Homestead_Hartman Sr INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Abbigail Moers ESclzo
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
mail
E. SELLER(S)/GRANTOR(S)
SPM Development, Inc. dba 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 penalties 4. .erjury, I h- ce i that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and co e e • ,and is prepared-i accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
ii--
.••- - - -f"Seller �l Signature of Seller
Ply
Adam eann, 1,, j_`j j�. ►l _'' t1 IOW 12/3/2020 12/3/2020
z.Pp ted Name• eller., Sign Date(MM/DD/YYYY) Printed Name of Seller 'Si., ._to(MM/DD/YYYY)
F./ Y (ER S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL I . t01S�.THAT A• ^LY,`
arty G. Hartman, Sr. G/ l�Z��
Buyer 1-Name as appears on conveyance document yer 2-Name as ap C :� nce document
1133 Sheffield Dr. �Un • �.
Address(Number and Street) ••dress(Number and Street) ✓�1- l
Evansville, IN 47710 00/2-
City,State,and ZIP Code City,State,and ZIP Code 0/Q
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MAY BE USED TO APPLY FOR CERTAIN DEDU• IONS FOR IS-PROPERTY. IDEN-Ttrr tc-OP-TH ET-1--Al l`A P�LY.
Y S NO CONDITION ' Y NO CONDITION
❑ 1. Will this property be the buyer's primary 0 3. Homestead
residence? Provide complete address of pri .ry 0 Q 4. Solar Energy Heating/Cooling System
residence, including county:
0 Q 5. Wind Power Device
11800S150W
Address(Number and Street) 0 RI6. Hydroelectric Power Device
Ha stadt, IN 639 Gibson' ❑ Q 7. Geothermal Energy Heating/Cooling Device
City, tate Z Code f aunty 0 Q 8. Is this property a residential rental property?
0 goes the buyer have a homestead in Indiana to be 0 Q 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provid- complete property via-email? (Provide contact information
address of residence being vacated, including county:' below. Please see instructions for more inforrnatio
Not available in all counties.)
Address(Number and Street)
p-o1•a-1a,- CQ-.00 - S a- 0aL!
City,State ZIP Code County Primary, property owner contact name E-mail
License/ID/Other Number