Homestead_Lee (2) H. PREPARER T
Preparer of the Sales Disclosure Form Title
Milton Norman Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
25 NW Riverside Drive, Suite 310, Evansville,IN 47708 Pit
I. SELLER(S)/GRANTOR(S)
1 i
Seller 1 —Name as It appears on conveyance document Seller 2—Name as appearson conve�'I�
p ce document
Jason Meredith April Meredith R ,
Address(number and street) Address(number and street) U 2024
;< I CC ;-") 1_�t, 29 Robinson Ln
City,State,and ZIP Code City,State,and ZIP Code G/Q/
So1v
Country iDJ Country
Somerville, AL 3567 CCUNryq� .
D 742)
US US irOR
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 Seller Signature of Seller
/G—
Printed Name of Seller Date Signe (mm/dd/yyyy) Printed Name of Seller Date Sig red(mrn/dd/yyyy)
Jason Meredith j 17 (-1 April Meredith `.1/2 / Z,
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
Starla R.Lee Joey A. Lee
Address(number and street) Address(number and street)
1315 SE Riverside Dr. 1315 SE Riverside Dr.
City,State,and ZIP Code City,State,and ZIP Code
Evansville,IN 47713 Evansville, IN 47713
Country Country
US US
Email Address
YES NO CONDITION YES NO CONDITION
IX1.Will this property be the buyer's primary ® 0 3. Homestead
residence? 0 ( 4. Solar Energy Heating or Cooling System
A2. Does the buyer have a homestead to be vacated 0 Gil5.Wind Power Device
for this residence? If yes,provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 1 p _' D l_0O 0 ' 2:+3 -G u
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
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