Homestead_Burdge INDIANA SALES DISCLOSURE FORM SDF ID: 2020 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) 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
E-mail Telephone Number E-mail
U enalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
an c plete as re '.ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Se r 4-141.6-44-t-f- --
Signature of Seller
QC f C( teaLi I t✓ 9/24/2020 9/24/2020
Printed Name of eller � 4 n/ Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-A LICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Tiffany Michelle Burdge Eric Wayne Burdge
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on con o umen
2903 O'Hunter Ave. 2903 O'Hunter Ave.
Address(Number and Street) Address(Number and Street)
Newburgh, IN 47630 Newburgh, IN 47630 y
City,State,and ZIP Code City, State,and ZIP Code OCT 1 3 2020
(
- _______—E-mail
THE SA ES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL 0 i.,
011.7 liti:r l i'PLY.
YES NO CONDITION YES NO CONDITION GIBSON COUNTY AUDITOR
❑ 1. Will this property be the buyer's primary l' ❑ 3. Homestead
residence? Provide complete address of primary ❑ RI 4. Solar Energy Heating/Cooling System
residence, including county:
❑ RI 5. Wind Power Device
1375 W Chukar Holw
and ❑ p 6. Hydroelectric Power Device
Address(Number and Street)
!Haubstadt, IN 47639 Gibson; ❑ 0 7. Geothermal Energy Heating/Cooling Device
ity,State ZI"Code County ❑ 0 8. Is this property a residential rental property?
���� 0 0 9. Would you like to receive tax statements for this
��� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence bein a ted, including county: below. Please see instructions for more information.
,- q 3 e/ a"U e �� Not available in all counties.)
Add��s(Nu4nber and Street)u
��V/ �tJrJIIJJ� Ai -3 y� [, 26 - l -36- 3�0- do2.��2-c�24
City,State ZIP Cod County Primary property owner contact name E-mail