Homestead_Umphress H. PREPARER
Preparer of the Sales Disclosure Form Title
Kelly E Norton Settlement Agent
Company Email Address
Address(number and street,city,state, country,and ZIP Code)
4799 Rosebud Lane,Newburgh, IN 47630
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
John L.Conner and Rosemary Conner,Trustees of The Conner Living 10r r L %tui cr l tLc rtmt Ay-\I t ;Milt yeti,
Address(number and street) Address(nler g.pd
tsttrreet)
1009 S.Lincoln St. _ r r vQ
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch,IN 47648
Country Country
US
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.
Signet of S Iler Si tune of Seller
Printed Name(gifler Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
John L.Conner, Trkiy L 08/31/2023 rm. C n �t 08/31/2023
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIF L THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on e a ,ument
Nathan
ddres E.Umphress
sk:/k,
Address(nurIlber and�stree r CL r\ Address(number and street)
C 'jiy,- ttatC}e,,ann IP LI Code ' �-l) • City,State,and ZIP Cod �'Q
tO
blarth ttA 4-76,03
KC-...._
Country Country es,0
US
Cb Q
Email Address
for certain deductions.Identify all of tho that apply:
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary X 0 3.Homestead
/1( 0 residence? 0 ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacatedAy/1"
0 ® 5.Wind Power Device
for this residence? If yes, provide address: ® 6. Hydroelectric Power Device
Address(number and street) O ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
0.6-h.- �n-101 - 000. 130-02-C
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete