Homestead_Maikranz (13) H. PREPARER
Preparer of the Sales Disclosure Form Title
Pamela Partenheimer Mick Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
219 N. Hart St., P. O. Box 13, Princeton, IN 47670
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
The Robert C. Maikranz and Bernice L. Maikranz Revocable Living Trust
Address(number and street) Address(number and street)
824 E. Old Petersburg Road
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
Gibson-USA
E-mail address
( )
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 falsifies any Information required to be provided,commits a Level 5 felony.
4.Sig lure of II r/i 7,Y/_ Signature of Seller
Printed Name Seller /L/r ate signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Ronald C.Maikranz,Successor Trustee „2-/7
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY; T AT Y
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance n
Tyler Clae Maikranz FF ~� �
Address(number and street) Address(number and str 8
B j
824 E. Old Petersburg Road C Z04,2
City,state,and ZIP Code City,state,and ZIP Code O
Princeton, IN 47670 NCO iciti Mf_t
Country Country
Gibson-USA yA�j4j
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Q 1.Will this property be the buyer's primary O 0 3.Homestead
residence? 0 CI 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: Q C) 6.Hydroelectric Power Device
Address(number and street) 0 f 3 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
5