Loading...
HomeMy WebLinkAboutHomestead_English INDIANA SA LES DISCLOSURE FORM SUF-I11 sr*in 1777964 Rape 2 - D.PREPARER CARLA WALTMAN ESCROW CLOSER Prepa-er of the Sales Dlsclamrc Form title 331 FRANKLIN ST TITLE CENTER OF INDIANA Address(Nu.mberand Street) Company COLUMBUS,IN 47201- 812-372-1170 ,or'J,TITL ECEN'TEROFINDIANA.COM City.State,and ZIP rude Telephone Number ,.mv, E.SELLER(S)/GRANTOR(S) RICK L PRICE Seer 1-Name as appears on mnveyante document Seller?-Nome as appears on conveyance document 4250 N ST RD 65 Address paw:berm,d Street) padres(Number and So err) PATOKA.IN 47666- Telephone Vnmlxr E-toad tinder penalties of perju ,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co I•rl le • .s i -e by law,and is prepared in accordance with IC 6-1.1-5.5,"Real PropertySales Disclosure Act". '..w-m-r•c+•� O r'f..,vao-nfl _..... .etr,.-, a,n r,-.r„•..-.-icon. .BUYER(S)/GRAN •(5)-APPLICATION FOR PROPERTY TAX D• : CTIONS-ID •• ALL ITEMS THAT APPLY KLENITH J ENGLISH RUTH E ENGLISH appears on mrcgvnce dna,ment •ivun conveyance document 42 -65 4250 N ST RD 65 Ada-ers(Number dna Street) Addrea(Number and Street) PATOKA,IN 47666- PATOKA,IN 47666- / THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP.; s ' •LL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of primar .-n ar nergy Heating/Cooling System residence,including county: I 4250 N ST RD 65 ❑ n J 5.Wind Power Device Andrea(Number and Street) ❑ © 6.Hydroelectric Power Device PATOKA.IN 47666 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device Cay.State ZIP Code Caumy Ej 1 ?.Does the buyer have a homestead in Indiana to he ❑ U R,Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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. 1 C S E, ICLI--30o AI Not available in oil counties.) P'des(Number anti Street) ,J 427514,7 RR'E de'o 0 =o1-Am-ox&e_6_lo47-ail CityState itPCnle I cunno' Pnbrory property owner concoct name 6 nvdl 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is heir O p CY LT/)L�r_. gyan _I �/� / /S/7 om.e of.auyerl/Spovve �- ( A- y sng�r 1 I J 4: ti+.; CLAIM FOR HOMESTEAD PROPERTY TAX 1 LE Foy YEAR STANDARD/SUPPLEMENTAL DEDUCTION i YYY-��� v-+�-:��7 State Form 5473(R13 1 12-09 HC10 ''k ( 12-09) 122014 PrescuLed by the Department of Local Government Finance MAY INSTRUCTIONS:See reverse side for filing instructions. y�,, t,� aCtli ++" liMi'//3,,'' 'T's.T it '}`- +�CERTIFI��CATI )N'STATEMENTC LAYT®+tS L sit`- 3�'r `t�.r.Yt 30sPtiii_i:.v++e(Ei'-'s.�-)e I(We) !, l P 4 r t// J A • e . •UNT.Y,: , '1 -t I(we)occupied as my(our)principal place of residence or am(are)buying the following d- abed real property for which a Homestead Property Tax Standard Deduction is hereby claimed under contract on the date this application is filed, (date of fling). I(We): ® Own ❑ Mn(are)buying under recorded contract ❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation ❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust ❑ Am (are)the shareholder, partner or member of the entity that owns the property. s.r.,c- MaY-:".-°� c, .-, aM af. �.a t iy- i wll�k+YG � +1'Fty^.,r. etc_L ., �yy ,-�;s,��„�'rc�;� ���;�t3�'rt,�t3.c„�{ry,i��. CLAIMAN,TySiINFORMATIONE�S_r-2���'�"' axac_�ny,,,...+�,er.��+��., �n .+T-.. r4.0 / sit _ +S laauat : r t X M � as "G9OACT R 11 Ta41ten" w+ iri err t ?` ieti_:2Z If buying on contract,Fee Simple owner's name Recorder's office where contract is recorded Record number Page " .. -{r°� z!i.. 5 ``:' ?R OFERTY10ESCRIPTION :-.ts'+.3.bw,a2Zatigi'aicli'l: a'ArliL`9ral l :ir e�s�r:,S.. :itX:._#[�'+w'�5..''._-L'�3= rail County Township `/ Parcel number Legal description Is the property in.e-stion: Real property ❑ Annually assessed mobile home(IC 6-1-1-7) It any portion of the residential structure or the land not exceeding one(1)acre that immediately su nds that structure is used to produce income,describe the use and portion of the property utilized to produce Income. a6)-O5- era - /oo oo 3. (o C. 5- 017 t� `p'`- b° 'e'.+`r+� .�,,,,;+�,P,ROP,E�a-RT OWNED BYE1.- An T'IN-.iT.11 COl1NTIES '} . its' +1i't`.h t∎..�_ "e'a`4,i iti!::, tad County Township I hereby certify the above statements are true,correct and complete. -or 4, , sei/.fit/ Address(number and street,city state,and ZIP code) 0 112504/ sr Ro, x robh sti /II 6 2 } ms' a"a. r,.t_y}a ....'-8tsa r .??t'x '=t' rs?arsr- '%t" +ASSESSED VALUE #HOMESTEAy D Yl fl'NON ESIDENTIALI",.A -r'-, 1 1?x ASSE:S4OR SE ONLY,s . TRUE TAX(VAEUE AT3100%.OF TsTV. y iVALUE \ x`� ,, uVALUE 3 y' r^ Land not exceeding 1 (one)acre immediately (1) y a 7y surrounding residential Improvements. Other land (2) . ."' '- - -r .," Total land(line 1 plus line 1) (3) Dwelling (4) ‘., i `- x : Residential Improvements or Annually - - Assessed Mobile I Manufactured Home < , tI f .r-�- '. Garage (5) 's-✓ - , ..- Other improvements (6) ;5-..:t - -'` y s. Total improvements(line 4 through line 6) in Total value (line 3 pits line 7) (8) I hereby certify the above Is true,correct, Signature of Assessor ate signed(month,day,year) and complete. Verifying action-Signature of Auditor Date signed(month,day,year) '.AI =ii I, r. u T,r it iF;114 t2-air STANDARDDEDUCTION,"ALLOWANCE- , r S-+k,a Vii '+gai$a+ti.'.-gti°.H:ritifi;'.--.4 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 to a mobile home that is $ not assessed as real property or to a manufactured home that is not assessed as real property may not exceed one-half(12)of the assessed value of the mobile home or manufactured home. Signature of Auditor Date signed(month,day,year)