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INDIANA ALESDISCLOSUREFORM SDFID: Paget
Britany N Barnes Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street)
E.SELLER(S)/GRANTOR(S)
Vicky Lynn Campbell Brenna Maikranz
Seller I-Name as appears on conveyance document -Ir ,/� Seller 2-Name as appears on conveyance document
2625 S St-tt�Qd 64 ,,�.,�1 S N LU -& Y'f✓ 301 N T,i nn St Aj�tin 8
Address(Number and Street) [[1} - 7 Address(Number and Street)
�0 c4 N5Vl,)2 !t J)&DS Olney . TT, 624S0
E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an c m lete as re [tired by late)and is p epa d1n accordance with IC 6.1.1.5.5, "Real Property Sales Disclosure Act".
Signature of Seller/ . ' / Signature of Seller Vicky Lynn Campbell 'il) 9:-.0/1Brenna Maikranz 5 13 1�
Printed Nome fSrlly Sign Oate(NM/DD/1Tn') Printed Name of Seller Sign Date IA 'r.t1
/DD/Yrvr)
F
. /GRAN (S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
ppeon on conveyance document Buyer 2-Name as appea n n a edot en,�
330 E Cherry St Jtfn M
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660
E-mail Telephone Number / E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR T ROPERTY. IDENTI 0' -• -
ralONCo� •1e ;
YES NO CONDITION YES NO CONDITION TY AUDITOR
❑✓ ❑ 1,Will this property be the buyer's primary ✓ n 3.Homestead--
residence? Provide complete address of primary ❑ 2 4.Solar Energy Heating/Cooling System
residence,including county: 5.Wind Power Device
918 N Main Dr 0 0
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ 2 7.Geothermal Energy Heating/Cooling Device
l}'ty,State ZIP Code County
f 0 2.Does the buyer have a homestead in Indiana to be ❑ 2 8.1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ 2 9.Would you like to receive tax statements for this
complete address of residence being vacated, proper via e- ail? Provide contact information
Juding county: -- ow. Please see instructions or I armat on.
t {r�0 b s /, �7 (t/� jr/-� 4 Not availablein all counties.)(t (�j .-��^�
A(tdre Cu ra Stre/ (.- (17�V V V l Jt01 r[ -'tA - I$ - to O�- 000 ,9 38 —1 R /
City,State ZIP Code i / County , G.1 V""
Primary owner contact name - --,inrad
•i -
Number License/ID/Other Number
i
iIlDIANASXLES DISCLOSURE FORM SDF ID: Paget
Prepare'of the Sala Wctivre Form Tide
I
Address(Number and Street) Company
City.State.and ZIP Code Telephone Number Email
Bryson Maikranz Braydon Maikranz
Seller I•Name at appears on conveyance document Seller 2.Name ar appears on conveyance document
1925 N Talbott St 12111R 150 c
Address(Number and Street) Address(Number and Street)
Tndianaprtlic, IN 46202 naklane City, iN 476-60
&mad
Under penalties (perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
ZiP2Zd
bylaw,and is prepared in accordance wit ,lC6-1..1.5.5,"Real Prop rtiaales Disclosure Act".
(B Signature Seller
Bryson Mai nz 0 4 2�oZiv/q Braydon Maikranz — )' /9
Printed Name of Seller Sign (FDV/GOMTn Printed Name of Seger S n Care(MM/DO/mvl
F.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS=IDENTIFY.ALLI S TA Ly.-
Buyer I-Name us appears on conveyance document Buyer)-Name as appears an conveyance document
Address(Number and Sorel) Address(Number and Street) MAY 8 2019
City Scutt and ZIPCode Cory,State.and ZIP Code /Ir
Telephone Number Email Telephone Number GIBSO/N�t(Y[ICOUNTY AUDITOR E-"md
THE SALES DISCLOSURE FORM NAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH LS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDmON YES NO CONOmON
. .❑ 0 1.Will this property be the buyer's primary 0 0 3.Homestead
residence?,Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System
residence,including county: 0 0 5.Wind Power Device
Address(Number and stre:t) ❑ ❑ 6.Hydroelectric Power Device
0 0 7.Geothermal Energy Heating/Cooling Device
City,Slate ZIP Code County
❑ ❑ 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 ❑ 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)
City,State ZIP Code County
Primary property owner contact name E-mail
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 necessary if no Homestead Deduction is
being filed.)
Signature afBayerl Signature ofBuyerl/Spouse
Printed Legal Name of Buyer I Sign Date 1aN/00/Wry) Printed Legal Name of Buyer 2/Spcse Sign DateckM/DD/riTa')
Last 5 digits of Buyer l Driver's State Last S Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last S Digits D/Social Security
License/ID/Other Number Number License/ID/Other Number