Homestead_Conner H. PREPARER
Preparer of the Sales Disclosure Form TitleAttorney
Jason Spindler
md�
Address(number and street,city,state,country, and ZIP Code)
112 N. Main Street, Princeton, Indiana, USA, 47670
I. SELLE as RANTOR(S) Q„",��d 1)
Seller 1 Name- as It appears on conveyance document
Seller 2-Name as appears T"j'LL�_
Estate of James Weiss by Personal Representative Jessica Conner Address(number and street)
Address(number and street)
2371 E. 750 S.City,state,and ZIP Code City,state,and ZIP Code JUN 0 9 ZOZZ
Fort Branch, Indiana, 47648 /, t
Country Country a. ,LVtzrc no)
USA
best of my knowledge and belief,is true,correct and complete as
required by law,or omits or falsifies In
any information with
IC 6-1.1-5.5.A
to be prow son cherson o knowingly a et 5 felony.and intentionally falsifies the value of transferred
real property,ureSignature of Seller
Signature of Seller fr� � �t
r W e- 5 ? (/.e-5 ._(i-ry'�`- I Date signed(mmlddlyyyy)
Prime a e of to sl d mm/dd/yyyy) Printed Name of Seller
PriEsta a ot�te of s Weibyss
Representative-sre tames sica C Personal 6-1 -�j22-
Jessica Conner ,,:)
J. BUYER(S)IGRANTEE(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
Kyle Conner Rose Conner
Address(number and street)
Address(number and street) 1200 Tupman Road
1200 Tupman Road city,state,and ZIP Code
0 City,state,and ZIP Code
I Evansville, Indiana 47720 Evansville, Indiana 47720
c---1p Country Country
ICI USA USA
apply for certain deductions.identify all of those that apply:
en YES NO CONDITION YES NO CONDITION
t �J 3. Homestead
'1 .1 Will this property be the buyer's primary
B residence? 0 4.Solar Energy Heating or Cooling System
Ea2.Does the buyer have a homestead to be vacated
0 .� 5.Wind Power Device
_ for this residence?If yes,provide address: 0 12 6.Hydroelectric Power Device
Cv Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
(�, 1200 Tupman Road
O C state,Zl c andcon U -\g - 36-L03 -000. 06 - - ooct
tvansvl�]eI1477
c,, Under
quired penaltieslaw of and is prepared In accordance with IC 6`1 1-5.b.A tpoetrsheonb"who knowinglyiand Intentionlally etslflea the
�
Page 3 of 5
V