Homestead_Fisk H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis 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
Sean P.Callahan
Address(number and street) Address(number and street)
206 W Main St
City,State and ZIP Code City, State and ZIP Code
Francisco, IN 47649
Country Country
United States of America
Email Address
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 Signature of Seller
Printed Name of S Iler Date Signed(mm/dd/ Printed Name of Seller ate Signed(mm/dd/yyyy)
v."Sea .Ca a 6,41Ls2 15550
3/14/2025
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY *4
Buyer 1 -Name,as it appears on conveyance document Buyer 2-Name as it app ars on cohere d:curlb
Samantha Fisk Robert Fisk
1
Address(number and street) Address(number and strftbb
1029 Price Rd. 1029 Price Rd. ifre0c?
11-4t&j'
City,State and ZIP Code City, State and ZIP Code
Avon, IN 46123 Avon, IN 46123 4/17e.k.;4zi"
Country Country 0,9
United States of America United States of America
YES NO CONDITION YES NO CONDITION
Ell 0 1. Will this property be the buyer's primary residence? El El 3. Homestead
0 El 2. Does the buyer have a homestead to be vacated for 0 El 4. Solar Energy Heating or Cooli -
this residence? If yes, provide address: 0 RI 5. Wind Power Device
Address(number and street) El 6. Hydroelectric Power Device
0 12I 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
- I )-COR.
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 Ha Homestead Deduction is being filed.)
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