Homestead_McKowen INDIANA SALES DISCLOSURE FORM SDF ID: 2019 Page 2
' 'D. PREPARER
Angela J. Moers Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
mail
E. SELLER(S)/GRANTOR(S)
SPM Development Inc., an Indiana corporation dba 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 -kE-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of m y
le:.•e .'. • se ief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Rea o ' ales Disclosure
sclsure Act".
Signature of Se Signature of Seller Q`
Phil Reinbrecht, ! —le --/9 *IjiOR
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller 08ign ate(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL I HAT APPLY
G` S°
;Ier J. McKowen, (Adrianne_J. McKowen /
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
326 Kimber Lane 326 Kimber Lane
Address(Number and Street) Address(Number and Street)
Evansville, IN 47715 Evansville, IN 47715
E-mail
THE SA'ES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YE NO CONDITION YES NO CONDITION
El 1. Will this property be the buyer's primary 0 H mestead—;
residence? Provide complete address of primary ❑ Solar Energy Heating/Cooling System
residence, including county:
404 W Garfield Ave. ❑ 5. Wind Power Device
Address(Number and Street) ❑ Hydroelectric Power Device
---- Gi ❑ 7. Geothermal EnergyHeating/Cooling Device
Princeton, IN 47670 J Gibson! g g
City, State3IP Code County 0 l�8. Is this property a residential rental property?
❑ 5 2. Does the buyer have a homestead in Indiana to be ❑ 139. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
6-'12,—V—��o3—onu w _a4-oz,s s "
City, State ZIP Code County Primary propeowner contact name ` E-mail