HomeMy WebLinkAboutHomestead_Wickertt\'ptA\A SaLES DISCLOSURE FORN SDF ID SDO ID 730916 Pa�e _'
DJPREPARER _ , , . . �' . ... . - . ;
Patricia A. McDonald Posi Closing
Preparer af+he Salv Di.ulosure Form Title
��5 S.E. MLK Jr. Blvd. Southwesiem Indiana Land Title Inc.
ddrm (NUmber a� Svee[) Comparry
vansville, IN 47713-
PE::SEL'L•ER 5 GRANTOR S .' _. � • - N - ' ' -
Brad K. Maikranz Missa L. Maikranz
Selfer ]- Name os appevrs on convejvna docummt Seller I- Name ns appmrs an ronveyonre dxumen[
2�89 E. Presley � 202 S. 5th Avenue �
Addren (NUmber and Saeet) Address (Number and SveelJ
Haubstadt, IN 47633 Haubstadt, IN 47639-
Ciry, Smte, andLPCOde Ciry.Smx. andZlPCade
E�moil
Onder penalties of perjury, I hereby cerufy that this Sales Disclosure, to [he best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepare/d in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosu1re,�/ Act".
�ilul� !�./✓�a..,��a"Lt�(rt�l�a.+-^�y Sc�`1�1, n'�� �i'Itffa �7✓�+'Fi.���� �in.t;`i�i. �/F
ySignoNreofSeller T� (' �,1 /5r�gnamrea%Seller � l�.% f
L/aG� ��. �Gf���ranZ � C�'"5� 1���1, 1't(� �-IGt(SStC L� �a.�r.nZh� �4tn,�✓1S"`�'"'. /�%f'_'
r Z�Yi�✓� '�
F.B NTEE S -AP.Pti1CAT10N'FORPROP.ERTYTAXDEDUCTIONS-
TNHSALFSDISCLOSUREFORMMAYBEUSEDTOAPPLYFORCERTAINDEDURIONSFONTHISPROPERTY.IDENTIFI'A THOSETHATAPPLY.
YES NO COAOITION I ND CO�DITION
x0 � 1. Will this property be the buyer's primary Q � 3. Homestead
residence? Provide complete address of primary � 4, gy Heating/Cooling Sys[em
residence, including county: ❑ � j.
105 W. PARK STREET 5. N md Power Device
Addr6t(NumberandSVee[) ❑ Q 6. Hydroelectric Power Device
Ft. Branch, IN 47648 GIBSON � � 7. Geothermal Ener�� Heating/Cooling Device �
Giry.SmteZlPLode Counq.
�.� 2. Does the buyer have a homestead in Indiana to be � � 8� is [his property a residen[ial rental property?
vaca[ed for [his residence? I(yes, provide ❑ � 9. Would you like to receive tax statemencs for [his
comple[e address of residence being vacated, propem� via e-mail? (Provide contact informalion
including county: 6elow. Pleasesee instrvcdons/or more rn/ormadon.
Not availa6le in all counties.)
Address (Num, ber and SveeQ G ,[� ^� �7 /—
CIry. 5mtt ZIP Code
Counry� ��n ^ � O � � � � 7 �O! '�� � J �a.<`-4 ✓/
Pdmarv pmperry m�mer conmc[ name E-mail
Under penalties oFperjury, l hereby certify that this Sales Disclosure, m 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-S.S, "Real Propertp Sales Disdosure Act". [Note:
Spouse informa[ion, Social Security and Driver's License/O[her numbers are not neressary if no Homestead Deduction is
being filed.) �
io��t�d �,�.w<<��tifW ��=���.G�4�F ����f. f�c�f �, f�. ���f�.�4rF
Si na�yreo%Buverl / / S�qnvq reafB er2 use (�
� SI�uN A��. D.�cCFtr�' ���' S�"^°��t � 7gf4- �ia ln �� ��-T `� �ri. � JGvt��{, 74(�
inndlegalllameoJBvyerl a—a-, SignDare(.w.+r/o�.mm) PnntedLegolNameo(BUyv2/Spo a'a�(d� SignOa¢(NM/DD/YYiYJ
IN � IN
Las[SdigicsofBuyerlDnver's Smre LasrSDigitsojSocialSecung•Number LarSdigicsofBuyer2/SpouseDriver's Smte LastSDfgirsof5ocia/5ecuriry
Lirense/!D/OtherNumber Number License/!D/OtherNumber