Homestead_Muhs H. PREPARER
Preparer of the Sales Disclosure Form Title
Escrow Officer
Matthew Jarvis
E-mail address I Telephone number
Company
Southwestern Indiana Land Title matt@swinland.com (812)425-005
5
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 ��
Add Homes
Addressess (number and street) Address (number and street)
.4
E SR68
4
City, State and ZIP Code City, State and ZIP Code 6'O
`6'''''
Haubstadt, IN 47639 8
S
Country Country ��epC " 42,,
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United States of America 4'VTy
of my knowledge and belief, is true,correct and complete as
required by-4w,an is prepared in acc rdance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,)or o its or falsifies any ' formation required to be provided,commits a Level 5 felony.
Signature of Seller
�i$nature of S r �F /
� f ZC���� Date signed (mm/dd/yyyy) Printed Name of Seller I Date signed (mm/dd/yyyy)
Printed a e Seller g
Valerie Hobby,Authorized ' ,er 17/29/2022
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
Michael A. Muhs Jessica A. Muhs
Address (number and street) Address (number and street)
4021 Eagle Watch Dr 4021 Eagle Watch Dr.
City, State and ZIP Code
City, State and ZIP Code '`: r `'' :', '`
Evansville, IN 47725 Evansville, IN 47725 n ' ! 4 y,-
Country Country
United States of America United States of America
(812)455-6555
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
p 0 1. Will this property be the buyer's primary residence? El 3. Homestead
0 El 4. Solar Energy Heating or Cooling System
❑ ❑ 2. Does the buyer have a homestead to be vacated for ❑ El 5. Wind Power Device
this residence? If yes, provide address: ❑ Q 6. Hydroelectric Power Device
Address (number and street) ❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county 6,18 _07— Lk00- Ot.J , cr)-cz .
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