Homestead_Jones (25) H. 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
Reinbrecht Homes
Address(number and street) Address (number and street) COp
304 E SR 68
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639
Country Country
United States of America
Under penalties of perjury, I hereby certify 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.
ignature oflll�rller Signature of Seller
4,
.C�II liY1L
Printed Name of Seller Date signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Dona Brown, Authorized Signer 8/31/2023
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL TH LY
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on1ot a e d t
Kur
t Jones Primitiva McCabe [[[
Address (number and street) Address (number and street)
2367 Larpenteur E.Ave. 2367 Larpenteur E.Ave. CrP Q
City, State and ZIP Code City, State and ZIP Code " '4r
8 2023
Country Malewood, MN 55109 MCoapnetrwyood, MN 55109 G/BS(IN Q Q rr
�l
United States of America United States of America gUOjTOR �`
apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary residence? 0 0 3. Homestead
0 2 4. Solar Energy Heating or Cooling System
0 Z 2. Does the buyer have a homestead to be vacated for 0 p 5. Wind Power Device
this residence? If yes, provide address:
0 2 6. Hydroelectric Power Device
Address (number and street) ❑ Z 7. Geothermal Energy Heating or Cooling Device
City. State,ZIP code, and county
ale -' 1- —18 -- (03 - ccLo . LkLsu- 0aR
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