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Homestead_Thompson (11) 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 conve n o ment SPM Development, Inc., an Indiana corporation doing business as Reinbrecht Homes Address (number and street) Address (number and street *'O�i? 304ESR68 '6,4e) / 1 City, State and ZIP Code City, State and ZIP Code /es0 �Q1� Haubstadt, IN 47639 tiCO Q• Country Country 0ti0-G'/ United States of America 46 �' Under penalties of perjury, I hereby certify thi es Disclosure,to the best of my knowledge and belief, is true, correct and complete as required by law,and is prepared in acc nce with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real property,or omits or falsifie y information required to be provided, commits a Level 5 felony. Signature of Sr Signature of Seller Printed Name of er Date signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy) Brooke Traylor, Authorized Signer 11/9/2023 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 Robert E.Thompson Kathe J.Thompson Address(number and street) Address (number and street) " t:_ 1422 Sunset Dr. 1422 Sunset Dr. y c::I-.t �' City, State and ZIP Code City, State and ZIP Code Boonville, IN 47601 Boonville, IN 47601 Country Country United States of America United States of America Email Address YES NO CONDITION YES NO CONDITION 0 0 1. Will this property be the buyer's primary residence? 0 0 3. Homestead ❑ 0 4. Solar Energy Heating or Cooling System ❑ 0 2. Does the buyer have a homestead to be vacated for ❑ 0 5. Wind Power Device this residence? If yes, provide address: ❑ 0 6. Hydroelectric Power Device Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device City, State,ZIP code, and county _ ( _ ( 5-^ ?Oa/ ,- ooq. Q' _0.1) Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct and(complete/