HomeMy WebLinkAboutHomestead_Dauphin H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis 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
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.
Cigna a of SelleQlI� Signature of Seller
Printe Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Dona Reinbrecht-Brown,Authorized 4/1/2022 14/1/2022
Signer F T T ATE T
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY TT A ' J
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Marie A. Dauphin APR 1 1 2022
Address(number and street) Address(number and street) ��
1834 Colts Lane f""�4u'y')
City, State and ZIP Code City, State and ZIP Codtlg COUNTY AUDITOR
Evansville, IN 47714
Country Country
United States of America
E-mail address
for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 0 1. Will this property be the buyer's primary residence? 0 ❑ 3. Homestead
0 El 4. Solar Energy Heating or Cooling System
0 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 9r `'1,_'1Q` 103
—oo11. y 26 -o 2-8
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete