HomeMy WebLinkAboutHomestead_Whitten INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Pam Hancock title administrator/closer
Preparer of the Sales Disclosure Fars Title
221 NW Fifth St Lockvear Title. LLC
Address(Number and Street) Company
Evansville. IN 47708 812-421-8405 pamela(a)lockyeartitle.com
City,State,and ZIP Code Telephone Number Email
FUSEELER(S)'/, RANTOR(S);< ,°— ---r — — - - -----7--- -- :7--7-77:
SPM Development, Inc.,an Indiana corporation doing business as Reinbrecht Homes
Seller].Name as appears on con a cument Seller 2.Name as appears on conveyance document
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Act esk(Nu her o rra A/762� Address(Number and Street)
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Under p: altie/.f per' ,I reby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and : plet s ree• �d aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
it '
tg a re of eller Signature of Seller
Kenneth W. Reinbrecht, President /1 9 I I7
Printed Name of Seller Sian Date IMM/DO/YYYi) Printed Name of Seller Sign Date(MM/DDfYY,)
(F!:BUYER(S)`/GRAN;TEE[S) APPEIGATION[FOR;PROP,ERT(YLTAXgDEDUCTIONS'IDENTIFY(ALL:ITMSITHAfrAPPCY! ___ -___
Haley N.Whitten E
Buyerl-Name as appears on conveyance document Buyer 2-Name as appears on conveyance doe e [
202 Rock Road
Address(Number and Street) Address(Number and Street) -
Owensville, IN 47665 MAR 1 7 2011
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSEIMPPPLY�'U U I Y AUDITOR
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 2 ❑ 3. Homestead
residence? Provide complete address of primary
Ill 4.Solar Energy Heating/Cooling System
residence,including county:
202 Rock Road ❑ 12 5.Wind Power Device
Address(Number and Street) ❑ 19 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 12 7.Geothermal Energy Heating/Cooling Device
City,State ZIP ode County
❑ 0 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 ❑ 12 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.
Not available in all counties.)
Address(Number and Street)
026- I 7-o6-303-0C10- ?a'FOR a
City,State ZIP Code County
Primary property owner contact name E-mail