Homestead_Spindler (5)INDIANA SALES DISCLOSURE FORM SDF ID: ,3 Q 1a Pa�e 2
D.PREPARER
J. Robert Kinkle
Preparer o(the Salu D'us'losvre Form
PO Box 13 219 N. Hart St.
ires (Number and Stree[J
nceton IN 47670
Ciq•, Smre, and ZIP Cade
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SeOer ]- Name as appears on ronveyanre dacument
Addres (Num6er a nd 5[reetJ
Princeton IN 47870
Email
rme
Hall Partenheimer & Kinkle
Company
Email
Se//er 2� Name as appeorson ronveyunce document
Addreas (Number a� SVeet)
City. Smle, ond ZIP Cnde
Under penal[ies of per' 1 hereby certify that [his Sales Disdosure, to the best of my knowledge and belief, is [rue, correct
and c�ij nplete as�qui�y law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure AcY'.
- APPLICATION FOR PROPERTY
Buyerl�Nameasop �mn
.Address (Number orW 5[reelJ
'rinceton.IN 47670
pSmte,
�
SignatureoJSeller
P' o75eller
CTIONS- IDEN
�li B. Soindler
Bvyer2�Nomeasappears
on ourt
Address (Number and StreelJ
ITEMS THAT APPLY
Princeton IN 47670
°
APPLY.
✓Q � 3. Homescead
. o ar Energy Heaang/Cooling System
� Q S. Wind Power Device
❑ ❑✓ 6. Hydroelech-ic Power Device
❑ ✓� 7. Geothermal Energy Heaiing/Cooling Device
� �✓ 8. Is [his property a residential rental property?
� Q✓ 9. Would you like to receive tax statements for this
property via e-mail? (Provide contact information
below. Please see instructions for more information.
Not availa6le in alI coun ' s.)
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E-mail
Under penalties of perjury, 1 hereby cer[ify that this Sales Disdosure, [o 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-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse informaUOn, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducdon is
beingf ed.)���`7rr�` .
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�omreo(Buyerl / p� 5 natureo�Byrr2/Spouse
Nathan D Rpjn�jlPr b v/��/Z ' ' $ ��
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LostS digiu oJBVyer 1 Oriver's Smte Last 5 Digia o�Sociol5ecuriry Number Last 5 digiu o�8uyer Z/Spouse Driver's State Last S�igf� of Sociol Secunty
License/ID/O[herNum6er Num6er License/1D/OCherNumber