HomeMy WebLinkAboutHomestead_RischH.PREPARER
Preparer of the Sales Disclosure Form
Title
Leah Brown
Settlement Agent
Company
Email Address
Telephone Number
Regional Title Services LLC
closings@regionaltitlelic,com
( 812 ) 759-5555
Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715
I. SELLER(S)IGRANTOR(S) - - -- -
s
Seller 1 - Name as it appears on conveyance document
Seller 2 -Name as appe#&Ojon yan ument
Big Creek Farms, Inc.
Address (number and street)
Address (number and street)
970 W 1150 S
City, State, and ZIP Code
City, State, and ZIP Code AUG 8
2026
Ladoga, IN 47954
Country
Country
us
Email Address
Telephone Number
Email Address SPIV CO Telephone Number
UNT1'gV
buroods@bwsresidenlial.com
( 317 ) 416 4031
)
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, c6irbct, and complete as
required by law, and Is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intenti nally falsifies the value of transferred
real p o erty, or omits or falsifies any information required to be provided, commits a Level 5 felony.
Sign to Iler /I
Signature of Seller
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Printed Name of Seller
to ed nm/ddlyyyy)
William Woods, President
08/05/2026
081Si
J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDEN V'4- AT APPLY
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as i prs on conveyance cument
Alison Risch
Brenden D. Sever
Address (number and street)
Address (number ands C
001ty
4329 Sumac Lane
4329 Sumac Lane
City, State, and ZIP Code
City, State, and ZIP Code Iron
Bellingham, WA 98226
Bellingham, WA 98226
Country
Country
us
I us
Email Address Telephone Number
Email Address
Telephone Number
aiison@aiisonrisch.com ( 360 )6300878
v/�R .5 �sZ5 f
(,3�,o
Pursuant to IC 6-1.1-1244, the Sales Disclosure Form may be used to apply for certain dedbrdflons. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
® O 1. Will this property be the buyer's primary
® O 3. Homestead
residence?
O ® 4. Solar Energy Heating or Cooling System
O (N 5. Wind Power Device
O ® 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
O ® 6. Hydroelectric Power Device
7. Geothermal Energy Heating or Cooling Device
O ® 9Y 9 9
Address number and street
( )
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/Drivees LicenselID/Other Number is necessary only ff a Homestead Deduction is being l7fed.)
Signature of Buyer 1
Si re of er 21Spou
Printed Legal Name of Buyer 1 Sign Date (MMIDDfYY)'Printed
Legal Name of Buyer 2/Spouse Sign Date (MWDD/YY)
Alison Risch 8/5/2026
Brenden D. Seversen 08/05/2026
Last 5 Digits of Buyer 1 SSNIDrive(s License/EDiOther Number
i __ - -- --i
Last 5 Digits or Buyer 2/Spouse SSN/Driver's License/ID/Other Number
'�r 73 _ .11
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