Homestead_Adamson INDIANArSALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER r
Abbigail Moers E.
-0 0 (c�ET111
Preparer of the Sales Disclosure Form Title U
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 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
(
hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
4ignature of Seller / Signature of Seller
m mat (Q{f 8/29/2020 8/29/2020
Printed Name of Seller cc Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Jessie L.Adamson Jack C.Adamson
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears orrerinre n e.doc `c,
8003 River Park Way 8003 River Park Way 3 l
Address(Number and Street) Address(Number and Street) --.�A_t—d
Evansville, IN 47715 Evansville, IN 47715 SEP 0 3 2020
City,State,and ZIP Code City,State,and ZIP Code
(
��_�_�_��. E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFYa '0F"r AT APPLY.
YES NO CONDITION YES NO CONDITION GIBBON COUNTY AUDITOR
El 0 1. Will this property be the buyer's primary El 0 3. Homestead
residence? Provide complete address of primary ❑ El 4. Solar Energy Heating/Cooling System
residence,including county:
0 El 5. Wind Power Device
1317 (Number and Street)
Baldwin 0 p 6. Hydroelectric Power Device
Address
---- `.... __�`-`"'�'_` __... ...7 ❑ El 7. Geothermal EnergyHeating/Cooling Device
;Princeton, IN 47670 Gibson; g g
City,State ZIP Code County 0 El 8. Is this property a residential rental property?
El ❑ 2. Does the buyer have a homestead in Indiana to be 0 El 9. 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.
8003 River Park Way Not available in all counties.)
Address(Number and Street) _ p 1 rn O '410
` 'O ' O
Evansville, In 47715 S lt� Z b A2 D "`0 3—0 `i
City,State ZIP Code County Prim ry pro rty owner contact name E-mail