HomeMy WebLinkAboutHomestead_ConardH. PREPARER
[Preparerthe Sales Disclosure Form Title
on Settlement Agent
Company
Email Address
Telephone Number
( 812 ) 421-4000
Bosse Titlg^Comp
Address (number and street, city, state, country, and ZIP Code)
4799 Rosebud Lane, Newburgh, IN 47630 FIT
I. SELLER(S)IGRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
D. Stillwell
Ashly R. Stillwells
(number and street)
Address (number and street)
180 E
214 S. 180 E
ate, and ZIP Code
r
City, State, and ZIP Code
on, IN 47670 i
Princeton, IN 47670
--�-'-Country
_-{ W7TOR
US
US
Email Address
Telephone Number
Email Address
Telephone Number
731
Under penalties of perjury. I hereby certify this Sales Disclosure, to the best of my knowledge and belief, Is true, correct, and completelas
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.
Signaty f Seller
Sign rq e17,'
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Printeti,iyof Seller
Date Signed (mm/dd/yyyy)
Andrew D. Stillwell
07/08/2026
Ashly R. Stillwell
07/08/2026
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
Brandon Thomas Conard
Taylor Renae Corn
Address (number and street)
I Address (number and street)
214S.180E
214S.180E
Cit , State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
I Princeton, IN 47670
Country
Country
US
us
Email Address
Telephone Number
Email Address Telephone Number
taycom2002@gmaii.com
I ( 812 ) 631-7963
conardbrandonl8@gmail.com 0 r Rj &31-716
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
0 0 1. Will this property be the buyer's primary
® 0 3. Homestead
residence?
0 ® 4. Solar Energy Heating or Cooling System
0 ® 5. Wind Power Device
0 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
0 (R 6. Hydroelectric Power Device
0 (R 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
g(-V- _
City, State, and ZIP Code County
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 property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
information, SSN/Driver's LicenseliD/Other Number is necessary only if a Homestead Deduction is being filed.)
SignoLige of Buyer 1 _ ,.1
Sign ure of Buyer pouse
PRr'a ed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MWDD/YY)
Brandon Thomas Conard 7/8/2026
Taylor Renae Com 07/08/2026
Las Digits of Buyer 2/Spouse SSN/Driver's 'tense/ID/OtherQNumber
S &-2
Last 5 of Buyer 1 SSN/DAdvtetr's License/ID/Other Nu�jbe
(i __ I lV 6 i
��gits
60 5 � S-7 7
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