Homestead_Davis (32) ,
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
MP&PM LLC, an Indiana limited liability company on conveyance document
Address (number and street) Address (number and street)
1022 E Broadway St.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670
•
Country -
Country
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.
Sig ure f elle j I Signature of Seller
r
rin dN Name of Seller Date Signed (mm/dd/ Printed Name of Seller
Joshua K Meeks, Managing Member YYYY)
Date Signed (mm/ddlyyyy)
11/7/2025
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 — Name as it appears on conveyance document
y ! Buyer 2 — Name as it appears on conveyance document
Samuel Davis
Address (number and street) Address (number and street)
-,43,
924 S Prince St
City, State and ZIP Code
City, State and ZIP Code y
Op
Princeton, IN 47670
- 6
Country
Country 1,9
United States of America G/� , 4
Email Address
certain deductions. vt
Identify all of at apply.
YES NO CONDITION YES NO CONDITION r0
R
u 0 1 . Will this property be the buyer's primary residence? El El 3. Homestead . `lir-
9�
I] 0 2. Does the buyer have a homestead to be vacated for ❑ 2 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: 0 0 5. Wind Power Device
Address (number and street) D 2 6. Hydroelectric Power Device
❑ 2 7. Geothermal Energy Heating or Cooling Device.
City, State, and ZIP Code County
cl -*( -D-- t - Qe 1 - 0oi .g (4 I - 0 i'' ,
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
3
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