HomeMy WebLinkAboutHomestead_Sisk (5) H. PREPARER
1 Preparer of the Sales Disclosure Form Title
Milton Norman Settlement Agent
i Company
Address(number and street,city,state,country,and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville,IN 47708
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Keith Eric Brown Emilie Ann Brown
Address(number and street) Address(number and street)
901 Mohawk Dr 901 Mohawk Dr
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch,IN 47648 Fort Branch,IN 47648
Country Country
US US
Email Address
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.
Signatu - if Sel r nature of eller .
AV-1,-4- 'AteCWI\
"• rated Name of Seller Date Signed(m Idd/yyyy) Printed Name of Seller D Sign (mm/dd/yyyy)
Keith Eric Brown Oc9 /-5- Z 4o7,S Emilie Ann Brown
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AL
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Austin Sisk Haley Sisk -AUG 20 2025
Address(number and street) Address(number and street)
01 1 o K 0v . -
City,State and ZIP Code ,I City,State,and P Code • w�� ,
�'�' :..t �`t i%Z Ch. ' 7" fir 'AUDITOR/
Country Country ( i
A
US US '�
Email Address
apply for certain deductions.Identify all of those that apply:
I ' YES NO CONDITION YES NO CONDITION
CT' ® 1.Will this property be the buyer's primary ►' 0 3. Homestead
lid l residence? p (2g 4.Solar Energy Heating or Cooling System
O' si 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
0: D for this residence? If yes,provide address: 0 Ci0 6. Hydroelectric Power Device
QIi Address(number and street) . 0 (Xi 7.Geothermal Energy Heating or Cooling Device
Straw) si-.
City,State,and ZIP Code County qr -1-14 -101-Qo I • oo I - d2�
t �}-< �;�rtch, I NI (--A 1��-k-�S C7 t bin 1 .
E i Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
i 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
0— transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
t information,SSN/Driver's License/lD/ er Number is necessary only if a Homestead Deduction is being tiled.)
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