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Homestead_Meyer (13) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Jeff H. Bosse Closing Agent Preparer of the Sales Disclosure Form Tide 501 Main St. Suite 101 Bosse Title Company Address(Number and Street) Company Evansville, IN 47708 812-421-4000 City,State,and ZIP Code Telephone Number E-mail Engrg 2 LLC Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 485 N SR 257 Address(Number and Street) Address(Number and Street) Ohvell IN 47564 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct and c plete as re uir d by law,and is prepared in a cordance with IC 6-1.1-53, "Real Property Sales Disclosure Act". 'Sig tareoofSeller Signature of Seller �o+Kas A.6rown APR 2 5 2014 "nied Nameo/Seller (Sign Date DeM/DD/YYYY)-. Printed Name of Seller Sign Date(MM/DD/YVY/i ,F..BUYER(SWGRANTEE(S)r APPLICATION FORePROPERTY TAX DEDUCTIONS4:IDENTIEY`ALL.iTEMS THAT APPLY . Jodi L. Meyer Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 328 E.Warnock St. Address(Number and Street) Address(Number and Street) Princeton, IN 47670 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 Q Fl 1. n F ILED 1.Will this property be the buyer's primary 3.Homestead residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ZO14 2400 Taylor Ave. ❑ 5.Wind Power DevicAPR 2 9 Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Fl 7.GeothermalEnerpy I 'ng Device City,State ZIP Code County 7�' 1J ❑ Does the buyer have a homestead in Indiana to be ❑ 8.Is this prop�(ggpIG0W�IGToi�erty? vacated for this residence? If yes,provide ❑ Fl 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information S. inc l. county: below.Please see instructions for more information. 3 a i i• (...0 a/L*10 tjC. $t' Not available in all counties.) ga,N;licay r,J V767a Gisbso,o •) at,g _ Do 3. agsoa8 City,State ZIP Code County a. Primary property owner contact name E-mail