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Homestead_Ising INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER. Roman Ricker Partner Preparer of the Sales Disclosure Form Title 219 N Hart Street, PO Box 19 Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, Indiana 47670 E-mail E.,SELLER(S)/GRANTOR(S)_ - - I ewis Fnterprises, LLC Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 109 W Locust Street Address(Number and Street) Address(Number and Street) Fort Branch, Indiana 47648 E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and r ire by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". X. Signature of Seller Signature ofSeller Peter J. Lewis, Managing Member 5/16/2020 Printed Name ofSeller Sign Date(MM/DD/YYYYL Printed Name ofSeller Sign Date(MM/DD/YYYF2 F BUYER(S)/GRANTE:E(S) ,APPLICATION.,FOR PROPERTY TAX DEDUCTIONS-"IDENTIFY ALL ITEMS THA „ ,_- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. • UDITOR YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary Z ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 211 W Locust Street ❑ ❑✓ S.Wind Power Device Address(Number and Street) ❑ 17I 6.Hydroelectric Power Device Fort Branch, Indiana 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. ) Address(Number and Street) City,State ZIP Code County