Homestead_Spindler INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Timothy Shea Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
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Tyler A.Brengman Adrienne R.Brengman
Seller 1-Name as appears on conveyance document Seller I-Name as appears on conveyance document
1529 Pinecone Drive 1529 Pinecone Drive
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton,IN 47670
state,ano LIP core state,and LIP Lode
Telephone Number E-mail Telephone Number E-mail
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 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Tyler A.Brengman Adrienne R.Brengman
Printed Name of Seller Sign Date(AfM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYI)
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� l� FOR`1�ROP�E'�2iY� �D�IiD.UGT.>:ON5�:;7b.E11(iPI.EY'.-ATL�IT��NiS- � ;- ; '%.�>>:^;.�.;:�;'.w::
Blake A.Spindler 7`I-)'�K'C.'APISaY`�r:��. _�,.__.:�,..-::. .
P Danielle J. Spindler
aer�1-Name as app�rs on conveyance documentBuyer 2-Nam ears on'conveyance documentrest(N�I(trberaandSireeeetJ/✓�(� Address s((Nrumber and Street)
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in/ 2/1°cfandZlPCode
Telep one r (/f`/E-mail
THE SALES DISCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY, FILED
YES 0 CONDITION YES NO CONDITION SCp 12 2018
❑ 1.Will this property be the buyer's primary la/f] 3.Homestead
residence? Provide complete address of primary ❑ I1 4,Solar Energy Heating/Cooli g ys
residence,including county: ❑ I1 5.Wind Power Device GIBSON COUNTY AUDITOR CB
1529 Pine Cone Dr
Address(Number and Street) ❑ El 6,Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City, ate ZIP Code County ❑ 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ El 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instructions or more information.
including oun ))f f
3�� (i I,UL(, 26-12-05-103Not i1004 allable in a225-0s28
dre s(N berandStre ) 6t
. (�/ / ��(.1) IQsem
Blare A.Spindler Danielle J. Spindler
City,State ZIP Code County Primary property owner contact name E-mail