Homestead_Zurliene H. PREPARER
Preparer of the Sales Disclosure Form Title
Haley Smith Escrow Officer
Company
Address(number and street,city,state,country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveya ce d. urf`-nt
Dustin L. Howell ,'
Address(number and street) Address(number and street Qc '�
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City,state,and ZIP Code City,state,and ZIP Cody'/
(tw A\bc..ny , roS 3SuS2 esoN� �ozQ
Country Country (itin ' V US US y (�
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 QQ // pp Signature of Seller
6 2. DZ�UeGI�
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Dustin L. Howell 10/1/2024
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
HeatherZurliene Craig Zurliene
Address(number and street) Address(number and street)
2565 W Susan Dr 2565 W Susan Dr
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
US US
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? ❑ O 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead be va a d ❑ O 5.Wind Power Device
for this residence?If yes, provide add ess: • \ ❑ O 6. Hydroelectric Power Device
Addre s(number and street) ❑ (D 7.Geothermal Energy Heating or Cooling Device
)(a S L,...) . 5viirt LIN 01- • \\*".•-••••••"/:
City, tate,ZIP code,and county
Under penalties of perjury,I hereby certify that 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
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