HomeMy WebLinkAboutHomestead_Colles H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbigail Moers 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 Ft"
304 E SR 68 -LED
City,State and ZIP Code City,State and ZIP Code
Haubstadt, IN 47639
G18264.50-4z; .11—
Country Country 2 4 2022
United States of America _
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.
Signature of Seller
rinted Name of Seller
Siy
Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Phillip Reinbrecht, President 2/14/2022 2/14/2022
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
Aseia A.Colles Carson L.Colles
Address(number and street) Address(number and street)
1368 Red Stone Dr. 1368 Red Stone Dr.
City,State and ZIP Code City,State and ZIP Code
Lexington,KY 40509 Lexington,KY 40509
Country Country
United States of America United States of America
E-mail address
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES.... NO CONDITION 1;15,- NO CONDITION
.17ef CI 1. Will this property be the buyer's primary residence? LI 3. Homestead
0 RI 4. Solar Energy Heating or Cooling System
O ET"...2. Does the buyer have a homestead to be vacated for this CI 0 5. Wind Power Device
residence? If yes,provide address: El 0 6. Hydroelectric Power Device
Address(number and street) 0 I71 7. Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and county c -../i—)5.—(2bC —D°(4'
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
11111
.,,.