Homestead_Turpin INDIANAD SALES DISCLOSURE FORM SDF ID: Page 2
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Jason Spindler Attorney
Prrporrr of the.Sales Disclosure Form Title.
112 N. Main Street Spindler Law
Address(Number and Street)
,
L'rUiiiL I bait a fePI� o- zl�lt:arA 1 4 V:',' Eq} Z 4i,tiigt.S @wii r.. .S ; : t: t ! :•�'-- 4sti
Kevin R. Keerl
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6801 Hwy 165
Address(NI:otherand Street) Address(Number and Street)
Pnseyville, IN 47633
City,State,and ZIP Code City,State,and ZIP Cate
Telephone Number L-mod
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and o plet a requirgld-I}y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sates Disclosure Act".
,:;itinatnrc of Seller Signature of Seiler
_.Kyin R.Kcerl 10/15/2019
P:rtrre rrfSrNer� Strut Date(At tl/flD/YYYY) Printed Name of Seiler S on re(AfM/Dit/Y1Y11
1;iYERMO 41�)I E 1?.I.1 : • )1 611:PROPF.ktil.TAX;`Ili Dl.lC '1;4 84wIi}0111l A1.L;1?1'0MafiHAT'APP,t'1 •,.� {.;: .,, .<, ,
lice Michelle 'TiLrpin
s appears on cone ocutnent Duper'2-Name us appears on conveyance document
701 E 1JII n St
Address(Number and Street) Address(,umber o.nd Street)
Fort Branch, IN 47648
E•moli TelepitoneNumiter E.mai!
OlE SALES DISCLOSURE FORM MAY bE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TDB PROPERTY. IDL'NT LLU THOSE.MAT APPLY.
_YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestea F I LED
residence? Provide complete address of primary . a Energy Heating/Cooling S t
residence,including county: ❑ cef�1 2019
5.Wind Power Device
Addrrss(NumberandStreet) ❑ Q 6. Hydroelectric Power Device
❑ Q' 7. Geothermal Energy HeatinhiNgli +t cA'UDITOR
grey,Stare ZIP Code County
❑ Q' 2. Does the buyer have a homestead in Indiana to be ❑ 2 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 2 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: fea ons for more information.
Not available in all counties.
Address(Number and Street)
-19-18-302-000. 832-026
City,State ZIP Cods County —'!
Primary property aW re contact Home 1,..mail
Last 5 digits of Guyer 2/Spouse Driver's State Last 5 U(girs of Social Secure'