Homestead_Ervin 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 68f
and ZIP Code
State
s'
City, State and ZIP Code City, <.
Haubstadt, IN 47639 ,
Country
Country
United States of America
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.
Sigfit ture of Sell n / {,�� Signature of Seller
i-ri d 1'7o��'�',^" "� Date signed (mm/dd/yyyy)
Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller 9 ( yyyy)
Dona Reinbrecht-Brown, Authorized 3/29/2022 3/29/2022
Signer
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
Jesse W. Ervin Andrea M. Ervin
Address(number and street) Address (number and street)
220 W.Garfield Ave. 220 W. Garfield Ave.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
United States of America United States of America
E-mail address E-mail address
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 Y
YES NO CONDITION I[' '�1
'
0 ❑ 1. Will this property be the buyer's primary residence? 0 0 3. Homestead rT, N 6
❑ 0 4. Solar Energy Heating or Coolinm N T
❑ 0 2. Does the buyer have a homestead to be vacated for ❑ 0 5. Wind Power Device � r Z
this residence? If yes, provide address: c z
❑ 0 6. Hydroelectric Power Device o
Address(number and street) ❑ 0 7. Geothermal Energy Heating or 9pp,4lii(I Devoe c..)
z
Fi"1 u'
City, State,ZIP code, and county rT o
co2/P-i2.l g /D3- ODLJ-Ai27- DZg a
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