Homestead_Canillas INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
f.0,PREPAttEft7r •_ri..1•2J:::;:17:Y-Txizi•-:F-1F-n7c:77;..
Brvceann Cutsineer
Preparer of the Sales Disclosure Form Title
226 W. Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 samantha.btiemw.hvcbc.com
City,State,and ZIP Code Telephone Number E-mail
-E3ELLER(S)/GRANTOFUS) -_ : s ,* . . S,
Lolita Spindler Stephen Spindler
Seller!-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
407 N Race St 407 N Race St
Address(Number and Street) Address(Number and Street)
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn lete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"R al Prope les Disclosure Act".
01'10 . l) Gp904,--
a'
Signature of Seller() Signature of Seiler
I olita Soindler / - a9 - t la Stephen Spindler 07 -d 2-/
Printed Name of Seller Sian Date(Mhi/DO/MT) Printed Name of Seller Sign Date(MMIDD/MY)
F:BUYER(S)/GRANTEE(SI APPLICATION FORRRIPERTY TAX•DEDUCTIONSL:IDENTIFY ALL ITEMS:THAT:AP.PLY.14.-
Virginia L. Canillas Venerio C.Canillas
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
407 N. Race St . 407 N. Race St. b.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT ALI eL, .
Cer
YES NO CONDITION I YES NO CONDITION
171 9 1.Will this property be the buyer's primary 0 9 3.Homestead 61-1 ,
residence? Provide complete address of primary D IA 4.Solar Energy Heating/Cooling*tem
residence,including county:
D z 5.Wind Power Device re
407 N Race St
Address(Number and Street) 9 z 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson 9 g 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode County
D 8.Is this property a residential rental property?
9 0 2.Does the buyer have a homestead in Indiana to be 0
vacated for this residence? If yes,provide 9 0 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.
Not available in all counties.)
Address(Number and Street)
A -47-0 2-0P6L5-ocia. /- dal?
City.State ZIPCode County
Primary property owner contact name E-mail