Homestead_Davis (21) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER _ _ -
Cesar Berrios Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd,Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
lacnn Spindler
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
213 Hawthorne Dr
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an complete's re red by law and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S n Tea Se ter Signature of Seller
,lac Snindler 06/30/2014
Printed Name
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary an �❑ 3.Homestea
I.1
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
residence,including county: ❑
213 Hawthorne Dr 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, IN 47630 Gibson
0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Fl 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
2270 S 650 E Not available in all counties.)
Address(Number and Street)
Francisco, IN 47649 Gibson al 6 -fix -o4,- 4of- 06.3. &55-0 .X 8
City,State ZIP Code County
Primary property owner contact name E-mail