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Homestead_Meyer (12)
• INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER. Jeffrey H. Bosse VP/Closing Agent Preparer of the Sales Disclosure Form Tide 501 Main St.,Ste 101 Bosse Title Co. Address(Number and Street) Company Evansville,IN 47708 812-421-4000 ieff.bosse2(dieffbosse.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) }°_ ;} ' r az. i_ .i." ``_, _ -i _ ;.rC c A7-1..` .. Gary L Meredith Fliyabeth D Meredith Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document 330 S 1st St 330 S 1st St Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton IN 47670 Under penalties of perju ,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as r—,. . and is prepared in accordance with I 6- "Re- Property Sales F• osure Act". — sal is sue` JUN 2013 C.Sig i L. �`�+artenefla• 2 5 L:.uita(dnSA n, M>Mira JUN 2 5 2013 Printed ame of Seller Sian Date(MM/DD/YYti) Printed Name of Seller Sian Date(•M/DD/YYYY) FFBUYER(S) GRANTEE(S):=T APPLIEATIONIFORPROPERTY:TA&DEDUCTIONSL lDENTIEYrALliITEMS1fHAT;APPLY Ryan K.Meyer Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 902 S.Stormont St. Address(Number and Sweet) Address(Number and Street) Princeton. IN 47670 THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary TA ❑ 3.Homestead residence? Provide complete address of primary ❑ 0 4.Solar Energy F(}3�i�/ oh S�+ t',© residence,including county: ❑ A ig 330 S 1st St 5.Wind Power evlce Address(Number and Street) ❑ Q 6.Hydroelectric Powevicg2013 Princeton, IN 47670 Gibson ❑ MI 7.Geothermal Energy Heating/Cooling Device City•State ZIP Code County Z.Does the buyer have a homestead in Indiana to be ❑ 0 8.1s this property a r-•'.entia� .roperry? vacated for this residence? If yes,provide ❑ 0 9.Would you like to ' n•• 'FJ*1r -••a• •FKr this • complete address of residence being vacated, property vi ttPrgia • •c m ormation including county: below.Please see instructions for more information. "[O Q S ,57-o`1110AJT f TX PcC o fJ Not available in all counties.) Address(Number and Sweet) =N 147(.7o Gt IOSCrtn (2 -la-o'i 301- 004. 1 $S-oa l City State ZIP Code County Primary property owner contact name Email 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 being filed.) t--_Ak2N K /nw� 1--Signavre of Buyer) JUN 2 5 2013 Signature ofBuyer2/Spouse Number License/ID/Other Number