HomeMy WebLinkAboutHomestead_GeorgeH.PREPARER
Preparer of the Sales Disclosure Form
Title
Stacey Salzman
Settlement Agent
Company
Email Address
Telephone Number
First Advantage Title Services LLC
closingdept@fa-title.com
( 812 ) 490-8485
Address (number and street, city, state, country, and ZIP Code)
2301 N. Burkhardt Road, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
Joseph C. Sikes
Christie C. Sikes
Address (number and street)
Address (number and street)
2836 W SR 64
2836 W SR 64
City, State, and ZIP Code
City, .State, and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country
Country
US
US
Email Address
T le h e Num
r
d Address Tel hloneNumbe.,
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.
Si nature of Seller
Signature of Seller
Printeff Narffe of Seller
Date Signed (mm/dd/yyyy)
Pnnte Name of eller
Date Signed (mm/dd/yyyy)
Joseph C. Sikes
05/08/2026
Christie C. Sikes
05/08/2026
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY
TAX DEDUCTIONS - ID I A L T Y
Buyer 1 - Name as it appears on conveyance document
Buyer 2 - Name as it appea c e nc c e
Robert George
Address (number and street)
Address (number and street)
MAY
419 E Pine St.
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
CA
Country
Country /
GlB
us
Email Address
Telephone Number
Email Address
bi" Number
( 317 ) 389-1673
( )
Pursuant to IC 6-1.1-12-", the.Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
IN ❑ 1. Will this property be the buyer's primary
0 0 3. Homestead
residence?
0 IN 4. Solar Energy Heating or Cooling System
0 ® 5. Wind Power Device
❑ ® 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
❑ ® 6. Hydroelectric Power Device
0 ® 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
a(-(, - %\ _QC) -ac)o- C)�� \ • Cc) \ - c) a-1
City, State, and ZIP Code County
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
transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Bofh spouse's
in_ formation; SSN/Driver's License/ID/O(her Number is necessary only if a Homestead Deduction is being filed.)
gnature of Buyer 1
Signature of Buyer 2/Spouse
Pr nted Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MMIDDIYY)
Robert George 5/8/2026
05/08/2026
La 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
Q 13652
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