Homestead_Fisher (6) H. PREPARER
Preparer of the Sales Disclosure Form Title
Escrow Officer
Matthew Jarvis
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 Telephone number
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.
SpUre of Seller -. Signature of Seller
Pd Name Seller Date signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Jace Himsel, Authorized Signer 10/14/2022
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
Scott A. Fisher
Address (number and street) Address (number and street)
8000 John Davis Dr.,Apt 1205
City, State and ZIP Code City, State and ZIP Code
Frankfort, KY 40601 '
Country Country
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used to apply for certain deductions. Identify all of that apply:
YES NO CONDITION
YES NO CONDITION W o
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p 0 1. Will this property be the buyer's primary residence? El CI 3.3. Homestead I—
❑ Q 4. Solar Energy Heating or Cooling Syst , z
El2 2. Does the buyer have a homestead to be vacated for El p 5. Wind Power Device :
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this residence? If yes, provide address: ❑ p 6. Hydroelectric Power Device '''''"4C z
Address (number and street) El 0 7. Geothermal Energy Heating or C464Device m
City, State, ZIP code, and county
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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
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