Homestead_Wolfe INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
F PREP,AR R'S MIK#- F`.,^s a3i' `'- '._'i5O.t'` 'gralP"l :;an'�P_,i' x . ". -. 15 °s.3t ey . m
Ray M.Drulev Attorney No.4759-26
Preparer of the Sales Disclosure Farm Tide
505 N.Church Street,PO Box 146 Law Office of Ray M. Drulev
Address(Number and Street) Company
Fort Branch, IN 47648 812-753-4975 druleylaw(a)vahoo.com
City,State and ZIP Code Telephone Number E-mail
MEI ntec6i iNiTiOR(S1-1 1.. wi _utiThir&' M1'.':Msia'ha MratLi�.-scSCT'iE._!: ,,, , 'ti ci EM "vim lti ,ita
Donna Weyer Barbara Frohbieter
Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document
13015 Ala PAPpia .51-- PO Box 177
Address(Number and Street) Address(Number and Street)
re rte{■ vt 6 tn1
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co t/oAaass{required by law.and is prepared in accordance wi IC 6-1.1-5.5,"Real Prot erty Sales Disclosure Act".
V / / -a. �/(f�����y/��� aet t• a ..I.-.s _..A........'....
Signora enfSeller • U Signature of Seller
Donna Weyer Barbara Frohbiete
Printed Name of Seller Sion Date(MM/DD/YYYh -, Printed Name of Seller Date(MM/DD/YYYY)
5$ BUYER[S)r/GRAMFEE(S) ?A$P,IMATION4F,ORI15,R0 ERTWa AXjDEDUCII.CKSr�'IDENT=IEYIAL ?I tE S?� TTT Ii nitre;. 's
Von Norman Wolfe ���LLLddd
t Buyer I-Name as appears on conveyance document Buyer 2:Name as appears on conveyan,4e p)RR u7nt
307 W.Maple Street ff 2Ui5
Address(Number and Street) Address(Number and Street)
Haubst IN 47639 ,� ,
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION / ES NO CONDITION
❑ 1.Will this property be the buyer's primary C 0 ❑ 3.Ho esread
residence? Provide complete address of primary U 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 151 S.Wind Power Device
307 W.Maple Street
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device'
City.State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.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.
a (0 ` « b a i n Ca7 copyripo
Address(Number and Street)
s
a(0-18 3(0-a cc-occ t{ 9 s_0 05-V
City,State ZIP Code County
Primary property owner contact name E-mail
"'" CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
a_- % STANDARD/SUPPLEMENTAL DEDUCTION HC10
State Form 5973(R13/12-09)
.� ,.,. ! Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
- - - T. - _CERTIFICATION STATEMENT, . 't •
I(We) l st.t., certify that I(we .. •'-d as my(our)principal
place of residence or am(are)buying . e following described real property for which a Homestead P a Stan i. • •n is hereby claimed
I iv
under ntract on the date this application is filed, (date of filing). I(W
Own ❑ Am(are)buying under recorded contract
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation IAN 2 3 2014
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualife personal residence trust
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
I A ,f
�inlfRr.
- .± „-y ,2- - CLAIMANTfS11NFORMATIONp,;,. ,^,.c- 6rCr/- _ ^c-- �.
`'�'?�
If buying on contract,Fee Simple owner's name.
Recorders office where contract is recorded Record number Page
,,c . .11.4 7� ROPERT .DESCRTIONe- _ _ t fil' r, . .__
County Township Taxing district(city,town,township)
•arcel ber egal description Is the property in question:
_ � 9Q • • tI - .A,, 0 _rI 7.•1 El Real property ❑ Annually assessed mobile home(IC 6-1.1-7)
If any portion 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.
s .. y - # _ , _ ,, _ -_` • FERTVaOWNED BY CLAI MANT. N...O THER+COUNTIES..._ �-$c_ -:+' -•,ea?
_ _ -
; RO
County I Township County I Township
I hereby certify the above statements are true,correct and complete. Signature ofd ' a t r, " ii /
Address(number and street,city,state,and ZIP code) /� C /
6 / / l ._0I • I_• • r ` - CO?(0.39
r._ -"'- n. w r7ar r- '- ASSESSED,YAL'UE HOMESTEAD NONt RESIDENTIAL -
;ASSESSOR;`US
ASSESSOR - ry --.IyTRUETA7('V acs..:aAT.100%,OFaTTVaI-_S i:VALUEv:..JI - SVALUE'�---, _ _
.Land not exceeding 1(one)acre immediately
surrounding residential improvements. (1)
Other land (2)
Total land(line 1 plus line 2) (3)
Dwelling (4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 0 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)
.. - - -� - ..._ .- .�.s-"o�STANDARDyDEDUCTION ALLOWANCE�_ �_;.__�• -rg•y}�4�,,;��., ,- ,;,_ _ -
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Nohvithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is S
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)•