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Homestead_Market (2)
H. PREPARER I 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 p.i. 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 /If* V Country Country Z3 47n1 , United States of America best of my knowledge and belief, is tru d(ap nd complete as required b aw,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifie iiIvalue of transferred real pro rty, or)om' falsifies any nformation required to be provided,commits a Level 5 felony. Signatu e of II Signature of Seller Printed me eller Date signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy) Valerie obby,Authorized Si r 5/16/2023 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY er 1 — ame as it appears on conveyance document Buyer 2—Name as it appears on conveyance document Lisa K. Market Address (number and street) Address (number and street) 507 W. Church St. City, State and ZIP Code City, State and ZIP Code Haubstadt, IN 47639 Country Country United States of America E-mail address apply for certain deductions. Identify all of those that apply: YES NO CONDITION El 0 1. Will this property be the buyer's primary residence? . El ❑ 3. Homestea El 4. Solar Energy Heating or Cooling System El 0 2. Does the buyer have a homestead to be vacated for 0 El 5. Wind Power Device I this residence? If yes, provide address: ❑ El 6. Hydroelectric Power Device Address (number and street) 0 © 7. Geothermal Energy Heating or Cooling Device 507 W. Church St. City,State, ZIP code, and county Haubstadt, IN 47639 Gibson 0 li -/8-.34, - t/00 - 0 0 0. 90 5 . 0 0 9 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 t3 t ;