Homestead_White (13) I H. PREPARER
Preparer of the Sales Disclosure Form Title
Amy B.Pollard Settlement Agent
Company
I
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S) ill ---
' Seller 1 —Name as it appears on conveyance document Seller 2—Name as ap n nveyance .. . ent
Kyle B.Fikes Tami D.Fikes Il ?O
Address(number and street) Address(nu and street) 23 v
589 Cathy Drive 589 Cathy IR�p��
City,Slate,and ZIP Code City,State,and ZIP C EQ (�
YSUN . )
Princeton,IN 47670 Princeton,IN 47670 -1',qo
i Country Country O/rpR
US US
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,corn it a Level 5 felony.
Signa a of eller _ -•.tu'e of'-Her
..k
Printe Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) '
Kyle B.Fikes 12/06/2023 Tami D.Fikes 12/06/2023
-
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
Charles M White
I Address(number and street) Address(number and street)
109 S.East Mill St.
City,State,and ZIP Code City,State,and ZIP Code
Patoka,IN 47666
Country Country
4 US
( )
S 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:
O YES NO CONDITION YES NO CONDITION
o 1 ® 1.Will this property be the buyer's primary () 0 3. Homestead
O residence? 0 181 4. Solar Energy Heating or Cooling System
1 2. Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
tJisi,iO for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
O
ess(nu r and reet) 0 ® 7.Geothermal Energy Heating or Cooling Device
� a . ( cM MtIt ��
N City,Si le,and F;Code ` �] /- County 2_6 i i _I _ 2_ kou 14_ 31, _0Z
I ''11'(}�� �) tF/—/v.► 1 \V 4 KJ[&w co l bS� `I
-T Under•enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
J 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
1 transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
information,SSN/Driver's License/ID/Other Number is necessary only if a Homestead Deduction is being filed.)
N ,