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HomeMy WebLinkAboutHomestead_Wright (3) r INDIANA SALES DISCLOSURE FORM SDF ID: Page 2t D.PREPARER. - SHERI L.GREENE Preparer of the Sales Disclosure Form Title 1122 E.OHIO ST Address(Number and Street) Company PRINCETON, IN 47670 812-664-1005 City.State.and ZIP Code Telephone Number E-mail E.SELLER(S)IGRANTOR(S), KENNETH CHAMBER!AIN DONNA S CHAMBER!AIN Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1120E DIAMOND ISI AND RD 11206 DIAMOND ISLAND RD Address(Number and Street) Address(Number and Street) WADFSVII LE IN 47638 WADESVILLE IN 47618 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". rsignawre of Seller/ Signatureofieller KENNETH CHAMBER!AIN O�l G X19013 DONNAS CHAMRFRI AIN ,Cr I �dnu(2013 Prim-: o e . Sign Date(MM/DD/YYYYJ Printed Name alter Sion DatefMK/DD/YYYY) UYER(S)/GRANTEE .)-APPLICATION.FORPROPERTY TAX-DEDUCTIONS IDENTIFY ALL ITEMS THAT APPLY_ KEITH WRIGHT 111111 Buyer l-Name asap•— on conveyance document Buyer 2-Name as appears on conveyance document "N .' •. "ERRY LN Address(Number and Street) Address(Number and Street) PATOKA, IN 47666 --_ • Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR'• ' '. DENTIFY ALL OF THO • APPLY. YES NO CONDITION YES NO CONDITION 7j ❑ 1.Will this property be the buyer's primary Z ❑ 3. Homestead residence? Provide complete address of• i •ry ❑ © 4.Solar En- atin Cooling /cCP1::) residence,including county: - 209 N CHERRY I N C/ .Wind Power De Address(Number and Street) ❑ Q 6. Hydroelectric P • r PATOKA, IN 47666 GIBSON ❑ Q 7.Geothermal Energy l-pragng/co,9 fi Device City,State ZIP Code County ti}ts tial (J a 1 Q/ J ❑ El 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a res property? vacated for this residence? If yes,provide ❑ Z 9.Would you like to rec-'ve tax s atey<e •r this complete address of residence being vacated, property via e-mail? l• ,` `::j�ni)j j information including county: below.Pleased@ 4 ,tied.• A(gppfpapption. Not available in all counties.) Address(Number and Street) ab-o4?4-303-oo0. 5I6-020 City,State ZIPCode County Primary property owner contact name E-mail 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,Soci 1 Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is bein filed. /`J/' Signature ofBuyerl'r Signature of Buyerz/Spouse KFA-H WRIGHT rell 1 C C/2013 CLAIM FOR HOMESTEAD PROPERTY TAX YEAR ';7-"z4"-'.:. FORM `\�: STANDARD/ SUPPLEMENTAL DEDUCTION HC,o i State Fonn 5473(R13/12-09) E ' FORM , `-' Prescribed by the Department of Local Government Finance J INSTRUCTIONS:S.- -verse side for filing insbuotior . (al .ylee 'i it.2 1,r��CeERTIF��_ATION,STATEMENTa"3` t tg` RIC-4xiatit'�.9 . a'.it� -' I(We) r i r r�en/L3,, ��t certify that I(we)occlip' as my our rincipal place of -s:-..- or am(are)buying the following de —-. real property for which a Homestead Property Tax Standard D claimed under contract on the date this application is filed, (date of filing). I(We): GIBSON COUNTY AUDITOR ❑ Own ❑ Am(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. I3 .ftav �.�a �4 .t1,riaana1ea 6d rATSINORMATIONy. adbs...a: r= L?& r�=t-�-�:�r-.�:e..t.�3 .-+:,`�3`-'4 �,nSYw�baa.ab:b. It burying on contract,Fee Simple owner's name Recorders office where contract is recorded Record number Page 'Gti-" `-r ' :;4:liNi r „;Seri' i +.t r+- i .` <' rli 4 iMT+ lli s ���'v � �•a...ilia+-�>rixJ��y�.�te�„W4«�: PROPERT51'rDESCf21PTION� :a},�„�.cM,: , _tiga�Gt�5r�_t3t��-?-'_~°:'��` Coun / ` l Township Taxing• ( to township)./,���-Acton.) O/0 / 0 ct / c t A-/ n. ) Parcel number L d/¢sr�ajU n Is the perry in question: �jy �1{,Q/�.L/ 9 Real property ❑ Annually assessed mobile home(IC 6-1.1-7) lIf the portion of the tfoential structure the land not exceeding one(1)ate that immed' tely su nds that structure is used to produce income,desalbe the use and portion 0 - /(- 1-- Q.50.5- a229.Q/ a VoV .r .. si -.-.r __.,'-Y.c-•• -: r - t y y w.".- - PROPERTY OWNED BY'CL'AIMA�T IN OTHER;COUNTIES*Y,,0;01,' .R:Tffilat—W"„ -" ?�.v�f3r`...� 57.���_ .i )....1_' Ly `c.-v_y t-.u-w y.,�w,-.- County Township County Township I hereby certify the above statements are true,correct and complete. Signature unapt 4:inns mber and t,9y//s rate,and ZIP•••e) , 4 Cheer �€ c t'°., r �s�-�^f r" .-.`.dr�^d�""K�txy'�'ti"'�'�'1'" �r' ' "+'=^� TasgsSED VALUE e,,.HOMESTEAD ' "e.t,-.... NON RESIDENTIAL. ...44,....." f � ,). yeASSESSnOR SSE O-N•LY�c xtgY TiN IEcrian VAtbUEA(OATH 00% OEsT.T3 Fa u.VAL•UEta �i i-r3.cso^°a'.VALl1E"sitirw _r Land not exceeding 1(one)acre Immediately ' r y surrounding residential improvements. (1) .^ s,; °` '-' Other land (2) ....w. -s-- ,. Total land(line 1 plus line 2) (3) rr Residential Improvements or Annually Dwelling (4) Assessed Mobile I Manufactured Home Garage (5) ' `_ r x Other Improvements (6) f� -*- Total improvements(line 4 through line 6) (7) Total value (line 3 pits line 7) (8) I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year) and complete. Verifying action-Signature of Auditor Date signed(month,day,year) z�a.a•r"£s3.' # . ,t='ask,` . -3, •,tslitti+''-.STAND-'ARO D DUCTIONIKL:LOWANCEne:?�`'„rVyn?'i Wit.-t1-r} :itc 47,dilt 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-hall(12)of the assessed value of the mobile home or manufactured home. Signature of Auditor Date signed(month,day,year)