Homestead_Miller (7) INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER .
Abbigail Moers __ aC'.P.o(.am)
ROFTA-
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
Under pe - 'es • .-rj . a-- .y certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and co• plete . . ' ed b aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
.- . e o e : Signature of Seller
Adam Gann,Auth. ized Signer 12/11/2020 12/11/2020
Printed Name of Seller 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 ITrri APL`Y I}
' i
Joshua J. Miller Emily S. Miller � a
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
4243 Halford Dr. 4243 Halford Dr. flF(, 1 5 ?on
Address(Number and Street) Address(Number and Street)
Evansville, IN 47715 Evansville, IN 47715
City,State,and ZIP Code
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FO THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
El 1. Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
6161 W Stalheime Ave. ❑ 0 6. Hydroelectric Power Device
Address(Number and Street)
Owensville, I 47665 Gibson! ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State IP Code County ❑ 0 8. Is this property a residential rental property?
0 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, 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) !2 —`I`l ^As I —3 c O r 0 0`I ) 021
.
•
City,State ZIP Code County Primary propertyowner contact name E-mail