Homestead_Sullivan 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 .:n "ce document
Jeremy J.Conder
Address(number and street) Address(number and street) ,
City,State,and ZIP Code City,State,and ZIP Code J44/ q "
'Y
Country . _ . Country / 5
US 0/r.
who knowingly and Intentionally falsifle ere value of transferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
Signature of Seller 1-�, Signature of Seller
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Jeremy J.Conder 01/03/2025 01/03/2025
,emu __ —
I 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
Amy Caroline Sullivan
Address(number and street) Address(number and street) +� _
. 2808 S.650 E.
—
City,State,and ZIP Code City,State,and ZIP Code
Francisco, IN 47649
Country Country 4
US
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION t.,'
(E D 1.Will this property be the buyer's primary ( D 3.Homestead :`''Y
a. ✓
residence? 0 ( 4.Solar Energy Heatin •r .f .'L e;y,
O I� 2.Does the buyer have a homestead to be vacated D (2) 5.Wind Power Device -
for this residence?If yes,provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County