Homestead_Huelsman H. PREPARER
Preparer of the Sales Disclosure Form Title
Pamela Partenheimer Mick Attorney
Company
Address(number and street,city,state,country,and ZIP Code)219 N Hart St, PO Box 13, Princeton, IN 47670 .1LT
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appear�eAyorp(e ance document
Matthew J. Przymus JoAnna Przymus 11••11 I1 �UJ 2024
Address(number and street) Address(number and street)
210E750S 210E750S •
City,state,and ZIP Code City,state,and ZIr . ' a ./�/Y/
Fort Branch, IN 47648 Fort Branch, IN , .N COUNT --".`
tiOTOR
Country Country
gibson gibson
required by law,and is ared In accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real prop or omi alsifies any information required to be provided,commits evel 5 felony.
Signatur o r Signatur -
Printe of Seller Date signed(mm/dd/yyyy) Printed Name ell Date signed(mm/dd/yyyy)
Matt e J. Przymus 05012024 JoAnna us 05012024
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
Beau Huelsman Katie Huelsman
Address(number and street) Address(number and street)
210E750S 210E750S
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
gibson gibson
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary O 0 3. Homestead
residence? O O 4.Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes, provide address: 0 O 6.Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
501 N Hull St
City,state,ZIP code,and county
Fort Branch, IN 47648 ��-lc!'— I ''l 0 2- 000 . O - 2_ -d 2-
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
Page 3 of 5