Homestead_Girten H.;PREPARER
Preparer of the Sales Disclosure Form Title
Christa D.Tracey 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
best of my knowledge and belief,is true,correct and complete as
required by law,and is prepared i .accordance with IC 6-1.1-5.5.A person who knowingly and intentionally�ies the value of transferred
real property,or omits or fats' ' s any information required to be provided,commits a Level 5 felony.
S
Sinature of Seller
\ of Seller g Printe` a e o Iler Date signed(mm/dd/yyyy) Printed Name of Seller O v6-6nrnIddlyyyy)
Broo e Tr or,Authorized Signer 10/7/2022 L'J
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL�PPLY -1,-,?
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appearm)�ISepveyance docnt
Kristin L. Girten Christine R. Morgan-Girten CO& J�
Address(number and street) Address(number and street) •Ief,. .
19101 Fenwick Lane 19101 Fenwick Lane oYT�'R
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
apply for certain deductions.Identify all of those that apply:
Y NO CONDITION YES/NO CONDITION
rE7 1. Will this property be the buyer's primary residence? +0 ❑ 3. Homestead
/ ❑ 0 4. Solar Energy Heating or Cooling System �\
1d' ❑ 2. Does the buyer have a homestead to be vacated for this 0 5. Wind Power Device C \
residence? If yes, provide address: ❑ 0 6. Hydroelectric Power Device
Address(number and et) ❑ 0 7. Geothermal Energy Heating or Cooling Device
qact, of �{ u CiSe^V ac
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
information, SSN/Driver's Li ense/ID/Other Number is necessary if a Homestead Deduction is being filed.)
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