelectric Power Device
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rT A..ress(numberAnd stree 0 vzI T.Geothermal Energy Heating or Coog ice CI
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, it?,state,and ZIP C.0,09, ( i 73,1Y 26-18-03-100-000.225-021 CD .-
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I Under penalties of perjury,Thereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
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e4 as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's