Homestead_Kern (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Claire Kincaid (CSC-Z. J 1 �.}�.4—
Preparer of the Sales Disclosure Form Title U
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
E. SELLER(S)/GRANTOR(S)
SPM Development, Inc.dba Reinbrecht Homes
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
304 E SR 68
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 ,
E-mail Telephone Number E-mail
Under penalties of perjury •ereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and co re y law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
ature of Sell Signature of Seller
Qom /5/2020 8/5/2020
Printed Name Sign Date(MM/DD/YYYY) \ Printed Name of Seller Sign Date(MM/DD/YYYY)
F tf E(S) -APPLICATION FOR P EDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Joshua R. Kern Chelsie L. Kern
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2564 E 1025 S 2E64 E 1025 S I
Address(Number and Street) Address(Number and Stree
Haubstadt, IN 47639 Haubstadt, IN 47639 id E I.,
City,State,and ZIP Code
�� E-mail
CERTAIN DEDU R THIS PROPERTY. IDE HOSE TH• .•-PLY.CONDITION YES NO CONDITION Ut2Aer ill
y LI 1. Will this property be the buyer's primary �❑ 3. HomesON COUNTY AUDITOR
residence? Provide complete address of .rimary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
2560 E 1025 S
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Haubstadt, IN 47639 Gibson • � -• •- _ - • • ooling Device
City, State Z P Code County 0 0 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be 0 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete .irrra:iinseaur �;u 'de contact information
address of residence being vacated, including co •,•••••� below. Please see instruy c~"°?. - - information.
Not available in all counties.)
Address(Number and Street) 26-Y -- ^SoQ -Q :9-vt_4-o