Homestead_Atkins (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
Michael E. Meece Sharon K. Meece
Address (number and street) Address (number and street)
3361 S State Road 57 3361 S State Road 57
City, State and ZIP Code City, State and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660
Country Country
United States of America United States of America
Email Address
Under penalties of perjury, I hereby certify 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.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided, commits a Level 5 felony.
)(Signature of eller p ig Seller
Printed Name of Seller Date signed (mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Michael E. Meece 10/25/2023 Sharon K. Meece 10/25/2023
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL TH$PPLY
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on o v a e ocument
Lukus David Atkins
Address(number and street) Address (number and street)
1661 S Fares Ave 4/01/ b
City, State and ZIP Code City, State and ZIP Cod 06 10Z3
Evansville, IN 47714 ,
Country Country GeSOH Q
United States of America COu� .
to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 0 1. Will this property be the buyer's primary residence? El ❑ 3. Homestead
0 2 4. Solar Energy Heating or Cooling System
Ijr ❑ 2. Does the buyer have a homestead to be vacated for ❑ p 5, Wind Power Device
this residence? If yes, provide address:
0 2 6. Hydroelectric Power Device
Address (number and street)16 6 / ,,S Fitt-e,S ti e ❑ 2 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and county
E'va.n.cvi 46,, TA/ Li 77/1 ANIU A4e)% o?Co- 13-dC-4O°`COO. Co'/8- 00
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.A person who knowingly and intentionally falsifies the value of
transferred real property,or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note:Both spouse's
information, SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
)(
Page 3 c
1'r
a