Homestead_Miller (27) H. PREPARER
Preparer of the Sales Disclosure Form Title
COURTNEY SMITH RECORDER
Company
Address(number and street,city,state,country,and ZIP Code)
18167 US 19 N, FL 3, CLEARWATER, FL 33764
I. SELLER(S)/GRANTOR(S) :F'IIE:D
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
MARK A. DUNLAP TANYA J. DUNLAP
Address(number and street) Address(number and street) JAN 1 8 2024
325 West Walnut Street 325 West Walnut Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670 �f
Country Country Gi83pN COUNTY gUDI Q
USA USA
Under penalties of perjury,I hereby certify this Sales Disclosure,to the 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
signed in counterpart signed in counterpart
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
MARK A. DUNLAP TANYA J. DUNLAP
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
MIRANDA MILLER KYLE MILLER
Address(number and street) Address(number and street)
1207 Melody Lane,
City,State,and ZIP Code City,State,and ZIP Code
Jeffersonville, IN 47130,
Country Country
USA
YES NO CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary O O 3. Homestead
residence? O p 4. Solar Energy Heating or Cooling System
O 02. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: 0 p 6. Hydroelectric Power Device
Address(number and street) 0 () 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County _l u JO Z ..E)
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