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Homestead_Meece H. PREPARER COp Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company Address(number and street, city. state, country. and ZIP code) LED 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTER(S) Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on c y t yance document Kevin McAdams Heather M. McAdams r�u V 0 6 202 Address(number and street) Address(number and street) 627 S. Stormont St 627 S. Stormont St. City, State and ZIP Code City. State and ZIP Code it3Sr Princeton, IN 47670 Princeton, IN 47670 CNTy AUDITioR Country Country United States of America United States of America 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. e..- . e o Seller ,Signature of eller Pr• -. Name of Seller Date si ned(mrnidd/yyyy) Printed Name of Seller Date signed(mmlddiyyyyj Kevin McAdams X /o2 0.02-.3 Heather M McAdams )( /t)/Z(,/202-3 J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY / Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document Michael E. Meece Sharon K. Meece Address(number and street) Address(number and street) 3361 S. SR 57 3361 S. SR 57 City. State and ZIP Code City, State and ZIP Code Oakland City. IN 47660 Oakland City. IN 47660 -Q Country Country 9 United States of America United States of America `.Q Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION CD p 2 0 1. Will this property be the buyer's primary residence'? O 0 3. Homestead t 0 RI 4. Solar Energy Heating or Cooling System Q El 0 2. Does the buyer have a homestead to be vacated for 0 El 5. Wind Power Device O this residence'? If yes provide address 0 El 6. Hydroelectric Power Device Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device —Q 3361 S SR 57 (t City. State,ZIP code. and ' county ,..(� l , - I, YE b p Oakland City. IN 47660 Gibson 3% Al 07--�Q `i 0 02.`1 Q O zO , Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete '0 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 N 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