Homestead_Madison (4) H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E.Smith Escrow Officer
—
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
INTEGRITY INVESTING, LLC
Address(number and street) Address(number and street)
354 S 180 East
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670
Country Country
E-mail Address
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.
Signatur of eller Signature of Seller
tinted Name of SeJi� Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
DAVID J.LANGHAM,Manager March 28, 2024 March 28, 2024
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 con ance document
McKINLEY T. MADISON JR ,
Address(number and street) Address(number and street)
322 N 2nd Street
' 'l--- ,4 )
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670-1306 _ 404) —
Country Country 6l
24
E-mail Address
C'0ci2
Pursuant to IC 6-1.1-12-44,the Sates Disclosure Form may be used to apply for certain deductions.Ide y those that a.
YES NO CONDITION
i YES NO CONDITION �/�/T
❑ 1.Will this property be the buyer's primary El 3.Homestead oi9
residence? ❑ 0 4.Solar Energy Heating or Cooling System
/2.Does the buyer have a homestead to be vacated 0 El 5.Wind Power Device
for this residence? If yes,provide address: ❑ ❑ 6.Hydroelectric Power Device
Address(number and street) 0 ❑ 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County 26- l Z--o -- I O3-0 0 0 66 0 -,Q L Y
CO P •