Homestead_Perry (25) H. PREPARER
Preparer of the Sales Disclosure Form Title
Katie Felty Escrow Officer
Company
Address (number end street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name es it appears on conveyance document Seller 2-Name as appears IP document
Emily Sue Miller
Address (number and street) Address (number and street)
t bon S tY\ii:w _,_k . - 1)
City, state.and ZIP Code City, stale, and ZIP Code
V)6 � i it f 1(D 1° ?�'
Country Country
US US OiB �
S J
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Under penalties of perjury, t hereby certify this Sales Disclosure, to the best of my knowledge and belief, faYr •-..- t and complete as
required by law, and is prepared In accordance with IC 6.1.1-0.6. A person who knowingly and intentionally falsl the value of transferred
real property, or omits or falsifies any Information required to be provided, commits a Level 6 felony.
Sign lure of Seller Signature of Serer
Printed Name Seller Date sig (mm/ ) Printed Name of Seller 1 Date signed (mm/cfdtyyyy)
Emily Sue Miller 9/22/25
.J.:BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 -Name es it appears on conveyance document Buyer 2 - Name as it appears on conveyance document
Dustin Perry
Address (number and street) Address (number and street)
727 1st Street Apt E
City, state, and ZIP Code City, state, and ZIP Code
Henderson, KY 42420
Country Country
US
for certain deductions. identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 O 1. Will this property be the buyer's primary O C I 3. Homestead
residence? 0 Q 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to ce vacated 0 CI 5. Wind Power Device
D for this residence? If yes, provide address.
O D 6. Hydroelectric Power Device
Address (number and street) 0 CI 7, Geothermal Energy Heating or Cooling Device
City, state, ZIP code, and county �}t - 1
-) .- ''p - 3o 2— O O2 3i L, —CJ L S
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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