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HomeMy WebLinkAboutHomestead_SikesH. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company E-mail address Telephone number Southwestern Indiana Land Title matt@swinland.com (812) 425-0055 Address (number and street, city, state, country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it armears on conveyance document Estate of Charlene Marie McClellan ` Address (number and street) Address (number an re 602 S Main St. City, State and ZIP Code City, State and ZIP CodMAY 19 2026 Owensville, IN 47665 Country Country United States of America Email Address Telephone Number Email Address GIBSON COUNrY�` Telephone Number .. �`i,�+�I�Iro 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 in with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transferred real property, or by law, and is prepared accordance omits or falsifies any information required to be provided, commits a Level 5 felony. Si na ure f Iler 6\ Signature of Seller 1(Y\ Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy) Heather M Thomas, Personal yyyy) Representative 5/18/2026 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 Joseph C. Sikes Christie C. Sikes Address (number and street) Address (number and street) 602 S Main St. 602 S Main St. City, State and ZIP Code City, State and ZIP Code Owensville, IN 47665 Owensville, IN 47665 Country Country United States of America United States of America Email Address Telephone Number Email Address 4Telephone Number 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 Ole i i 1. Will this property be the buyer's primary residence? N*"'o 1 1 3. Homestead ❑ © 4. Solar Energy Heating or Cooling System ❑ 0 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: ❑ 0 5. Wind Power Device ❑ 0 6. Hydroelectric Power Device Address (number and street) ❑ 23 7. Geothermal Energy Heating or Cooling Device &' _ 1-� - �a _ 1 U, _ 3 . - oaa 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 A knowingly and intentionally falsifies the value of transferred real required by law, and is prepared in accordance with IC 6-1.1-5.5. person who property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's information, SSN/Driver's LicensellD/Other Number is necessary if a Homestead Deduction is being filed.) Signature of Buyer 1 Sjg ature of Buyer 2/Spou rinted Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Joseph C. Sikes 5/18/2026 Christie C. Sikes 5/18/2026 Last 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 Numbe SSN: �� 7 �' -7-41 , % 3 SSN: �` Jet-��? r� Page 3