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Homestead_Spindler (30) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
zD„PREPARER g ,' i'. '' Dui .. .c.:. - ::k , . ,>.• ..b.;1 .-; `--'j
Verner P. Partenheimer Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St.. P.O. Box 13 Partenheimer, Kinkle& Ricker
•
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 vpartenheimerahpk-law.com
City,State,and ZIP Code Telephone Number E-mail
Doris J Baehl Co-Trustee of the Amer L Kiesel Family Trust Larry J Kiesel Co-Trustee of the Elmer I Kiesel Family Trust
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2457 W 850 S 8694 S 450 W
Address(Number and Street) Address(Number and Street) '
I Fort Branch IN 47648 Owensville IN 47665
1 Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and plete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sal s Disclosure Act".
1 �f %2n, D .rJ� .
s f I 9 ��r
Si na re o Seller i nature o Selle
Doris.1 Raehl CO-Trustee a —a �t" /7 I arry J Kiesel Co-Trustee c -—_i---- / r
Printed Name of Seller Sion Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YY)YI
tE?1BU,StER(SAG_R'Ah5TLEE(S) APP,LIGATIQNjFQR WiRQPERT6YTAXjDEDUCTIQNS IDENITIFeW OUL;ITtEMSjiTHATIYAP,RLYj- - 1c
I Jason Spindler - Lynn Spindler
IBuyer I'Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
I
I 117 S. West Street 117 S. West Street
I Address(Number and Street) Address(Number and Street)
1
i
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
I YES NO CONDITION YES NO CONDITION
Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead 1 IL E
residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System
residence,including county:
820 w 1000 S ❑ P 5.Wind Power DeviKB 6 2018
•
Address(Number and Street) ❑ 2 6. Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ Q 7.Geothermal EnertevM� ' - ing Device
City,State ZIP Code County �u1a01�2 u-
0 ❑ 2. Does the buyer have a homestead in Indiana to be ❑ ❑ 8. Is this pro�L pge�j�e _: iTei�t illpr�gerty?
vacated for this residence? If yes,provide ❑ ❑ 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.
117 S.West Street
Not available in all counties.)
Address(Number and Street) a -[ - 36-aoo -boo -a aq -o aH
. Haubstadt, IN 47639 Gibson Jason Spindler and Lynn Spindler
City,State ZIP Code County
Primary property owner contact name E-mail