HomeMy WebLinkAboutHomestead_Maikranz H. PREPARER 1
Preparer of the Sales Disclosure Form Title
Sandra L. Hicks Attorney
Company
Address (number and street, city, state. country, and ZIP Code)
843 S. 9th Avenue, Haubstadt, Indiana 47639
I. SELLERS)/GRANTOR(S) -
I
1 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) '7ry
530 W SR 168 'Y/Q ,) ,4e)t
City. State. and ZIP Code City. State. and ZIP Cow 9
FL Branch, IN 47648 _ peso _ ?a,
Country Country NCO �'
USA - Gibson County (�����
Email Address
• )
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, corrrett, 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.
Siena re of Seller i Signature of Seller
di. i4II4LL - - -f- 26
Tinted Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller 1 Date Signed (mm/dd/yyyy)
M(^t �i , 'I��. Harpenau. Pers. Rep
�• J. BUYERS)/GRANTEE(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
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 I
Country Country
1
USA - Gibson County USA - Gibson County
Email Address
( )
I 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 I 0 0 3. Homestead
residence? 0 0 4. Solar Energy Heating or Cooling System `
0 0 2. Does the buyer have a homestead to be vacated ❑ 0 5. Wind Power Device
for this residence? If yes, provide address: [] 0 6. Hydroelectric Power Device
Address (number and street) E] 12 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
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_ A person who knowingly and intentionally falsifies the value of
___
Page 3 ,c3\
4iD '