Homestead_Lewis (18) H. PREPARER
Preparer of the Sales Disclosure Form Title
Stacy Brown Settlement Agent
Company
Address(number and street,city,slate,country,and ZIP Code)
2301 N.Burkhardt Road,Evansville,IN 47715
I.SELLERS)/GRANTOR(S)
Seller 1-Name as iI appears on conveyance document Seller 2-Name as appears on conveyance document
Ricky Alan Sides Laura Elaine Sides ,
Address(number and street) Address(number and street)
S I atv S' Vic c r1 t, Or-2 /1
City,state,and ZIP Code City,state,and ZIPCoder/{4 Y)/Zt rich } -►n1 Li-7(F u;c
Country Country
US US
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 pr vidod,commits a Level 5 felony.
Si of Se� ter ...,,- Sig ature eller %/ ' C ! 4-4 / ?
- .'
Printed Name of Seller Date signed(mm/ddiyyyy) Printed ame of Seller Date signed(mmfddlyyyy)
Ricky Alan Sides 12/23/2021 Laura Elaine Sides I 12/23/2021
J. BUYER(S)/GRANTEE(S)-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
, Anthony Lewis
Address(number and street) Address(number and street)
1040 Covert Ave.
City,state,and ZIP Code City,state,and ZIP Code
Evansville,IN 47714
Country Country
US
certain deductions.Identify all of those that apiaty:
YES NO CONDITION YES,- NO CONDITION co
1.��,// �' to
�-Will this property be the buyers primary 0 3.Homestead o ' pj
residence? 0 129 4.Solar Energy Heating or Cooling Sy N 1--ii
V2.Does the buyer have a homestead to be vacated 0 ® 5_Wind Power Device l•., r
® for this residence?If yes.provide address: 0 ® 6.Hydroelectric Power Device
Address(number and street) 0 (29 7.Geothermal Energy Heating or Coo -a 0 evice
City,state,and ZIP Code County
26-18-13-402-000.725-026 co