HomeMy WebLinkAboutHomestead_Kinman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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�D'3PREPARERi ^��'*ie';�`,v ��:`���.-�-.. �i °.�.tY-�,,,: -.�� �: t-- '�3',
Toler Law Office Attorney
Prepare,of the Sales Disclosure Form Title
POBox 568/701 East Poplar St Toler Law Office
Address(Number and Street) Company
Petersburg, Indiana 47567 812-354-2010 tolerlawoffice@frontier.com
Ciry,State,and ZIP Code Telephone Number E-mail
`E:SELLER(SVGR4NTOR(SialA `? 3, ? -; • R1xc: `ho-., , ialiara?3:5asia
Frances Jane Kinman, Personal Representative
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
821 N. Main St. _
Address(Number and Street) Address(Number and Street)
Oakland City,Indiana 47660
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete alas uired by . ,and is prepare sin acco t ance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
";nature of Seller Signature of Seller
Frances Jane Kinman, Pers -era. 9
Printed Name of Seller Sign Dote( /0D Printed Name of Seller Sign Date(MM/DDIYM/1
'K
F_BUYER(S)/GRANTEE(S), APPI.ICATIOIV':FORPROPER TAX DEDUCTION S=IDENTIF,YrAliL`ITBNIStTHATAPPLYa..'?i ��:-`� =t?
Frances Jane Kinman
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
821 N. Main St
Address(Number and Street) Address(Number and Street)
Oakland City, Indiana 47660
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THC4E T APPLY' JJI
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead JUL 9 1014
residence? Provide complete address of primary ❑ Q 4.Solar Energy Hea g/Cooling S stem
residence,including county:
821 N. Main St. ❑ tg S.Wind Power De t kµ
Address(Number and Street) E1 0 �
6.HydroeleLfr4IceY AUDITOR .
Oakland City, Indiana 47660 Gibson
City, ZIP County ❑ is 7.Geothermal Energy Heating/Cooling Device
11 12 2.Does the buyer have a homestead in Indiana to be 11] 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 12 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.)
Address(Number and Street)
acp-► 4-1 $-aoi - 000 , 9(0g-61,2
City,State ZIP Code County
Primary property owner contact name E-mail
CLAIM FOR HOMESTEAD PROPERTY TAX
CERTIFICATION STATEMENT
YEAR
y STANDARD / SUPPLEMENTAL DEDUCTION
FORM
I (We) own ❑ Am (are) buying under recorded contract
S
State Form 5473(R1216-09)
'O
HC70
INFORMATION
Prescribed by the Department of Local Government Finance
Smvily nmke of daMard (coif tiro d 3c) Driwfs license I Ident'liimtio
(legal name)
Social Security number of daimant's spouse (last five digits)
Drivers license f Identification /Other number Isstivg State
of claimant's spouse (last five dgih)
CONTRACT ••r r
If buying on contact. Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
Taxing district (dty, town, town i ip)
Parcel number
Legal description
Is me pmperty, in question:
❑ Real property ❑ Annually assessed mobile home (IC 6.1.1 -7)
If any potion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce Income, describe the use and portion
of the property utilized to produce income. .
PROPERTY BY CLAIMANT
IN OTHER COUNTIES
County r=ship
County Township
I hereby certify the above statements are true, comrect and complete.
i9 core of da' t
Address (number and street, dry, stale, and LPcode)
TRUE TAX VALUE !ASSESSEDVALUEJ HOMESTEAD NON-RESIDENTIA
ASSESSOR USE ONLY AT 100% OF TTV I VALUE VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential Improvements. () -s`.– �� .s3 #%r c- C'''a- 4 ..>'•
Other land
(2)
^'A �L,'4
L A— ��;_.;ab„= ZN
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
�¢y
t.'a.�y �^,� `in°= 'ssA. -aR
- M
Residential improvements or Annually
o-io
Gare a
..`�sPia�x%W�i1-
Assessed Mobile I Manufactured Home
Other improvements
(6)
Total Improvements (fine 4 through line b)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is We, correct,
Signature of Assessor
Date signed (month, day, year)
and complete.
Verifying action - Signature of Auditor
Data signed (month, day, year)
STANDARD . r
20 pay 20 Lesser of 60% of the assessed value of the homestead or $45,000
Notwithstanding any other provision, the sum of the deductions provided in IC 6-1.1 -12 m a mob to home that is
$
not assessed as real property or to a manufactured home that is not assessed as real prepeny may not exceed
one -haft (t/1) of me assessed value of the mobile home or manufactured home.
Signature of Auditor
Date signed (month. day, year)