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Homestead_Lucas H. PREPARER Preparer of the Sales Disclosure Form Title Patti Kolb Closing Manager Company Address(number and street,city,state,country,and ZIP Code) 226 W Broadway St., Princeton, IN 47670 I. SELLER(S)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document James E. Wilkerson, Sr. Paula L. Wilkerson Address(number and street) Address(number and street) 703 N Main St. 703 N Main St City,state,and ZIP Code City,state,and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country USA USA E-mail address Under penalties of perjury,I hereby certify 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. Sign ure of Seller Si, ture ooff Sell /' ) "Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date si nedj(mm/dd/yyyy) James E. Wilkerson, Sr. Paula L. Wilkerson J. BUYER($)/GRANTEE($)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document Jonathon E. Lucas Address(number and street) Address(number and street) 906 S Robin St. City,state,and ZIP Code City,state,and ZIP Code Princeton, IN 47670 Country Country USA E-mail address ( ) _Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 0 1.Will this property be the buyer's primary 0 3. Homestead 5 residence? 0 L 4.Solar Energy Heating or Cooling Syst ID "Li 2.Does the buyer have a homestead to be vacated 0 Gi1 5.Wind Power Device o o for this residence? If yes,provide address: 0 t i 6. Hydroelectric Power Device ? N r Address(number and street) 0 7.Geothermal Energy Heating or Coolint vice= o City,state,and ZIP Code County - 26-12-07-102-000.839-028 3