Homestead_Conner H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address(number and street,city,state,country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
Brian C.Conner
Address(number and street) Address(number and street)
2371 E 750 S `�T
City, State and ZIP Code City,State and ZIP Code �[
Fort Branch, IN 47648
Country Country 406
United States of America 0 J 29
Email Address
my knowledge and belief,is ti end 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 vval"u(el'gi ferred real property,or
omits or falsifies any information required to be provided,commits a Level 5 felony. O/TnI?
Signature of Seller Signature of Seller
Printed Name of Seller Date Signed(mm/dd/ Printed Name of Seller 1 Date Signed (mm/dd/yyyy)
Brian C.Conner YYYY)
7/30/2025
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
Jessica L.Conner
Address(number and street) Address(number and street)
2371E 750 S
City, State and ZIP Code City, State and ZIP Code
Fort Branch, IN 47648
Country Country
United States of America
Email Address
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
El 0 1. Will this property be the buyer's primary residence? 0 0 3. Homestead
❑ RI 2. Does the buyer have a homestead to be vacated for ❑ 0 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: 0 0 5. Wind Power Device
Address(number and street) 0 II 6. Hydroelectric Power Device
0 0 7. Geothermal Energy Heating or Cooling Device
City, State,and ZIP Code County ,a— 21_ Zoo _o o 2 t S-L— 0 2)
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 transferred real