Homestead_Ridgely INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D':PREPARER;r:. -�'_ t1$ >} :f__:5� ':_ Fu' _;_E: "w''_ -_ � �S.-�.Sia� _°._._' 'gii.f �";..�`• . i y ,.. •r rrt .-a.-7a.cit.
Leon C. Stone President
Preparer of the Sales Disclosure Form Title
226 West Broadway Street Broadway Title, Inc. _—
Address(Number and Street)
E-mail
.E.SELLER(S)/GRANTOR(S)Li =:o 7 it g. :-rrc- r3 3,.-r• .rr--.z ,v z3••-'a. a-'>♦srv- -n- afi 7 t?r y 721-7,
Travis W Maikranz
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
122 West Oak Street .. - --
• Address(Number and Street) . _ _ -- — 'Stddress(Namber�and5ireet�
-Oakland City IN 47660
City,State,and ZIP Code City,State,and ZIP Code
E-mail Telephone Number 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".
Signature of Seller �-✓ Signature of Seller
Travis W Maikranz Ob/Z04
Printed Name oil Seller Sian Date(MM/DO/YIYYI Printed Name of Seller Sian Date tM.H/oo/YYn)
E G t . APPLICATION-FOR PROPERTY.TAX.DEDUCTIONS=IDENTIFYALL--ITEMSTHATAPPLY: _
Travis K. Ridgely
Buyer I-Name as appears on cony once document Buyer 2-Name as appears onla ed u eat
108 ree -Apartment 6G -
Address(Number and Street) Address(Number and Street) JUN 2 4 2019
Princeton. IN 47670 C
City,State,and ZIP Code City,State.and ZIPCode /J
(
E-mail Telephone Number GIBSON COUNTY AUDITOR E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION ,y.YE4�CD—COxm-ROY�
❑ 1.Will this property be the buyer's primary, ❑ 3. Homestead
residence? Provide complete address of pri ary r-1 n A c I c ,no/Cooling System
residence, including county: ❑
122 West Oak Street 5.Wind Power Device
Address(Number and Street) ❑ 6. Hydroelectric Power Device
Oakland City. IN 47660 Gibson ❑ Ej 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El El 2. Does the buyer have a homestead in Indiana to be El ❑✓ 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)
n74- /54/1-Jo JO5--oo7
City Stare ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number