Homestead_Meeks INDIANA SALES DISCLOSURE FORM_ SDF ID: Page 2
Christa Kingsbury Closing Manager
Preparer of the Sales Disclosure Form Title
501 MAin Street Bosse Title Company
Address(Number and Street) Company
Evasville IN 47708 812-4214000
City,State,and ZIP Code Telephone Number E-mail
ESELIEER(SI/GRANTOR(Sr fi'e. ?`-7- ;=._ � L, " `. taw-
Jeff ;
J Meeks
Seller 1.Name as appears on conveyance document Seller 2-Name as appears on conveyance document
194 E 750 S
Address(Number and Street) Address(Number and Street)
:"-nrh IN 47648
Telephone Number E-mail
Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required✓b(yyflaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S i g n`g/ ' i etI" 9 Signature of Seller
Jeff J Meeks 03129113
Printed Name of Seller Sign Date(MM/0D/Mil Printed Name of Seller Sign Dote 004/00/YYYn
:F BUYER(SAGRANTEE(S) AP$CICATIONIF.OR}P:ROP,ERTYd AXIDEDUCTIONSOIDENTIF; {AL'ITEMStTHATfAP,P,IiY' ,
Randal J Meeks Jessi K Meeks
" Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
108 W John Street
Address(Number and Street) Address(Number and Street)
Ft.Branch, IN 47648
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
TA ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ ig 4.Solar Energy Heating/Cooling System
residence,including county: ❑
194E 750 S 5.Wind Power Device
Address(Number and Street) ❑ 1g 6.Hydroelectric Power Device
Ft Branch IN 47648 ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 ❑ 2.Does the buyer have a homestead in Indiana to be El 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ NI 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
108 W John Street Not available in all counties.)
Address(Number and Street) •1 /'� �j7
Ft Branch IN 47648 Gibson ��--IN�X—O�p3'WIi ly 0)6
City,State ZIP Cade County 111 UU
Primary property owner contact name • E-mail
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,"Real Property Sales Disclosure Act".(Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bein d
Signature of Buyer S attire ofBuyer2/Spouse
Randal J Meeks 09129113 Jessi K Meeks 09129119
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