Homestead_Sisson 11:-.PFWPAIRER::- -•-:.:',.,:.::•:.:•--.. : :,•:' --.-.. ::: :::•: _i:--: :•- •. .::::::::::,:::-: ::::•:-.:::::::-•::,::::.:::: ::-...-:-. ::,:-.-..::: . -:: :•'.. ::,:-..:, .:•::::--:--:.:.- :-:::::- . ::,:,:-:-,.:: . :. :.:,:::::-
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Preparer of the Sales Disclosure Form Title
Jessica Baja] Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
5231 Oak Grove Road,Suite A,Evansville, IN 47715
'.1;:§ELLER.($)11ORININTQR )::.:.,::::-::::::•:;:,;•:.:i:: .::.::.:.',':-::::,:::::::::::::,:::: :",:::. -':::"':-...--::::'::..-:::..::.'-.:.':-',.-: :-::,H:::::::::::::::::...--,i ::::::::::::::-::: :::::::::::-,::::::::•::::-:::::-:•: :::-:-:::-:::::;. ' :::::-::
Seller 1-Name as it appears on conveyance document
Jason C.Brucks Seller 2—Name as appears on conveyance document
Address(number and street)
Address(number and street)
City,state,and ZIP Code
City,state,and ZIP Code
Country Country
United States of America United States of America
E-mail address Telephone number E-mail address Telephone number
Under penalties of:perjury i..hPreiiii.-aertifilthiP Sales Disclosure tO.:!hali4e0.90r:rokknowledge.and belief, is true..,correct and complete,as
-tiOirlred'1y law,;erd.-.1S•prepared:In ilpeordanea,witi..rtc:.6;1;10;4;:ftiPii*0 who knowingly and.irttelitliinillir falsifies tiiii'iiiIiie:,of,:tt4rIsfertedl'
reei:rirepertY;r.er'etnitS-or.falsifies'.iiiii infooit04,0*.tiistraff*P.:44:*ovided.• .a*Mlii:a tIVOl*fet,ivriY:,::: :...':"''. .':'.•:-•;..'1.:::--:::•":"::-.,:::::::-1.::::::::•:.: : ';:: ''::•::. ': !::::::i'ls.:: ;..:;'..L:
Signature of Seller Signature of Seiler
Printed Name of Seller Date signed(mm/ddiyyyy) Printed Name of Seller Date signed(mm/cld/yyyy)
Jason C.Brucks
•:,J.:-.BuyER(S)IGRANTEE(S) APPLICATION'FOR PROPERTY TAX DEDUCTIONS---IDENTIFY:Aik:::IL THAT APPLY
Buyer 1—Name as It appears on conveyance document Buyer 2—Name as appears on ce ocum
Justin Jay Sisson
Address(number and street) Address(number and street)
328 N.Seminary St FEB 11 2027
City,state,and ZIP Cede City,state,and ZIP Code
Princeton,IN 47670 ."440,Lei.e
Country Country
_
United States of America United Steies of Amerida
E-mail address
to epPlytrir certain.deductlons.:Identify alt of those that apply::::::::::::::::L
YES NO CONDITION YES NO CONDITION
El 0 3.Homestead
10 0 1.Will this property be the buyer's primary residence?
0 ET 4. Solar Energy Heating or Cooling System
r...,, 2. Does the buyer have a homestead to be vacated for 0 0 5.Wind Power Device
0 in_ this residence? If yes,provide address: 0 ET 6. Hydroelectric Power Device
Address(number and street) 0 ET 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code (County 0.1`—'2.0& LIS - 3' •
ijriiiki;-.4‘.iiiie.4i;t:,: doi..,:-,i-iiiri;ii,::c44iiiii6.i.ii-iti -....iii :iiiii.iii..*;i43,:ti:i.):..ii4:,4.jarrii:t<;, i44ii!::ii4li ,:is 01:3 fi,T: t4c4. 11tidMi4.;iiit :i
-as':,...-,itiir40.•',0ii) iiii,.i.liitict. i*-:-.„;p:14.iie.'ea,-16: accordance with IC ',64.15.5.:A.pfrareein7Wt.iiiTiiiteWln4ii-7*n.tt'!fri**Onill .:;t4r0014*''.ttlii.*0140::of
traheferredrreal'Orepertriraniitier:;fiiisifteserly;.trifininatierv?requIred to be
' Orwildco;c-o****..Laiel §(felY'p,. cei.z:.*ti:1Pe,,,'•is:•-•.e.,•-:''S
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