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Homestead_Thompson (7)
• . ' INDIANA SALES DISCLOSURE FORM SDF ID: Page Ray M. Druley Attorney at Law Preparer of the Soles Disclosure Form Title 505 N.Church St. Law Office of Ray Druley Address(Number and Street) Company Fort Branch, IN 47648 812-753-4975 druleylaw©yahoo.com City.State,and ZIP Code Telephone Number E-mail ItirSULIEKSY/GRATITORISW s.FaratAi.trss!..T Agri-a:7 5e.'7.,:-Trg,t:st." ..;-;tiLt3iWls,75- <---— .` ?... ,-- Daniel L. Maikranz Rita J. Maikranz Seller I.Nome as appears on conveyance document Seller I-Name as appears on conveyance document 603 E.Park St. 603 E. Park St. Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 Fort Branch, IN 47648 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 re ired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". pcon.1.-et , ,-)icistio.nari 2 Lizdei_id_MY)CriAaMA-1-, ignoture of Seller Signature of Se l r Daniel L. Maikranz 2/29/2016 Rita J.Maikranz 2/29/2016 Printed Name ofSeller Sign Date(OVDDAYSYY) Printed Name of Seller Sion Date(mm/DDAYM tril3HYERISAGftATEFEEISMAelitISATIONiF,OTOPICOHEIITWAXWEDUMONS;.11DENTIMIOFFEMSiT ' WA .T 3.7-7 , Shellie M.Thompson Buye-I-Name as appears on conveyance document Buyer 2-Name as appears on convey ce d, , w+i,Ermerlartays. zoo E via 1;41t-t_s Address(Number and Street) Address(Number and Street) MAR I Z016 .F.Yaasuilte,..44-4,1444 ft 8 ta YES NO CONDITION YES--- 0.---CDITIHr---■ MI El 1.Will this property be the buyer's primary - 13 D 3. Homestead ---') residence? Provide complete address of primary [ j 4.Solar Energy Heating/Cooling System residence,including county: 200 E.Williams St. 0 2 S.Wind Power Device Address(Number and Street) D 2 6. Hydroelectric Power Device Fort Branch, IN 47648 0 j 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 2 0 e's 2.Does the buyer have a homestead in Indiana to be 0 8. Is this property a residential rental property? vacated for this residence? If yes,provide 0 2 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) a(0-I g - 13 -1-1-0 c2-000. 1/4/159-0a6 City.State ZIP Code County Primary property owner contact name E-mail