Homestead_Tomes 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 conveyance document
Richard P. Murnahan, II
Address(number and street) Address(number and street)
709i Sore/ /s'OO Cc,'4... S
City,state,and ZIP Code City,state,and ZIP Code
6c.e r..se-,Z 2 . v y7e. C— PtiLkib
Country Country
US us F Eb 15 2024
of my knowledggee s complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly arialiifo i of transferred
real prop ,or_ mits or f sifies a y informs' required to be provided,commits a Level 5 felony.
Signature f r ��i� Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller ' Date signed(mm/dd/yyyy)
Richard P. Murnahan, II 02/14/2024
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
Mark A. Tomes Jacqueline S. Tomes
Address(number and street) Address(number and street)
(oG23 1 a IJ. C.
City,state,and ZIP Code City,state,and ZIP Code
On Q, �n. 4 7/.L,3, 0 w�►k a.-uz 4. 4 1 Co I S
Country Country
US US
YES NO CONDITION YES NO CONDITION
O 0 1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
VO 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence? If yes, provide address: 0 O 6. Hydroelectric Power Device
Addfe1¢ (nuumber��t et) V j S 0 p 7. Geothermal Energy Heating or Cooling Device
(CfDL Z cc77 I`C ii -pS d
City,slate,ZIP code,,and county
evkiii e 1lA/ Le7—#.1Z .2- -( -1 -0( - to/- 0Op .lg3- od
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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