HomeMy WebLinkAboutHomestead_DeFelice (2)H. PREPARER
Preparer of the Sales Disclosure Form
Title
Katrina Lee
Escrow Officer
Company
Email Address
Telephone Number
Mutual Title Agency, Inc.
klee@mutualtitleagency.com
(440 ) 975-7859
Address (number and street, city, state, country, and ZIP Code)
14843 Sprague Road, Suite E, Strongsville, OH 44136
I. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Paul Pryzmus
Address (number and street)
Address (number and street)
1513 South Main Street
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
JbW
Country
Country
o 8
United States
2026
Email Address
Telephone Number
Email Address
Telephone Number
pprzymus@frontier.com
( 812 ) 677-4031
)
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowle lt/�tl 1, and complete as
required by law, and is prepared in accordance with IC 6-1.1.5.5. A person who knowingly a7ndi intention a of transferred
real property, or omits or falsifies any information required to be provided, commits a Levefelony. on
Signatur of Se or
Signature of Seller
Print d Nam of eller
Date Signed (mmldd/yyyy)
Printed Name of Seller
Date Signed (mmlddlyyyy)
Pall Pryzmus
06/06/2026
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
Isaac DeFelice
Kamryn DeFelice
Address (number and street)
Address (number and street)
1513 South Main Street
1513 South Main Street
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country
Country
United States
United States
Email Address
Telephone Number
Email Address
Telephone Number
iddefelice78@gmail.com
(812 ) 677-7491
kamrynmiller94@gmail_com
(812 ) 677-3512
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
1. Will this property be the buyer's primary
O Q 3. Homestead
0 0 residence?
Q e 4. Solar Energy Heating or Cooling System
Q O 5. Wind power Device
2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
Q p 6. Hydroelectric Power Device
Q O 7. Geothermal EnergCy� Heating or Cooling Device
Address (number and street)
City, State, and ZIP Code County1�
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 6-1A-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
fnforrmatfon, SSWEiriver's Llconse/ID/Other Number is necessary only if a Homestead Deduction is being filed.)
Signature of Buyer 1
Signature of Buyer 21Spouse
Printed Legal Name of Buyer 1 Sign Date (MMIDDIYY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MMIDDNY)
Isaac DeFelice 06105/26
Kamryn DeFelice 06/05/26
Last 5 Digits of Buyer 1 SSNIDriver's Lice nsellD/Other Number
Last 5 Digits of Buyer 21Spouse SSN/Driver's License/ID/Other Number
77913
53859
Page 3
H. PREPARER
Preparer of the Sales Disclosure Form
Title
Katrina Lee
Escrow Officer
Company
Email Address
Telephone Number
Mutual Title Agency, Inc.
klee@mutualtitleagency.com
(440 ) 975-7859
Address (number and street, city, state, country, and ZIP Code)
14843 Sprague Road, Suite E, Strongsville, OH 44136
I. SELLER(S)IGRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
Paul Pryzmus
Address (number and street)
Address (number and street)
1513 South Main Street
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Country
Country
United States
Email Address
Telephone Number
Email Address
Telephone Number
pprzymus@frontier.com
(812 ) 677-4031 1(
)
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 omits or falsifes any information required to be provided, commits a Level 5 felony.
Signature of Seller
Signature of Seller
Printed Name of Seller
Date Signed (mmlddlyyyy)
Printed Name of Seller
Date Signed (mmlddlyyyy)
Paul Pryzmus
06/05/2026
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
Isaac DeFelice
Kamryn DeFelice
Address (number and street)
Address (number and street)
1513 South Main Street
1513 South Main Street
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country
Country
United States
United States
Email Address
Telephone Number
Email Address
Telephone Number
iddefelice78@gmail.com
(812 ) 677-7491
kamrynmiller94@gmail.com
(812 ) 677-3512
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply far certain deductions. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
1, Will this property be the buyers primary
O O 3. Homestead
2 O residence?
O (D 4. Solar Energy Heating or Cooling System
O O 5. Wind Power Device
Does the buyer have a homestead to be vacated
CD for
for this residence? If yes, provide address:
[p 0 6. Hydroelectric Power Device
D O 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
te, and ZIP Code County
enalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete
Fnd
red by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and Intentionally falsifies the value of
red real property, or omits or falsifies any information required to be provided, commits a Level 5 felony (Note: Both spouse's
tion, SSN/Driver's LicenselID/other Number is necessary only if a Homestead Deduction is being riled.)
Signature of Buyer 1 Si nature of Buyer 2/Spouse
Qe9`.eQ
Y_t 0610 S ! ,
Printed Legal Name of Buyer 1 Sign Date (MI)MY) I)MY)
n to MM/
Printed Legal Name of Buyer VSpouse Sign Date (MM/DD/YY)
Isaac DeFelice 06/05/26
Kamryn DeFelice 06/05/26
Last 5 Digits of Buyer 1 SSNlDriver's License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN1Driver's License/[D10ther Number
77913
153859
Page 3