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Homestead_Black (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ,D:{P.REPARERL- Robert Meeks Preparer of the Sales Disclosure Form Tide 1022 E Broadway St Meeks Realty Address(Number and Street) Company Princeton IN 47670 812-631-1862 City,State,and ZIP Code Telephone Number E-mail nE_{SELLFRISyGRdNTOR(S)t . _ -- Tr::-- — MP 8 PM LLC Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1022 E Broadway St-Office Address(Number and Street) Address(Number and Street) Princeton IN 47670 City,State,and ZIP Code City.State,and ZIP Code E-mail Telephone Number 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 plete as req a�v,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". noturPe Seller i, Signature of Seller Joshua Meeks 07 Zg— (I Printed Name of Seller Sign Date(MM/OD/rrnry Printed Name of Seller Sign Date(MM/D D/YY Yl7 PRIBUYEl4S)/GRANTEE(S)1720PDICATIONTRORSPROP,ERTYTAXIDEDUCTIONSAIDENTIEY90,01TEMSTHATJAP.PIW__ r �_T 1 Bradley Black r 'Stephanie Black IL ilk Buyer Name as appears on conveyance document Buyer 2-Name as appears on conveyance d en I 121 N Embree St 121 N Embree St ) ' Address(Number and Street) Address(Number and Street) FEB 2 8 2019 Princeton IN 47670 Princeton IN 47670 St.. GIBSON COUNTY AUDITOR(' THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary I] ❑ 3. Homestead residence? Provide complete address of primary ❑ E 4.Solar Energy Heating/Cooling System residence,including county: ❑ 121 N Embree St 5.Wind Power Device . Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device Princeton IN 47670 ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 02.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ © 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. Not available in all counties.)I Address(Number and Street) Bradley Black W D - ( I-1 - cap o' -p Q )- City,State ZIP Code County 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.S;"Real Property Sales Disclosure Act".(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is