Homestead_Lutz (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 LT F'
Reinbrecht Homes
Address (number and street) Address(number and street)
304 E SR 68 MAR 2 8. 2022
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639 /L ., a. .1�.[z.4.na.)
Country Country GIBSON COUNTY AUDITOR
United States of America
Under penalties of perjury, I hereb ify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
required by law,and is prepare accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or f dies any information required to be provided,commits a Level 5 felony.
eller Signature of Seller
Prin d of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Brooke aylor,Authorized Signer 3/18/2022 3/18/2022
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
Andrew J. Lutz Kaci M. Lutz
Address(number and street) Address (number and street)
206 S. First Ave. 206 S. First Ave.
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639 Haubstadt, IN 47639
Country Country
United States of America United States of America
E-mail address
(812) 550-4468
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:
YES NO CONDITION YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary residence? 0 ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑ 0 2. Does the buyer have a homestead to be vacated for ❑ 0 5. Wind Power Device
this residence? If yes, provide address: ❑ 0 6. Hydroelectric Power Device .,
Address(number and street) ❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county 2/ —18_3� _� _ ea:')_ r�a 4 'gam-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