Homestead_Spindler (15) H. PREPARER
Preparer of the Sales Disclosure Form Title
Pam Hancock _ _ Closer
Company
Address (number and street, city, state, country, and ZIP Code)
221 NW 5th St, Evansville IN 47708
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears or conveyance document
PAUL FRANCES VIEKE
Address (number and street , Address (number and street)
i )% Fira 1 tiii 1-\,1
City, state ZIP Code City, stale, and ZIP Code
rA-- 6 rakAc ix
T__ ),7\1 i ---ik,01-11
Country f Country 7
L— -
E-mail address
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. A person who knowingly and intentionally falsifies the value of transferred
i real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
Si tune Seller J Signature of Seller
'Panted Name of Seller Date sig ed ( m/dd/yyyy) Printed Name of Seller t ign mm/ddiyyyy)
PAUL FRANCES VIEKE
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY44,LttTHAT A
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conve ante o ument
MADELYN R. SPINDLER a
Address (number and street) Address (number and stre() 4l
5431 E 575 S �,&0-0�
City, state, and ZIP Code City, state, and ZIP Code C0 C?
Fort Branch, IN 47648 Tye .
i
Country Country lib
R
E-mail address
Pursuant to IC 6-1.1-12-44, the a Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 0 1. Will this property be the buyer's primary i3. Homestead
residence? O 0 4. Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 0 5. Wind Power Device " t+►R.. k6...' .,
for this residence? If yes, provide address
0 O 6. Hydroelectric Power Device
Address (number and street)
0 0 7. Geothermal Energy Heating or Cooling Device
City, state, ZIP code, and county 02
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete