Homestead_Harper (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbigail Moers Escrow Officer
Company
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
SPM Development, Inc.,an Indiana corporation doing business as
Reinbrecht Homes
Address(number and street) Address (number and street)
304 E SR 68, Haubstadt, IN 47639
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639 ,
Country Country
United States of America
hereby certify s Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as
required by I. and is prepared in accor nce with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real
prope . or o 'its or falsifies any inf ation required to be provided,commits a Level 5 felony.
S:;natur Se r Signature of Seller
Printed N-me of Se er Date signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Brooke Traylor,Authorized Signer 2/17/2021 2/17/2021
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ; Y
VinceBuyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on c. f" ►.:, ment
Chelsea M. Harper -0, }
Address(number and street) Address(number and treet) FF�� f t
1980 E. State Rd. 64 _
City, and ZIP Code - �e02/
Y City, State and ZIP CoC Z'
%"
Princeton, IN 47670 COoQ
Country Country Yq
United States of America �O/
E-mail address
to apply for certain deductions. Identify all of those that apply:
YE NO CONDITION YES NO CONDITION
❑ Will this property be the buyer's primary residence? 0 0 3. Homestead
0 0 4. Solar Energy Heating or Cooling System
0 2. Does the buyer have a homestead to be vacated for 0 0 5. Wind Power Device
this residence? If yes, provide address:
0 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
cU — la -t.3— 9 Oo-bO -)1/4 .--1 -*O, J
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