Homestead_Smith (43) INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER •
Amy B Pollard Escrow Officer
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)
Brooke Traylor,Agent For SPM Development, INC
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 ,
in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Cm
gnature of Seller ( Signature of Seller i
Brooke Traylor,Agent For SPM 1/10/2020 ‘11..) 1/10/2020
Development, INC
n ame of Seller Sign-Ha YAK) - • tad Name of Seller , _ ;,._`Date(MM/DD/YYYY)
..
7 NO CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete addre of primary ❑ ye 4. Solar Energy Heating/Cooling System
residence, including county:
❑ / 5. Wind Power Device
2584 W Julie Dr.
Address(Number and Street) 0 6. Hydroelectric Power Device
jPrinceton, IN 47670 P Gibson] ❑ pf
7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ i. 8. Is this property a residential rental property?
/ ❑ 2. Does the buyer have a homestead ' Indiana to be ❑ / 9. Would you like to receive tax statements fort '
vacated for this residence? If yes, pr ide complete property via-email? (Provide contact info ation
address of residence being vacated,'inc ing county: below. Please see instructions for e information.
4i3th-er C iable in all counties.)
�ddress(Numberand Street) v
w� ►:ice IN) 4- 01,13 r- flay. i4V�- ram7
City, State Zlde 1 Co 4 Primary property owner contact name Email