HomeMy WebLinkAboutHomestead_Russell (7) H. PREPARER
Preparer of the Sales Disclosure Form Title
Micah Scott Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd. Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on copveyance document Seller 2-Name as appears on conveyance document
Elizabeth M. Bttenopane�d-),-, 5f-1
Addj, sss(nn7umber,od stree Address(number and street)
J:J ✓ ' it d...t���,r� �.� .
City,statte,d Z, IP Code i City,state,and ZIP Code
Country V 4 Country
E-mail address 1„
( )
F TILED
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is trC4or ub a lie mpiete 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.
6gn re of Ser ✓(f.�t� Signature of Seller �y _�Z�i �/� a)
/GI'RS N COUNTY AUDITOF
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Elizabeth M.�nS0( ) 10/24/2022
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
Erina Leigh Russell William Thomas Russell
Address(number and street) Address(number and street)
406 South Red Bank Road 210 Park Place W.
City,state,and ZIP Code City,state,and ZIP Code
Evansville, IN 47712 Cadiz, KY 42211
Country Country
US US
E-mail address
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 00 3. Homestead
O Li residence? O C) 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O for this residence? If yes, provide address: 0 p 6. Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
f0 —( —tg— l03-0Olf- go-) — org
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
Page 3 of 5