Homestead_Miley H P#RER
Preparerof 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)lGRANTdR(Sy --
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears
Michael J.Harris on y ce d
Address(number and street) Address(number and street),.
' 6657W400S en 1
City,State,and ZIP Code City,State,and ZICode a /
Owensville,IN 47665 ?O
Country - 7
Country G1eS US ON CO C7
Email Address
p/ )
Unyder nIttes'..........p I hereby certify this Sales Drsclosutet toihe best of my knowledge and belief i Ri'Ue,correct,and complete 3s
re i Ired b law`.and is prepared in accordance with IC 6-1 1-5.5 A person who knowingly and intentionally falsifies the value of transferred
�
Jea
Property,Lor.otnjtkpr;falsines any information r
eQwfeSf'to be prQ}l`ded,commits a Level 5 felony.; ,. .,
)Zignat rAz_.,f Sellrir
Signature of Seller
Printed Name of Setter Date Signed(mm/dd/yyyy) Printed Name of Seller
Michael J.Harris Date Signed(mm/dd/yyyy)
02/�t 2024 02/16/2024
1 84YER(,S).1GRANTEE0),-APPLtCATIQN FOR PROPERTY TAX;DEDUCTIONS=JDENTIFYALL THAT APPLY
Buyer 1—Name as It appears on conveyance document Buyer 2—Name as It appears on conveyance document
Mark Miley
Address(number and street) Address(number and street)
66S7 W y same
City,State,and ZIP Code City,State,and ZIP Code
Owen) .\Ji 11P,1 Q u1 (���
Country
— YES NO CONDITION
® p 1.Will this property be the buyer's primary ® 0 3.Homestead
residence?
0 ® 4.Solar Energy Heating or Cooling System
O ® 2.Does the buyer have a homestead to be vacated 0 OD 5.Wind Power Device
for this residence?If yes,provide address:
0 ® 6. Hydroelectric Power Device
Address(number and street) 0 IX 7.Geothermal Energy Heating or Cooling Device
City State,and ZIP Code . County