Homestead_Sollman (10)INDIANA SALES DISCLOSURE FORM SDF ID: 2012
D. PREPARER
` Sherri S Hudson
Prcparero/the Sales Disclosure Form
Closing Agent
Title
.„ I605 SE Martin Luther King Jr Boulevard Southweslem Indiana Land Title
Address (NUmber and Sheet) Company
E. SELLER(S) / GRANTOR�S)
Valeria A. Spindler � a�'�'i �n'
Seller7 -Name as appears on conveyance document ��
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- � Address (Number and Sireet) � � � — - - - �
, iN FOr f P���„�,d � L�U �/7G �/�
� City, Stare; antl ZIP Cod�
Page 2
Gary J. Spindler �n, Successor Trustees of the
Jospeh P. Spindler and Valeria A. Spindler Revocable Living Trust
dated November 20, 1996, and Valeria Spindler
Seller 2- Name as appears on rnnveyance dowment �
o�// u� F�SZZ�'
� Atldre.s's (Number anpd Street)� /� � L • �
, �N !�/�,� bi�icl/G �'� / 7�O S'�
City, State, and Z P Code . ._. .
Under.penalties of perjury, I hereby certify that 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.L5.5, "Real �operty Sales Disclosure Act".
dl //i--.
SignaNre o/ Seller �
. _Valena �A_Spindler � G� �Z'� . ��
.. . . .. ' :�%��
Gary J.`§�dler Debra;M. Gnffin,
Successor Trus es of the Jospeh P. ��
Spindler and Valeria A. Spindler Revocable
Living Trust dated November 20, 1996, anc
F. BUYER(S)IGRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS • IDENTIFY ALL ITEMS THAT APPLY
Jonathan K. Sollman
'adesville, IN 47638
Ciry, State, and ZIP Code
I PhortENumber E�nail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUC710NS FOR THIS PROPERTY. IDENTFY ALL OF THOSE 7HA7 APPLY.
d ❑ 1. Will this property be the buyer's primary
residence? Provide complele address of primary
residence, inGuding county:
9030 S 225 W
Adtliess (Num6er and Street)
�iFort Branch, IN 47648 � Gibson
Ciry, State IP Code County
� 2. Does the buyer have a homestead in indiana to be
vacated for this residence? If yes, provide complete
address of residence being vacated, including county:
Address (Number and Sneet)
Ciry, State ZIP Code County
lH ❑1 3.
❑ L�J 4.
❑ �/ 5.
❑ Q� 6.
Homestead
Solar Energy Heating/Cooling System
Wind Power Device
Hydroeledric Power Device
❑ 7. Geothertnal Energy Heating/Cooling Device
❑ � 8. Is this propeRy a residential rental property?
❑ 9. Would you like to receive tax statements for this
property via-email? (Pravide contact information
below. Please see instructions /ormore information.
Not available in all counties.)
�lo /S �6 3�� oc�o 9S ! 0�,5
Pnmary property o�mer contact name E{nail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my
complete as required by law, and is prepared in accordance with IC 6-1.1-5 ,"Real Prc
infom�,ya�'o/�, Soyf�l c�„ and Driver's License/Other numbers are essary i�
/iJh ,lrf%91 �
Si af�re oI Buyer Sig of Buyer ,
and belief, is true, correct and
�Disclosure AcY'. (Note: Spouse
i¢�,�eduction is being filed.)