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Homestead_MaikranzC C ISDIAPa SALES DISCLOSURE FORDI SDFID SDO ID 728009 Page 2 D.PREPARER Samantha Cutsinger Preparer ofthe Soles Duchasure Form Title 226 W. Broadway Broadway Title, Inc. AddressfNumberamd Srr n) eumpony Princeton, IN 47670- E. SELLER(S)/GRANTOR(S) Jack Zenthoefer Carolyn Zenthoefer Seller I N'vme vs nppevrs on mnvryome Jorument Seller Z Nome as appevn on mn.xwnre document 202 S 5th Ave. 202 S 5th Ave. Address (Number and Street) Address (N'umberand Street) Haubstadt, IN 47639- Haubstadt, IN 47639- 01 E.mnil Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and comple as r quired by law, td is repared in accordance with IC 6- 1.1 -5.5, "RRea�I Pryop�ert�yales Disclosure Act ". l [l 11�L< 1u �fi S,mamrr Biller gnomre af5 er Z th TCr /- n en 0 e r. - 0) 1 F. BU S - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Anissa L Maikranz �_rrl -A'ame nso ., roaveyancedaevment Buyer 2- Name vs appears an mnvevance document 2189 E. Presley Ln Addresif amberand Street) Address (Number and Street) Haubstadt, IN 47539- Car, State. and ZIP Code City, Stare, and ZIP Code N�/) Tole bone Number E,nail Telephone Number E..rail THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION Y x❑ ❑ 1. Will this property be the buyer's primary ❑x 3. Homestead residence? Provide complete address of primary 4. Solar Energy Heating /Cooling System residence, including county: ❑ © S. Wind Power Device 202 S. 5TH AVE. ❑ © 6. Hydroelectric Power Device Address(N'umberondStreer) Haubstadt, IN 47369 GIBSON ❑ © 7, Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? City, State ZIP Code Counry ❑] 2. Does the buyer have homestead in Indiana to be a vacated for this residence? If yes, provide ❑ © 9. Would you like to receive tax statements for this complete address of residence being vacated, property via a -mail? (Provide contact information including county: below. Please see instructions for more information. Not available in oil counties.) ( ' -4 M —0O O e71 �O ^ (o- 9- VlJ 'j 7 Andres, (Number and Street) City, Stn re ZIP Code Counry Pnmvry property osvrmr contact aurae E -moil 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, "Real Property Sales Disclosure Act ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessay if no Homestead Deduction is being fled.) ,p ,, Cr✓1�/J ) 0z/l /4 a 'All Signature ofBuyerl Signamre of Ib er2 /Spouse WAiSS0. L. Mai7tranz la/lalaofl Printed Legal Name ufSuyer l $pn Date IMA/ Panted Legal, Name of Buyer 2 1Spouse Sign Date(4spDD/IWtY) IN ' Security Number Last 5 digits ofBuyer2 /Spouse Driver's State Last 5 Digits of5ocial Security License /!D /OtherNumber Number License /ID /Other Number