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• • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 J.Robert Kinkle Attorney_ Preparer of the Sales Disclosure Form Title 219 N. Hart Street. PO Box 13 Hall,Partenheimer& Kinkle Address(Number and Street) Company Princeton. IN 47670 812-386-0050 _. irkinkle(a!hpk-law.com City,State,and ZIP Code Telephone Number E-mail _E.SELLER(S)/GRr11\'TOR(S)-_ ' ' ..- � .: -_ _- :. •--.:,_ -.' --- _ _._ . :1-1.2-:.. ._:___ -: �.. Steven W Fulling Seller I-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document l 194 N 1050E •'� Address(Number and Street) Address(Number and Street) Oakland City IN 47660 ✓[/ Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge-Ai a 4 °r',jit- - • correct and co lete as req d/Iby law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Dfsdo4 e Act". LIJ, t Yp� JULY •f,, , - �f10 SiSSignature of Seller Signature of Seller S"Gf-et -hIr IC)final h"•K '4 Steven W Fulling 06/ N2015 \ d;-• a=ct•=••, kHTf.,, Printed Name of Seller Sian Date(MM/DUMYn Printed Name of Seller - vl 'ia rtt6e tntl/DNn VIV) F.BUYERS)/GRANTEE(S),-APPLICATION FOR'PROPERTY TAX DEDUCTIONS-IDENTIFY.AL MS;THAT-APP'r —. :- _ aasfer.- 1FiJ Scott E. Trader Cinda M.Trader , J,, . \ BuyerI-Name as appears on conveyance document Buyer 2-Name as appears on osrepIrf document 188 N 1050E 188 N 1050E Gim.,o ud'tar Address(Number and Street) Address(Number and Street) '-Of,niv Oakland City, IN 47660 • Oakland City. IN 47660 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary IA ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: I ❑ i SI 5.Wind Power Device Address(Number and Street) ❑ El 6.Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ E 2.Does the buyer have a homestead in Indiana to be ❑ ,0-,f 8.1s this property a residential rental property? vacated for this residence? !ryes,provide ❑ 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below. Please see instructions for more information. Not available in all counties.) dy- Address(Number and Street) CiN.State ZIP Code County Oft- /a DO/! '/3 -006 Primary property owner contact name E-mail • STATE FORM 5]56411,Rzs-o9) TREASURER FORM TS-1A I APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC61.1 2243.1 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud buses higher tax bills for all; therefore, HEA 1344-2099 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings. This information will be kept confidential and can only be accessed by authorized county officials. The Department of Local . Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PARTI: PROPE' V :'FORMA ON , Taxpayer Name Property Address State Parcel Number Legal Description: Scott E Trader RI 26-13-12-100-001.433-0061 003-01433-00 PT SW NW 12 2 9 1.00 Oakland City IN 47660 ��,/ AC C-I Complete and return to: GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 PART 2:TAXPAYER INFORMATION . , - Owner 1 First Middle Lass . col-i" EU, gale, 'Trader Mailing Address(number an o d street city,state and ZIP de) I Same as property address - I 8 N. 1050 E. Ook lord Ciiy , TO y -1 L4.o Spouse First Middle _ Last • l . I CIO Yvl lc 6 el le, Trad Mailing Address(number and street,ply,state and ZIP code) I 8s, 1 1050 E. 3a�1� (5 y t IA 11 ( �p D i Same asproPen Yaddress Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to receive the . homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties. Owner t$gnature I Date / - //) ^� PART 4: ADDITIONAL INFORMATION - • I CLAIM FOR HOMESTEAD PROPERTY TAX FORM CREDIT /STANDARD DEDUCTION HC10 State Form 5473 (R614-03) Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for filing instructions. I (We) \ Vj L, W t-, w& W \ -I fid -i2 ( I certify that on the 1st day of March, 20 1 ('We) occupied as our principal pla ce of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: ❑ 1 (We) owned ❑ Are buying under contract i• Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract. ONTRACT:RECORDED. —." If buying on contract, Fee Simple owners name Recorders office where contract is recorded Record number Page ' ' a ZiP, ROP.ERTY:DESCRIPTION County Township Taxi trict city, town, toFnship) Parcel number 3 3 3 - <2!) Legal description 1 Is the property in question: GIV Address (number and street, city, state, ZIP code) ❑ Real property ❑ Mobile Home (I.C. 6.1.1 -7) H any portion of the residential structure or the land not exceeding one (1) ace that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. - 13 - - OO -GYl /. -4 -,Zl _� -s�ii -jam � [b- ii•'1�% _ �' i^' v � �' -. -.. _ .. _ _ _ _... SrE� - �a' r? Ti "�,.��.�:.�,P,ROP,ERTY,OWNED;BY CLAIMANT IN'OTHER`COUNTIES _� .f�- `.->i:�f's:�••r":�^�?��x.T, ° ' � County Township County Township hereby certify the above statements are We, correct and complete. Signature of claimant Address (number and street, city, state, ZIP code) ra'- K; «$•K"- '_s''ts =a 7 s-r r f ASSESSOR USE ONLY byf`} <,ss+TRUExTAXl ASSESSED VALUE +HOMESTEAD 2`' `- NON= RESIDENTIAL�r s .a'r� _ - YL.S`.5:' -"'°. u- .RK -.. ... ; �'oWLL:UE� t- i. L..,. >! AT 100/6'0 : V ..:. VALUE4 „ vGti.'6.... ..r>'. +. �+uYct:sVALUE '}ddfraYs...e Land not exceeding 1 (one) acre immediately5. surrounding residential improvements. Other land (2) a �"' • Total land (line 1 plus line 2) (3) Dwelling (4) ;•� I�r. -<'L. +s� v<3{ ,�s't2 -+v .. .ssf •SY NOW, Residential improvements or Annually�r"''r'_'`` Assessed Mobile I Manufactured Home Garage (5) c -,a :N j E ' v �� B •x,' Other improvements (6) ���£�• Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (6) I hereby certity the above is We, correct, and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Date signed 20 _ Pay 20 Lesser of 112 Homestead vauanon or 835.000 S Signature of Auditor Date signed