Homestead_Bodrie (2) 'N. 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 �T �T
Reinbrecht Homes
Address(number and street) Address (number and stree L j�,J]
304 E SR 68
City, State and ZIP Code City, State and ZIP Code APR `L S ZUZL
Haubstadt, IN 47639 '
Country Country tpue jtazta. UD O
United States of America
O
Under pen ties o perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and
a belieftBSON, is Ctrue,correct and complete as
required y law, nd is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real p perty, , mits or falsifies any information required to be provided,commits a Level 5 felony.
at ler Signature of Seller
r��'/.a--
Printed e of er Date sired(mm/dd/yyyy) Printed Name of Seller I Date signed (mm/dd/yyyy)
Valerie Hobby, horized 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
Jill M.Bodrie Michael J. Bodrie
Address (number and street) Address (number and street)
3340 Glen Cove 3340 Glen Cove
City, State and ZIP Code City, State and ZIP Code
Evansville, IN 47725 Evansville, IN 47725
Country Country
United States of America United States of America
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
g, ❑ 1. Will this property be the buyer's primary residence? 0 3. Homestead
_ ❑ 4. Solar Energy Heating or Cooling System
❑ A 2. Does the buyer have a homestead to be vacated for ❑ 5. Wind Power Device
this residence? If yes, provide address: 0 6. Hydroelectric Power Device
Address(number and street) ❑ 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county .Z4-1 - 36-3100 -002- g06 aZ L1
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete