Homestead_Sisk (5) H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D. Gibbs 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
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639
Country Country
United States of America
E-mail address
-
Under penalties of perjury, I hereby certify 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 transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Sign.Vure of Seller Signature of Seller
Printed Name of,Seller Date signedi(mm/dd/yyyy) Printed Name of Seller I Date signed (mm/dd/yyyy)
1631.~: •1600(7)(-,3 YTh
1 a- 24 2-j BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Joshua D. Sisk Jessica Sisk
Address(number and street) Address(number and street)
3300 W. Broadway St. 3300 W. Broadway St.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Dee
Princeton, IN 47670
Country Country OA, 8<,
United States of America United States of America-4e,,
E-mail address
to apply for certain deductions.Identity401 of those that apply:
YES NO CONDITION YES NO CONDITION
);(1/ D 1. Will this property be the buyer's primary residence? D 3. Homestead
CI ' 4. Solar Energy Heating or Cooling System
tir 2. Does the buyer have a homestead to be vacated for n 1k.. 5. Wind Power Device
this residence? If yes, provide address:
0 6. Hydroelectric Power Device
Address(number and street) 0 ‘1 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
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