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 ,