HomeMy WebLinkAboutHomestead_Welte INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Amy 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. 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
that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and e s required by law, and is pre aced in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
- a
Si re of Seller Signature of Seller
Phil Reinbrecht, 3/26/2e a 3/26/2020
pante f-Seller Sign Date(MM/DD/Y Y) Printed Name of Seller Sign Date(MM/DD/YYYY)
7 BU R(S)/GRANTEE(S)-APPLICATION FOR PROPERTY T•X DEDUCTIONS-IDENTIFY ALL ITEMS TH •`;L
Coollin D.Welte
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears o v a document
157 E IN 68,Apt 308 15°
Address(Number and Street) Address(Number and Street) AA N\
Haubstadt, IN 47639 \`�` . ;.�,_ _._
City, State,and ZIP Code _ • i jam'.V0
Telephone Number E-mail T pbsne Nau�ber - 0� " E-mail
THE SALES DISCLOSURE FORM MAY BE USED T PPLY FOR CERTAIN D CTIONS FOR THIS PROPERTY. IDENTIFY(A ° OF -' .AT 'PPLY.
_ YES NO CONDITION YES NO CONDITION
0 ❑ 1. Will this r y be the buyer's primary 0 0 3. Homestead
' nce? Provide complete addres of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
0 0 5. Wind Power Device
6300 W Stalheim Ave.
Address(Number and Street) 0 0 6. Hydroblectric Power Device
i_....._ ___.__.__ _.__...._.__ — — — —; ❑ 0 7. Geothermal Energy Heating/Cooling Device
;Owensville, IN 47665 I Gibson`'
City,State Code County 0 0 8. Is this property a residential rental property?
❑ 7 2. Does the buyer have a homestead in Indiana to be 0 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, pr vide complete property via-email? (Provide contact information
address of residence being vacated, i eluding county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
-11- 1 36(:)- 00`1 • aLo- Oa.(
i
City,State ZIP Code Co Primary property owner contact name - a
Last 5 digits of Buyer 2 Driver's State Last 5 Digits of Social Security Number