HomeMy WebLinkAboutHomestead_Mailranz H. PREPARER
Preparer of the Sales Disclosure Form Title '
Sandra L. Hicks Attorney
Company
T
Address (number and street, city, state, country, and ZIP Code)
843 S. 9th Avenue, Haubstadt, Indiana 47639
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance u nt
Estate of Anthony P. Harpenau
Address (number and street) Address (number and street) /�4
530 W SR 168 �Q ,46t
City, State, and ZIP Code City. State. and ZIP Co ,_�� . 9�
Ft. Branch, IN 47648 SOS - Qua, �I
Country Country
USA - Gibson County O(! .
1 Email Address
- )
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, corrittt, 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.
S re of Seller Signature of Seller
42gt4411
-5w1('26 !
inted Name of Seller Date Signed (mmldd/yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy)
j (^t d% 14,4e4v 4.. Harpenau, Pers. Rep.
A J. BUYERS)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
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Buyer 1 - Name as it appears on conveyance document Buyer 2 , Name as it appears on conveyance document
Daniel L. Maikranz Rita J Maikranz
Address (number and street) Address (number and street)
603 E. Park Street 603 E. Park Street
City, State, and ZIP Code City, State. and ZIP Code
Ft. Branch, IN 47648 Ft. Branch, IN 47648
Country Country
USA - Gibson County USA - Gibson County
Email Address
( )
1 Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1 . Will this property be the buyer's primary MI El 3. Homestead
residence? ❑ 0 4. Solar Energy Heating or Cooling System
❑ 0 2. Does the buyer have a homestead to be vacated 0 0 5. Wind Power Device
for this residence? If yes, provide address:
❑ ❑ 6. Hydroelectric Power Device
f Address (number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City. State. and ZIP Code County 7-4 ---1 )7 - 1 --- 200 -- 002 ? ( c - (-)2__c
! Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true. correct, and complete
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