Homestead_Martin H.-PREPARER
Preparer of the Sales Disclosure Form Title
Stacey Salzman Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
2301 N.Burkhardt Road,Evansville,IN 47715
I.SELLER(S)/GRANTOR(s);
Seller 1-Name as it appears on conveyance document Seller 2 Name as appeEI,LE -
iMichel
Joshua Nurrenbern Melissa Nurrenbern f/k/a Melissa Michel
Address12F80 Smber2nd5 eet)41 >�hP Ave342 AddressE (number780-S samereet} 1 7
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EP 1 2013 2
City,State,and ZIP Code City,State,and ZIP Code
0.ICI15V%Ur f` TA) kJ'jJ c Fo ranrrS c�IN 4764
Country J Country G165 � 1/�
US US ON coUNTYA i���RR
Email Address
of my knowledge and belief;is true,correct,and complete as
required bylaw,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:
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• =tu of Selteft /� - rg of
Pr me Name of Seller `/ Date Signed mm/dd Printed Name of Seller \{�f 1�
9 ( hYYY) a Date Signed(mm/dd/yyyy)
Joshua Nurrenbem 09/06/2023 Melissa Nurrenbem f/k/a Melissa Michel 09/06/2023
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
Garrett Martin
Address(number and street) Address(number and street)
W305 CR 103 Az, — 1 4 S
City,State,and ZIP Code City,State,and ZIP Code
-GwensvittEntrM5 F0( t 6,c A r\cv, . \9 k1 Gmt
Country Country
US
Email Address
apply for certain deductions.Identify all of those that apply:
Y€S NO CONDITION AS NO CONDITION
® 1.Will this property be the buyer's primary ® 0 3. Homestead
residence? 0 ® 4. Solar Energy Heating '
or Cooling System
i
® 2.Does the buyer have a homestead to be vacated 0 l 5.Wind Power Device
for this residence?if yes,provide address: 0 3 6. Hydroelectric Power Device
Address.(number and street) 0 ( 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 1 J`A_.®O I Zq-9-_v