Homestead_Conner III Jar:
, :4NDIANA SALES DISCLOSURE FORM SDF ID: Pa'e 2
b#PREPARER', -_ _ _ - -- ...._. fi., ` " r. .__ ,. I
` ,. LANA C. HARPER CLOSER ...
Preparer of the Sales Disclosure Form Title
5231 Oak Grove Rd.,Ste.A TOTAL TITLE SERVICES, LLC _
Address(Number and Street)
E-mail
,E SELLERS)/GRANTQR(S) -_ __ _' . a__.
Gregory L.Meeks
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
�a - a 77 7I?.3
Address(Number a reef Address(Number and Street)
to the best of my knowledge and belief,is true,correct
J;and co ..,ete as r wired b law, nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
wi r: Signature of.'• Signature of Seller
' rioted Narr, of Seller _ _ Sign-Da.e,4 DD�KYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
B UYER(S)/GRANTEL(S) 'APPLICATION,FO�RPROPEI TYTA DEDUCTIONS""ryIDENTIFYALL,ITEMS_T„ . , -,=X ,;.__.:;
Joshua Conner III if ,,
1 Buyer.- ame as a earson onveyance d cument \ Buyer 2-Name as appears on conveyance document ,
1 ''',...<..6) .,
Addre mber and Street Address(Number and Street) i 4, a
.
,i �l'IcSvi((-a �I ���l Gies - • ®1 0
j City.State,
E' I Telephone Number is \ E-mail
TOE ALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN D• CJ CTIONS FOR THIS PROPERTY-IDEN'LPI ALLOFr-HBN_ T APPLY. 40,
Yt:!: NO CONDITION ES 3.NO CONDITION TQn
..W(J ❑ ll-t is pjLo.E y he the-b1"iyer's primary ❑ Homestead
j residence? Provide complete address of prima I ❑ ❑✓ 4.Solar Energy He .ti gr g/Cooling System
i rrPsIdec e,�inclu�ling county: ---
}} . "Power Device
Tat iberm,dStr ) —7-7i I �/-7 ❑ ❑✓ 6.Hydroelectric Power Device
' _ � ��✓�� l/�` �v (��v ❑ [.7?J 7.Geothermal Energy Heating/Cooling Device
.City,Stute ZIP Code County
kle ❑ ❑ 2.Does the uyer have a homestead in Indiana to be El8•Is this property a residential rental property?
It'4,`' ` vacated for this residence? If es,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: be Inl_Please-see insErrxetronsfor-4 n ormataon.
j Not available in all counties.)
•j Address(Number and Street) 5�
City,State ZIP Code Cou tv _� �1� 4?—ADO, DO l JE3" / — b 0
Primary property owner contact name E-ma I
Number License/ID/Other Number