Homestead_Hill (22) INDIANA SALES DISCLOSURE FORM SDF ID: 2019 Page 2
D. PREPARER
Amy Pollard
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (
E-mail
E. SELLER(S)/GRANTOR(S)
SPM Development, Inc., an Indiana corporation doing business as
Reinbrecht Homes
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
304 E SR 68
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 ,
City,State,and ZIP Code City,State,and ZIP Code
E-mail 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
,arid completfl required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
//�1/\ natureof�Iler 1 / Signature of Seller
'Al ,t(J� I(/.Cgit (j' 8/23/2019 8/23/2019
Printed�Name o?Seller Sign Date(MM/DDNYYY) Printed Name of Seller Sign Date(MM/DDNYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Garren L. Hill Kimberly A. Hill
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docu nt
602 Kennedy Dr. 602 Kennedy Dr. � 6s
Address(Number and Street) Address(Number and Street) �+
Princeton, IN 47670 Princeton, IN 47670 40
a
PLY.
YES NO CONDITION YES NO CONDITION 4.-
0 El 1. Will this property be the buyer's primary 0 ❑ 3. Homestead "iron
residence? Provide complete address of primary ID 4. Solar Energy Heating/Cooling System r
residence, including county:
405 W Garfield Ave. El 0 5. Wind Power Device
Address(Number and Street) El 0 6. Hydroelectric Power Device
Princeton, IN 47670 I Gibson 0 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 0 8. Is this property a residential rental property?
)'l,'.1.,C/� ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
G Vaddress of residence being vacated, including county: below. Please see instructions for more information.
Dr-
. Not available in all counties.)
dress(Numbe and Street) r,�
Vnni3Z • 1kI l t.0l0 07‘/d L-4/Gd_ 0oT , �'v1_ 0 -?
City, State ZIP Code ( Cou y Primary property owner contact name E-mail