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Homestead_Rathke
H. PREPARER Preparer of the Sales Disclosure Form Title Milton Norman Settlement Anent _ p y E-mail address a.- Address(number and street,city,state.country, and ZIP Code) 25 NW Riverside Drive,Suite 310, Evansville, IN 47708 I.SELLER(S)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveya tenant Miranda K.Farley [[/ Address(number end street) c 6100 yWjAti W V Od CA". Address(number and street) *4 City,slate,and ZIP Code N ��tIP\AAV I rj 41u U 0 " City.state,and ZIP Code . 4% '' ,6 9 Country Country C7 `� US e`SOti O?`�� E-mail address best of my knowledge and belief,is true, •i• . ,nd bomplet required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally fatsifie- 1145, alue of transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. Sig lure of SS(ell�er iiu i, . Signature of Seller P ted Name'Sf Seller ✓"w Date signed(mm/dcYyyyy) : Printed Name of Seller Date signed(mmlddlyyyy) _ 7/7. 1z 07/24/2023 Miranda K. Farley3 J. BUYERS)/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 Brytni Rathke Kevin Rathke Address(number and street) Address(number and street) City,state,and Z P Code (It City.state,and ZIP Code r 1 en4 l i 1 / 1 rl /Y 7(oto� Country Country US ' US E-mail address mail address Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to any for certain deductions.Identify all of those that apply: YES NO CONDITIONa 7 YES NO CONDITION I.Will this properly be the buyer's primary ID D 3.Homestead ® Q residence? 0 ® 4.Solar Energy Heating or Coding System O if2.Does the buyer have a homestead to be vacated 5.Wind Power Device for this residence? If yes,provide address: p a6.Hydroelectric Power Device Address(number and street) © ( 7. Geothermal Energy Heating or Cooling Device City,state.ZIP code,and county ^ 6 -11i _1 E - 1 0/.N`0 U 1 . 1 3 c(- o ^-1 . Under penalties of perjury,t hereby Certify that this Sales Disclosure,to the`best of my knowledge and belief,Is true,correct and complete , . . Page 3 of 5 C 0 pry