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HomeMy WebLinkAboutHomestead_Mearling INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D'PREPARER .. . , . Sherri$Hudson Closing Manager Preparer of the Sala Disclosure Form Title 501 Main Street,Suite 101 Bosse Title Company Address(Number and Street) Company Evansville,IN 47708 812-421-4000 sherri.hudsoneieffbosse.com City;State,and ZIP Code Telephone Number E-mail E:SELLER(S)%GRANTOR(S) ' - - .. - - . _. - -._ - _. . - . • - Brian S Mewling Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 117 S Vine Street Address(Number and Street) Address(Number and Street) Haubstadt IN 47639 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 requir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". SofSeller _z Signature of Seller Brian Meaning /p--Tr )-Zo))/ Printed Name of Seller Sian Date(M.M/DD/YYYf Printed Name of Seller Sian Date(MM/00/IYnf F..BUYER(S)/GRANTEE(S)-APPLICATION FOR-PROPERTY TAX DEDUCTIONS=IDENTIFY ALL ITEMS THAT APPLY . _ _ _-_ . - Brian S. Mearling Ami Leigh Mearlinq Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 117 117 S Vine Street 117 S Vine Street ILED Address(Number and Street) Address(Number and Street) Haubstadt,IN 4763-9 - _ - _.- Haubstadt. IN 47639 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPIh•y---- YES NO CONDITION I YES NO CONDmON C IBSON COUNTV AUDITOR 13"---1] 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ [-4,Solar Energy Heating/Cooling System residence,including county: ❑ [X 5.Wind Power Device Address(Number and Street) ❑ 12' 6.Hydroelectric Power Device p 0---7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County I�7 ❑ L) 8.Is this property a residential rental property? ❑ a- 2.Does the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide ❑ a 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) City,State ZIP Code County la-1 q - 31-303-0c0. 430 �a Primary property owner contact name E-mail CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION State Form 5473 (R21 5-92) INSTRUCTIONS: See reverse side for tiling instructions. FORM HC10 YEAR - CERTIFICATION STATEMENT I (We) 1AA, certify that of @61 st day �A�rch, 19_ I (We) occupied as our principal place of r sidence the following d ed real property for which a Homestead Tax Credit is hereby claimed: ZPrerty ❑ I (We) owned ❑ 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 .� a UDITOR CONTRACT RECORDED If buying on contract, Fee Simple owners name - Recorders office where contract is recorded Record number Page PROPERTY DESCRIPTION - Coun Township Taxing district .1 wn, township) arcel number p _00 30� Legal description If any portion of the residential structure or the land not exceeding one (1) acre that imm ately surrounds that structure is used to produce income, scribe the use artd portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES County Township County Township ereby certify the above statements are true, correct and complete. Signa � t ofof cI>� t Add re (number and street, city, state, ZIP code) r?o 3,V,, ,? 4'el /,/o ✓�s %,/-� /, I V74 3 ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately (1) surrounding residential improvements. Otherland (2)_ Total land (line 1 plus line 2) (3) Dwelling (4) Residential improvements Garage (5) / Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) I hereby certify the above is true, correct, and Signature of Assesor Date signed complete. Verifying action - Signature of Auditor Date signed STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 Lesser of 1/2 Homestead $ Valuation or $2,000 Signal a of Auditc# q QA Dal ,Ngned.l — 0 6 ^ 0 / 1, STATE FORMS3NA(531&10) TREASURER FORM TS-IA ''' APPROVED aI STATE BOARD Or ACCOUNTS 2003 PRESCRIBED BYTIE OFP.ARTALVT OF LOCAE.COVIA'MEYT RNAV.Y.1C 61.1234.1 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore. HEA 1344-2009 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. PART l: PROPERTY INFORMATION . .. .. . Taxpayer Name Location Address • Meaning, Brian/Angela J 0 . 117 S VINE FORT BRANCH IN 47648 _ 2732 ' Brian Mending II I�III_11III 1111 1111111 01111 111111II0IL 11_11111H111111100111111]II l lull 117SVine HAUBSTADT IN 47639 , T T L I State Parcel Number . Legal Description • J9Lu, 26-19-31-303-000.430-00V ORIGINAL.PLAN 213 PT/214 PT JUN 0 2011 ; .GIBBON COUNTY AUDITOR ' This form MUST be returned to County Auditor's office., . . Please do NOT send this form back with your tax payment to the county treasurer. t . PART 2: TAXPAYER INFORMATION I ON I . ' First : / Middle /J/f Last Mailing Address(number and street,city,state,and ZIP code) . ❑ Same as property address P D ►t 0Y 2V17 . /1,6s-1er/3 _I& N7739 l . , . Spouse First Middle Last Marne (Number and street."city,state,arias ZiP code)' -" — - - - - Satnc as property'address - - - '-'" Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below) 1 I - I I I I ° I Stec - • PART 3: CERTIFICATION 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 fmancial penalties. - Ownatttre Date • - .. ( • ) PART 4: ADDITIONAL INFORMATION ,