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Homestead_Meade (2)
H. PREPARER Preparer of the Sales Disclosure Form Title Daphne Kramer Paralegal Company Address(number and street,city,state,country,and ZIP Code) 120 S. Main St., Princeton, IN 47670 I. SELLERS)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Gwendolyn M. Meade Address(number and street) Address(number and street) 5836 N SR 65 City,State,and ZIP Code City,State,and ZIP Code Patoka, IN 47666 Country Country USA Email Address 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 %/ Printed Name of S ler Date Signed(mm/dd/yyyy) Printed Name of Seller40 Signed(mm/dd/yyyy) Gwendolyn M. Meade U Z//t-( / 742 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL T APP Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conve yo6kce documen Clayton Jerry Meade 11 Address(number and street) Address(number and street 8 107 S Kensington Dr. /Bc 41,5. � City,State,and ZIP Code City,State,and ZIP Code 04, / Princeton, IN 47670 OL l Country Country Q USA �4/TO Email Address $�/ ( ) 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 ' 1.Will this property be the buyer's primary O O 3.Homestead ; © O residence? O Q 4.Solar Energy Heating 0 o 'i ystem 2.Does the buyer have a homestead to be vacated 0 © 5.Wind Power Device y�;- �, for this residence? If yes,provide address: 0 © 6.Hydroelectric Power Device ' `'-14' 0Address(number and street) ^%:\\,-)._Not1 0 Q 7.Geothermal Energy Heating or Cooli evice City,State,and ZIP Code \�)1 County cic' • 26—►\— 12--301—MO..8 8 B - d 2g . Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete