Homestead_Maikranz (14) I
H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S) j .
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on convey a oc • t
Faith Brinker
Address number a street) Address(number and street)
.4 6
�)`t34 5 - SA (Dr �1fQ 4City,state,and ZIP Code City,state,and ZIP Code 'r /
OA 9
`1 ,v 4771s 17 S
Country V t3 C t` Country /""'S _ ���03 III
us us 04,Co4/Q
knowingly and intentionally falsifies thalvalue'of transferred
real prope ,o m' ' ifies y information required to be provided,commits'a Level 5 felony.
Sig ature Seller Signature of Seller
P i ted Na e of Seller • Da signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Faith Brinker 03/13/2023
J. BUYER(S)IGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY:
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Hunter A. Maikranz
Address(number and street) Address(number and street)
106 North Lincoln Street
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648
Country Country
US US
YES NO CONDITION
1.Will this property be the buyer's primary O O 3. Homestead
O O residence? O O' 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ❑ O 5.Wind Power Device
P for this residence? If yes,provide address: 01 6. Hydroelectric Power Device I
Address(number and street) ❑ 1 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county I R-l�—` _i Ii O3-0 0 O' 3 1-(�- 0�7Ca/
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Under penalties of:perjury,'I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
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