Homestead_Robinson (9) H. PREPARER —
Preparer of the Sales Disclosure Form Title
Kristina Watson Settlement Agent
Company Email Address
Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Lane,Newburgh, IN 47630
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Beau Anthony Huelsman Katie M.Huelsman
Address(number and street) Address(number and street)
501 N.Hull St. 501 N.Hull St.
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch,IN 47648 Fort Branch,IN 47648
Country Country
US US
Under penalties of perjury,I hereby certify 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 omit or falsifies an I fa tion required to be provided,commits� �a Level� 5 felony.
f
of Seller � Rltiir!
o(M-�(1l�Seller►t '�'t.((/YeC —
Prix* me Seller to Signed(mmldd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Beau Anthony Huelsman 04/24/2024 Katie M.Huelsman 04/24/2024
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
Ravin Heidimarie Robinson George Richard Robinson
Address(number and street) Address(number and street)
•
202 S.Hillcrest St. 202 S. Hillcrest St.
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch,IN 47648 Fort Branch,IN 47648
Country Country
US US
YES NO CONDr / ` NO CONDITION
O 1.Will t prbe primary 0 3. Homestead
5( residence? 0 ® 4.Solar EnergyHeating or CoolingSystem
Ys
0 2.Does th4MRyel pa ve a homestead to be vacated 0 ® 5.Wind Power Device
3(for this resider yrovide address: 0 ® 6.Hydroelectric Power Device
Address(number street) 0 (l 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP� CpV /��6. County- 2 / ,t(1, - ' p -302. -0Q o . ,3 5 - 0 2-
Under penalties of perjury,I hereby certilffy fohhat this Sales Disclosure,to the bbest_lof my knowledgek and belief,is true,correct,and complete