HomeMy WebLinkAboutHomestead_CobbH. PREPARER
Preparer of the Sales Disclosure Form
Matthew Jarvis
Title
Company 1Escrow Officer
Southwestern Indiana Land Title Fmaft@swiiniand.com
mail address
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
1. RR 1 PR/clin_bA.�.�.,
Telephone number
(812) 425-0055
Seller 1 —Name as it appears on conveyance document
SPM Development, Inc., an Indiana corporation doing business as Seller 2 —Name as it appears on conveyance document
Reinbrecht Homes, now known as Elite CompaniesInc., an Indiana
rnrnnrafinn ,
Address (number and street)
304 E SR 68
City, State and ZIP Code
Haubstadt, IN 47639
Country
United States of America
Email Address
dona@reinbrechthomes.com
Address (number and street)
City, State and ZIP Code
Country
ephone Number I Email Address
K6f0(3�
Telephone Number
Under penalties of perjury, 1 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 intentional) falsifies the value of transferred real property, ro erty, or
omits or falsifies any information required to be provided, commits a Level 5 felony. y
Signature of Seller R A
Printed Name of Seller Date Si d (mm/dd/
Phillip Reinbrecht, President yyyy)
4/10/2026
Signature of Seller
5ener
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL THATA PL _
Buyer 1 — Name as it appears on conveyance document
Buyer 2 —Name as it appears on c
Christopher Shane Cobb
Address (number and street) Tianna Marie Cobb APR
1119 Regency Court Address (number and street)
City, State and ZIP Code 1119 Regency Cou
Evansville, IN 47710 City, State and ZIP
Country Evansville, IN 47710 SON Cp
United States of America Country
Email Address United States of America
Telephone Number Email Address __
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(mm/dd/yyyy)
Telephone Number
01�-d
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rursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify
YES NO CONDITION
all of those thatapply:�
❑ 1. Will this property be the buyer's rims . residence
�
El NO CONDITION
❑ 3. Homestead
❑ 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ J 4. Solar Energy Heating or Cooling System
Address (number and street)
❑ R! 5. Wind Power Device
❑ Q 6. Hydroelectric Power Device
City, State, and ZIP Code
❑ 0 7. Geothermal Energy Heating or Cooling Device
County
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
property, or omits or falsifies any information required to be
real
provided, commits a Level 5 felony. (Note: Both spouses information, SSN/Driver's
License/ID/Other Number is necessary, if a Homeste d Deduction is being tiled.)
Ill
Signature of Btyq r %
f
Sign ture of B A.,er 2/Sp,
Tinted Legal Name of Buyer 1 Sign Date (MM/DD/YY)
13hristopher Shane Cobb 4/10/2026
,
Printed Legal ame o uyer 2/Spouse Sign Date (MM/DD/YY)
.ast 5 Digits l�er� SS �l/Driver's License/ID/Other Number
>SN:
Tianna Marie Cobb 4/10/2026
Last 5 Di its f u 2/Spouse
�'®C; ��d6®x�
er SSN/Driver's License/ID/Other Number
SSN: ,
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