Homestead_Sikes H. PREPARER
Preparer of the Sales Disclosure Form Title
Daphne Kramer Paralegal
Company
Address(number and street,city,state,country, and ZIP Code)
226 W Broadway St., Princeton, IN 47670
1. SELLER(S)/GRANTOR(S) Nall!
Seller 1 —Name as it appears on conveyance document Seller 2— on veyance document
David A. Lewis Anita L. Lewis
Address(number and street) Address(number and streetI?)
1984 E State Rd 64 1984 E State. 64
City.state,and ZIP Code City, tate,and ZIP Cdde
Princeton, IN 47670 Pri n, IN 47670 10?� (
Country CcPartr
USA USA %
E-mail address
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.
S4 ture of_S=isE, Sig ureeoof Seller (p i
..,,e. ee (g....i. ,V. das
. di(Li_i_ii
Printed Name of Se.ler Date signed(mm/d yyy) Printed Name of Seller Date signed(mm/dd/ yy)
David A. Lewis wS",'l.J Anita L. Lewis * -3 1 _ r3
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR ROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Joseph C. Sikes Christie C. Sikes
Address(number and street) Address(number and street)
2836 W State Rd 64 2836 W State Rd 64
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
USA USA
E-mail address
YES NO CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary D 0 3. Homestead
residence? 0 p 4. Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence? If yes,provide address: 0 O 6.Hydroelectric Power Device
Address(number and street) 0 t 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 26- 1 1 -I O _,1^O - 001 ,001
0I -001 _O2 `
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
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