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INDIANA SALES DISCLOSURE FORM SDF ID:
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Tiffany Hoon Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
City,State,and ZIP Code Telephone Number E-mail
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Blake A.Spindler
Seller 1•Name as adaear.on conveyance document n Seller I•Name as appears on conveyance document
A,trrrace/Numharand Stream �� P(!Ae �a ¢ , Address(Number and Street)
PCINe (e. 1 1 hi (7 Calc5
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 req ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sign a ofSeller q Signature of seller
Blake A.Spindler U 2 /7
Printed Name of Seller Sig ate(MM/DD V Printed Name of Seller Sign Date(MM/DD/YYYY)
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Matthew J.Lanett\filayarpe son conveyance document Buyer 2-Name as appears on conveyance document
7668 S.US Hwy 41
Address(Number and Street) Address(Number and Street) •
Ft Branch,IN 47648
Telephone Number Email
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTI 0 THOSE THAT APPLY. FILED
YES NO CONDITION
i S NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead Sep 25 2019
residence? Provide complete address of prima
residence,including county; �� rgy Heating/Co
307 E Locust Street E] 0 5.Wind Power Device GIBSON COUNTY AUDITOR CB
Address(Number and Street) ❑ Rol 6.Hydroelectric Power Device •
Fort Br ch,IN 47648 Gibson El Cal .Geothermal Energy Heating/Cooling Device
City,State IPCode County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property
a residential rental property?
El WI 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-inst ions o a • ormation.
Nottaa ail in all counties.)
Address(NumberandStreet) Matthew J.Lafie 2 6—19—18—30 3-,000. 5 91—0 2 6
City,State ZIP Code County Prima*,property owA contactname Zama
Number License/ID/Other Number