HomeMy WebLinkAboutHomestead_KobeH. PREPARER
Preparer of the Sales Disclosure Form
Title
Matthew Jarvis
Escrow Officer
Company
E=mail address
Telephone number
Southwestern Indiana Land Title
matt@swinland.com
(812) 425-0055
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
Elite Companies, Inc., an Indiana Corporation
Address (number and street)
Address (number and street)
304 E SR 68
City, State and ZIP Code
City, State and ZIP Code
Haubstadt, IN 47639
Country
Country
United States of America
Email Address
Telephone Number
Email Address
Telephone Number
dona@reinbrechthomes.com
-05-01,37
Under penalties of perjury, I 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 intentionally falsifies the value of transferred real property, or
omits or falsifies any information required to be provided, commits a Level 5 felony.
Signal C--
Signature of Seller
Printed Name of Seller
Date Signed (mm/dd/
Printed Name of Seller Date Signed (mm/dd/yyyy)
Phillip Reinbrecht, President
yyyy)
6/12/2026
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPL
Buyer 1 — Name as it appears on conveyance document
Buyer 2 - Name as it appear c v anc d t
Alec Kobe
Address (number and street)
Address (number and street) JU�
1961 Cheyenne Dr
City, State and ZIP Code
City, State and ZIP Code
Evansville, IN 47715
Country
Country Nalt3SO N CO U
Nn'A�aJ
United States of America
Email Address
Telephone Number
Email Address
Tfthone Number
aKobe0311 @gmail.com
(443) 440-2868
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
YES NO CONDITION
Q ❑ 1. Will this property be the buyer's primary residence?
z ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑ 0 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ IZ 5. Wind Power Device
❑ Z 6. Hydroelectric Power Device
Address (number and street)
❑ Z 7. Geothermal Energy Heating or Cooling Device
_ l I-13- lC�-00L� . �C1- 00-8`
City, State, and ZIP Code 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 real
property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's information, SSN/Driver's
License/ID/Other Number is necessary if a Homestead Deduction is being riled.)
ignature of Buyer 1
Signature of Buyer 2/Spouse
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Alec Kobe 6/12/2026
liLast 5 Digits of Bur 1 SSN/�D^�river's License/ID/Other Number
y,
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Numbei
SSN: � q _ Z-1V ,DV -
-1
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