Homestead_Kolley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Kathy Masterson CLOSING AGENT
Preparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street) Company
Evansville,IN 47708 (
E-mail
E.SELLER(S)/GRANTOR(S)
SPM Development,Inc.,an Indiana corporation,d/b/a Reinbrecht
Homes
Seller I-Name as appears on conveyance document Seller2-Name as appears on conveyance document
304 E.SR 69
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639
City,State,and ZIP Code City.State,and ZIP Code
dona@reinbrechthomes.com
Telephone Number E-mail Telephone Number E-mail
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,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Brooke Traylor,as Agent 07/07/2020
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/YYYY)
F ER(S)/G I's (S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Forest Tanner Kolle
rice document Buyer 2-Name as appears on conveyance docun,cnt
4121 COVERT AVE
Address(Number and Street) Address(Numberand Street)
EVANSVILLE,IN 47714
CERTAIN DEDUCTIONS FOR THIS PROPERTY.1D ALL OF THOSE T LY.
YES NO CONDITION No
CONDITION
❑ 1.Will this property be the buyer's primary / i ❑/J 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary l _
■ FA4.Solar Energy Heating/Cooling System
residence,including county:
ettlik MG.-- ❑ ❑X 5.Wind Power Device
1301 W C11U I64R HOLLOW RD ❑ tI 6.Hydroelectric Power Device
Address(Number and Street)
❑ 0 7.Geothermal Energy Heating/Cooling Device
HAUBSTADT IN 47639 GIBSON 0 A 8.Is this property a residential rental property?
City State 1PCode County
❑ 0 9.Would you like to receive tax statements for this
❑ 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, Not ilable-irralf-caunt- s.
I adingcoouuntnty•
digress(Numberf ndStrfet)
/AA ?tCL / '{'7''( c¢ 1444-1,o 26-18-36-300-002 . 776-024
City,State ZIP Code County Primary property owner contact name r 4 E-mail
License/ID/Other Number