Homestead_Hill Preparer of the Sales Disclosure Form Title
Katie Felty Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
- 7412 Eagle Crest Blvd Evansville, IN 47715
1C SELLE�{: %".'RANCOR{S) :'
Seiler 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Christopher D. Mossberger Thomas W. Mossberger
Address(number ands et) Address(numberan street)
td°`r r . street) Address
5.1 - 1411 „ lc S
City,slate,and ZIP Code . City, Late,and ZIP Code
�M I'ci,`U .r"i`•v ' 65 /�0 S u ' ,/ un tloj
Country Country
US US
E-mailps A ��
, :
;;r.�q j e'd, slaw,and is p pared In:�accarda ceswrtl IC 6-1 airs A`pe 'on wi otkn'awingly and intention lI--fatsls fies th'e V I'i`g f p_,,.- rr
��r�. �-:�.. „� , Y auaaftrnn$forred
'r al;_ropes y,�of,,Qmits oc.falsrties a1�lnformafion�fquired�to e p o.v de ii,Gommi a t evei 5 f logy
gnature Seller � na _ of Seller L������ I
♦� c^ 1 Ufa �—
r nted e o Selera itSl /X]cYY)
ted Name of Seller Da a signed mm/dd/yyyy)
Christopher D. Mossberger 4/28/25 Thomas W. Mossberger LI 12' 1 Z S
J_ BUYER(S)l,GRANTEE{5)=.-AP�PL(CA'fiION FORtPROPERTI(TAX EDU,pTIONS IDENTIFsY AI_L T•;fiiiAT'APPLY_
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears o'l Dance document
Lindsay Hill
Address(numberand street) i
) Address(numberandsfreef) 'LED .
101 South Church
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648 MAY
Country Country J 2(I
US 4 US
E-mail address.,i 1 i,
hiiAgdo apply foi ceii i..n dedluctions_Identify ati„o-i_.....--; apply
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 0 0 3. Homestead
residence? p Ci 4.Solar Energy Heating or Cooling System
0 2.Does the buyer have a homestead to be vacated 0 E 5.Wind Power Device
for this residence?If yes,provide address: 0 (p 6.Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
.-13 .0 20
r
f, F + • Y
jS•:d
''A,,==w'WW',:'N': :'.-. •., -,''''.:,•.:.'= . '. '',..i'f,^Lt:' ,,,:,,;. .-;,, ',-,?i:;14'1 :';'•i',''T,':i::''''-.: '•'. !: i': '. •1:' ..' '::.H.; '"''':.i'i:Y. '''''''';'''' ''''''iiii.;-1=i,,1::,'.,,;'. 4.t''.'-L.:"....''
6'::014..14,.PARER'' ''.'-';f1;.1''':0-''-';:.'.. •]:''‘ ;:-.. :',a7.';:''' '''''--: '''':-'. .1 ..:.• -:::'..' : 2'::. '7,'.Q.::4;: ;.:. ;2' f.r-,-:=13';.t, -f-'4i:,:.- s.P:Yni:Yi.- .,,a,
Preparer of the Sales Disclosure Form Title
Katie Felty Escrow Officer
Company E-mail address Telephone number
Foreman Watson Land Title kfelty@FW-LT.corn (812)809-4543
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
iMlialif04140,140V1:''i'*.;;H:'.::?:;:' .!.-A-•:,'',,i!.. .. 1, 4:3: ,',W1: ,: :,4 ;.'-'.''''::.V•::' ;!'':1 -. .:i•N''. :90:'i . A
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Dawn S. Mossberger
Address(number and street) Address(number and street)
1411 f'. Li • ef ra C.
City,s e,and ZIP Code
0
'It .. :ifi, LevA,S. City,state,and ZIP Code
Coun Ty L/49111 Cirl Country
US • US
E-mail address itite Nejzhone number E-mail address Telephone number
151J .459 -6-6ss.3 ( )
grititkochioe-07, ',' voiwookoicoofyiproso.iykoicotoii:0403 iftw;-',-q:,Si cmn.'tldreyi tf mSe,lleAwr iTicyq/si1:3d:o.p.,dito.: ,jtokotdipozyvitk!q4. 5.1* . * i-,:p„.p-.:-.O.,q 4fa-p cwOi-fJiz:k:ifrinOPjSirA* t*i*t0eLPrOPer0 ;trltak 01MAY1kgiAtial44:0010PAPOY40S4100Ntkkel.§f01*IY
Signature of -lier
in ame of Selle te signed(mmiddlyyyy) Prin z i Name of Seller Date signed(mm/dd/yyyy)
awn S. Mossberger 4/28/25
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...,,... ..r.t.,....,;,V,r,.ai,i,.......,.
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Lindsay Hill
Address(number and street) Address(number and streetPI ,
101 South Church i?
i' •
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch,IN 47648
Country Country 4/4)" 0/
US US 2025
E-mail address Telephone number E-mail address Telephone number
(859) 757-6704 Gis,
( )
0/ ?. Z.
figiVetWeWit467:1131.xt014.4a:1010itiagialinfaliiiifiiii01.te.650610.OgairAliOadalibi .: ,,rtktitliWIMOK: -!qt.
YES NO CONDITION YES NO CONDITION AIU
47:(5/17/
1.Will this property be the buyer's primary 0 0 3. Homestead
0 0 residence? 0 0 4.Solar Energy Heating or Cooling Syste ,
2.Does the buyer have a homes 7-d to be vacated 0 0 5.Wind Power Device
, 0 0 for this residence?If yes,prov',. address: 0 0 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Hea''g or Cooling Device
City,state,ZIP code,and county
23—40 C-'2"()e 00 0,
'repaid.106.igpv,i,iwoo-wolg.*.o. tfoot::.osfm Tio,:iiwkwro.trAii:otoi:
4staq itoolgaykortcy: p .1 raocoVano .NyAk19lt11;5;4tR9pg1,1019F,knpvTIOIT. 0 tvpm1.1„taNLIftth%vf!mr#0. ,
lelianiallirriP..- - ciettor:falialciirailidiiiratinatlibrtirequirealci.b&proliicred‘commi,-)mLevelaSlelony4NoteVo@ispousefb
Olifimajoi SSN(pLleiLkipplai:10 OfjorNmrthertgipmgwykgglegfqactppg_Opp .,Amigi p#,A,vi,,,-, i
Signature of Bu ,, 1 Signature of Buy., Spouse
Printed L;,al Name of Buyer 1 Sign Date(MM/DD/YY) Printed -.al Name of Buyer 2/Spouse Sign Date(MM/DD/YY)
Linds, Hill 4/28/25
La- 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number . t 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
-st 5 of SSN: ast 5 of SSN:
qfix.,
Page 3 of 5
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