Homestead_Murray (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on cony do
Sara Elizabeth Risley a
Address nd street) Address(number and street)
aO (numberT C0 51 - Selo
.1332n
2,2
City,state,and ZIP Code L` f� City,state,and ZIP Co:_ � q...)\
l./?al4�� L� r Country Ct�`,*"�
Country
• �
US US ' �/
'/ ^ l . .
E-mai d e?(
best of my knowledge and belief,is true,correct and complete as
Pd rY
requir 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.
S!nature .f Seller Signature of Seller
i_ S���n'`
. -1 ./ C�lZi
• inted Name of Seller Date Signed(mm/ddlyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
ara Elizabeth Risley 09/08/2023
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
Michelle Murray
Address(number and street) Address(number and street)
6519 East 250 South
City,state,and ZIP Code City,state,and ZIP Code
Francisco, IN 47649
Country Country
US US
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 0 3. Homestead
(3O esidence? 0 O 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: O O 6. Hydroelectric Power Device
Address(number and street) 0 Q 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county o / - I _I, - I 0 3- aO r/' o q O _c.a g
Last 5 of SSN:
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