Homestead_George Preperer of the Sale SeieS Disclosure Form Title
DAVID GREENHALGH RECORDING SPECIALIST
Company
_
Address(number and street:city,state country,and ZIP Code)
1187 Thorn Run Rd. Ext 320, Coraopolis, PA 15108
'x'.a elle
Seller 1-Name as It appears on conveyance document Seller
2-Name as appears on conveyance document
DFRRA F. CiEORGF FFRc USON DEBRA F. GEORGE-FERGUSON, F/K/A DEBRA F. GEORGE
Address(number and street) Address(number and street)
326 E WARNOCK ST 326 E WARNOCK ST
City,state,and ZIP Code City,state,and ZIP Code
PRINCETON,IN 47670 _ PRINCETON,IN 47670
Country — Country
GIBSON GIBSON
E-mail address
,)�
,� rt N IFr 2 71 I I'slBS's e,. ua 62 .4;
TatallitiA
trfta MVO Signature of Seller
31 slurs of Seller ��
/'ALX,Q' Date signed mm/dd/ II
Inted Na of Sell° 1 Date signed(mm/dd/yyyy) Printed Nam of Sell r 9 ( yyy"y)
appearsmay.. L
i. �n ��+g _ {' _
Buyer 1-Name as it on conveyance document Buyer 2-Name as It appears on conveyance document
CHARLES E.FERGUSON
nddRA F umbe street)
40N Address(number and street)
Address(number and
326 E WARNOCK ST 326 E WARNOCK ST
City,state,and ZIP Code City,state,and ZIP Code
PRINCETON,IN 47670
Country .
PRINCETON,IN 47670 -- Country
GIBSON
S GIBSON
E-mailll address
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyers primary 0 i 3.Homestead
I L7' 0 residence? 0 11 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 It' 5.Wind Power Device
0 for this residence?If yes,provide address: 0 (I 6.Hydroelectric Power Device
4 t
Address(number and street) 0 O' 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County `- -kk, —00 0 00—O 2 Q
-ar+ ..v 4< a fh a c s -'fit :b' .� rroybfep,�I y! �le_, �a tF-
C17n3ert a �r °i"-elury'vgt_ti l�Y>R...,.r.` p E 1t CF z ' " �7 d E.
Y '� E1F; n c I � n�arJt all 9slh. ��1
bpi s7tY -�. t'h� -l� k 77;1i y� 8 a dF 3 4s
r, r sf& Q P�i oria N 3$*9`"i .slle Anstzl 'r'.yo mot' °� �' �II'°fi,�
FILED
PY
MAR 16 2022 C 0
GIBSON CN UhtTD
e�p•4 CLAIM FOR HOMESTEAD P,ROPERTY TAX
� y : CREDIT/STANDARD DEDUCTION
� ' State Form 5473 (R2/1-90)
�'°�• � INSTRUCTIONS: See reverse side fo� liling instructions.
CERTIFICATION STATEMENT
FORM YEAR
Hcio_ _ ' ;� '
✓
I' (We)' fJ,aYr�0. ��•=_ /°�'�°jq,� �� ify that on the 1st day of March , 99
�We) occupied as our principal place of resid � ce the follolding described real p,_}ro.,pe�'rty for which a Homestead
operty Tax Credit is hereby claimed: I(We) owned " t1�Are buying under contract
_�
�• Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract. .
_ CONTRACT RECORDED
If buying on contract. Fee Simple Owner' Na e " -� �' -" '' �
J. - .. ,j� . .. '
Recorder's oftice where contract is recorded Record Nu �• � Page _.�
. I_ ,
PROPERTY
County. ,
ct� y, town,
Parcel Number Le al Descri tioq� � /� lI� i�
� 19 - 00 �o BO 9 P WQN��- u� . 7� ��
If any portion of the resideniial structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce in�e� ��
. W O GQ
County
.l �-
certify the above siz
Address
PROPERTY OWNED BY CLAIMANT IN OTHER
are true.
siate and
�—
co�reci and
'IP code)
, �
' -- ' J�
� -� �/��� i�/�/�'j �
_ j
ASSESSOR USE ONLY " TRUE �TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
� � � = � - VALUE
Land not exceeding i� (one) acre immediately �
surrounding residential improvemenis (�)
Other land (2)
Total land - Iine (1) plus line (2) (3)
Residential improvements _ Dwelling (a)
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through line (6) (7)
Tota� value - iine (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
_. Lesser of 1/2 Homestead
` Valuation or $2,500
�
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991
Lesser of t/2 Homestead
Valuation or 32.000
�
1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or 51,500 Valuation or $1,500
Date Signed