HomeMy WebLinkAboutHomestead_Englert H. PBEPARER
Prepamrof 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)X3RAMTOR(8)
Seller 1 -Name ooit appears on conveyance document Seller 2-Name oud appears vn conveyance document
TravoS. SiahmmnA.K.A Travis S|ekmon. by Shannon Siokmmn, his
attorney-in-fact
Address(number and street) Address(number and street)
S21OESR1GD
City, State and ZIP Code City,State and ZIP Code
Oakland City, |N 47860 .
Country Country
United States of America
.Email-Address �
knowledge and belief,iotrue,correct,and complete asrequired
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 6 felony.
~�Signqtyre of8Nwr �8ignmtneofOu||er
� A-
.
PHnt�1NomanfSeUur ' » - Date-Signed(mm/dd/ Printed Name ofSeller Date Signed(mmmu/yvyy
TroxiuS. GiukmonA.K.A Travis Siekmon. YYYY) |
by Shannon Giakmen. his eftonney'in-had 8/18/2025 '
J. auYsR(o)/GRAmTEa(m)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL T"PAII.
Buyer 1 -Name nuit appears on conveyance document 8uyar2-Nomnaaitopp �^ncuman1
VVbndo8. Eng|ad -- '�mw�
Address(number and street) Address(number and
��6�»�^A
52588\hAve
City, State and ZIP Code City, Gtotea
Haubntodt. |N 47639 ' w/8�rA
-'
Country Country
^ United States ufAmerica 0;?
�
-` Email Address
for certain deductions.Identify all of those that apply:
rYES NO CONDITION YES NO CONDITION
' 2 O 1' Will this property be the buyer's primary residence? ED O 3. Homestead
O 2. Does the buyer have o homestead 1obn vacated for 0 GO 4' Solar Energy Heating or Cooling System
this residence? |f yes, provide address: [] EO 5. Wind Power Device
Address(numbero d street) O E� G. Hydroelectric Power Device
[] GO 7 Geothermal Energy Heating or Cooling Device
CiV, State,and ZIP Code County Q I
t Under penalties nr perjury,/hereby certify that this Sales Disclosure,to the best n,*v knowledge and belief,."true,correct,and complete""
�V required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value pf transferred real
�\ property,or omits or falsifies any information required to be provided,commits a Level 6 felony.(Note:Both spouse's information,SSNIDriver's
LicenselID/Other Number/s saqp/ff Homestead Deduction/sbeing riled.)
Signature nf Buyer 2/Spouwe
Last 5 Digits of Buyer 2/GpouoeGGN/Dhver'sL�� «� �� - umber