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Homestead_Michel INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 t`,DEP,REPARER1 --• -• ` . , Crystal Libbert Title Clerk Preparer of the Sales Disclosure Form Title 4703 Theatre Dr. Regional Land Title Address(Number and Street) Company Evansville, IN 47715 812-402-4553 crystaltdregional-Lt.com City,State,and ZIP Code Telephone Number E-mail - SErSELLER(s)/GRANTOR(S) LZ-- _ � — .— Y -r_�._� t r—'- -`=--`_`L _ SPM Develonment Inc Seller j•Name as appears on conmOnte docupnji Seller 2-Name as appears on conveyance document Addr u era Street)/ - Address(Number and Street) Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete a •quired12,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �ature o� I ^� Signature of Seller SPM Develonment Inc. 1////a Printed Name of Seller Sian Date(M.M/aD/Ym) Printed Name of Seller Sign Date(MM/DD/Yin') iFPIBU,YER[SyGRANT,EE(SE7AP CATION PDRIPRQP,ERI TAXEDL I.GTIIONSbI DENTDIFY IAllEiFFEMSyTHAVAP,P,LWI (3e1\\it0Lin a H V l4cr %‘chel, 1(1 tBuverlA Name as appears on conveyanceunlnt Buyer 2-Name as appears on conveyance meet /1s\ "h'�S�C••'n,�,• / ^�ys(gyp/�) 111 yyy--- Address(Nutnd Street) l/ Address(Number and Street) �� „ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFI'A�,*RI 711 t i/ AT APPLY. O fYEESS,` NO CONDITION YES NO CONDITIO�NHSON C o r I 1, \ O{/ "/e ( ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead N7. residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Coolrr yktem residence,including county: 800 W Flm St ❑ IN 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ @ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? ' 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 instructions for more information. Not available in all counties.) Address(Number and Street) City•State ZIP Code County 26 -18-062 - 60 Z6 570c 9 Primary property owner contact name E-mail