Loading...
Homestead_Hicks • . INDIANA SALES DISCLOSURE FORM OF ID: Page 2 LiY ERE P,AREIk e;r-+ ix �`,:x. a` r'- ` ',•tr' ` -.-,"WA?i - "-..,id" 4...-'ItaA . -.41? .:ai r. KAREN HARBISON VP Preparer of the Sales Disclosure Form Title 803 E STATE HWY 68 HAUBSTADT STATE BANK Address(Number and Street) Company HAUBSTADT IN 47639 8127685800 kroseshell @gmail.com City,State,and ZIP Code Telephone Number E-mail 'E{SELLER(S)/GRt1NTDR(S)t •':.:n G.S si.`s .7 y. r ` .4 - -.p? t. s " 7Sv -SC JASON S SPINDI ER LINN.RSPINDLER Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 117SWEST ST 117S WEST 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 at let as requ)r by law,and is prepared in accordance w'th IC 6-1.1-5. "Real Property Sales Disclosure Act". 'J Si tore of Seller Signature of Seller JASON S SPINDI FR 03/02/2018 LYNN R SPINDLFR 03/02/2018 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name ofSeller Sign Dare(MM/00/YYD1 MI YER(S)/GRANTEE(S)rAP,6 LIGATIONI KORIP,ROP,ERTATtll(MEDUGTIONS-IDENTIFY ALL41i ialWHAT/ARUM? "A--t •'an-3.419; • JORDAN C HICKS JOYDYN K HICKS Y Buyer I Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 505 S LINCOLN ST 505 S LINCOLN ST ���'''. - , Address(Number and Street) Address(Number and Street) • -A THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLYLc,t 7,1'' YES NO CONDITION YES NO CONDITION • n I.-. 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead /4 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 117 S WEST ST ❑ 0 5.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device HAUBSTADT IN 47639 ❑ 0 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County El ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ izi 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. 505 S LINCOLN ST Not available in all counties.) Address(Number and Street) FT BRANCH IN 47648 GIBSON 0 1 C - g-J - te'S coo- ,3029- 0o9 City,State ZIP Code County Primary propertyowner contact name E-mail