Homestead_DeHart (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Melissa Wiggins Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7321 Eagle Crest Blvd., Suite A Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
SPM Development Inc. doing business as Reinbrecht Homes
Address(number and street) Address(number and street)
IN o S. us 4-,..„.. , it 1
City,state,CP Code n City,state,and ZIP Code
Country Country
US US
knowingly and intentionally falsifies th value of transferred
real property,or s r f s any information required to be provided,commits a Level 5 felony.
tature of Seller �Itlnatwe of Seller
• aSellerDate signed(mm/dd/yyyy) Printed Name of Seller eti yd/yyyy)
Epperson 12/22/2021 G0� `` y���am�++ ��.
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTI C THAi1 LY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on convey tFbcumenc7
Stacey L. DeHart William Cody DeHart I)'�'
Address(number and street) Address(number and street) G��TO•
6142 West Stalheim Avenue 6142 West Stalheim Avenue ,Q
• City,state,and ZIP Code City,state,and ZIP Code
4-9
Owensville, IN 47665 Owensville, IN 47665
Country Country
k US US
0 Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
C> YES NO CONDITION YES NO CONDITION
t In✓❑ I i 1.Will this property be the buyer's primary 03. Homestead
I I residence? n n 4. Solar Energy Heating or Cooling System
I 2. Does the buyer have a homestead to be vacated l 5.Wind Power Device
`� ❑ l n
for this residence? If yes, provide address: 0 ❑�✓ 6. Hydroelectric Power Device
Q' Address number and street) n 171 1 7. Geothermal Energy Heating or Cooling Device
n . S . ►-noljet Si .
City,state, ZIP Code n -}, r S..."
/ County 96 _/'_3/_ 300 -r7 c) y ��,
Fart B,Y .. .-1 4 A NI(p4 a G?C " ao I
Under penalties of perjury,I 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.A person who knowingly and intentionally falsifies the value of
1 2 Eagle
Evansville, iN 47715