Homestead_Stillwell INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER •
DAN L. REEVES ATTORNEY
Preparer of the Sales Disclosure Form Title
116 S. MAIN ST. REEVES&COCHREN
Address(Number and Street) Company
PRINCETON. IN 47670 812/385-8641
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) - • -
HUBERT R LOVFLESS JR JUDITH A LOVELSSS
Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document
769 S SR57 769 S SR57
Address(Number and Street) Address(Number and Street)
OAKLAND CITY IN 47660 OAKLAND CITY IN 47660
Under •enalties of perjury,I hereby certify that this Sales Disclos • to the best of my knowledge and belief,is true,correct
and c. p •to as rent]. ed b�:w,and is prepare• in accordance WI. 6-1.1-5.5,"Real Pry erty Sales Disci.sure Act"
AI
Signature Se, -r Signatu •of Seller
/13'26" 0.26./9-
Printed Name of Seller Sian Date(MM/DD/YYY1i Printed Name of Seller Sion Date(MM/DD/YYYJY
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AL ft 1 TrA,70(PPLITN
IIEFFREY SCOTT STILWELL ) 1p1p I��--y 3 ry
( Buyeri-Tamru>..,,x.,,o,,.,,nalmue toocument Buyer 2-Name as appears on conveyance document
319 S SR57 AUG 26(Number and Street) Address(Number and Street) O 2014
OAKLAND CITY. IN 47660
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES • • • II IN
0 ,p 1.Will this property be the buyer's primary I 0 ❑ 3.Hornestead
residence? Provide complete address of primary
'- oar nergy Heating/Cooling System
residence,including county:
319 S SR57 ❑ 5.Wind Power Device
Address(Number and Street) ❑ SI 6.Hydroelectric Power Device
OAKLAND CITY, IN 47660 GIBSON
State ZIP Code County 0 7.Geothermal Energy Heating/Cooling Device
City,
❑ C 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 ❑ Fl 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.
• . . .. - .
Address(Number and Street)
City,State ZIP Code Co my
.-ake CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
State Form 5471(Rt515-14) HC10
Presented byte Department of Local Government Finance FORM
INSTRUCTIONS:See reverse side for frig instructions
NOTE:Telephone,Social Security,drivers license,state identification and federal identification numbers are confidential under IC 6-1.1-12-(.
jr6 171— %°Y��''-" . CER'1FICATIOONN ST�ATEMMEENT" ` . -'J.Pt17. ':3-=
I(We•-�t1_//7��If/1f 7�/L�I�J certify that I(we)occupied as my(o •••n ,f pal
pia si.er ff r a - -)buying the following described real property under contract for which a Homestead Property Tax Sta •=-. ,'
•-• is h-reby d- on the date this application is signed, (date of signature). '
❑ Am(are)buying under recorded contract 1),'
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. /� p
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualifieQ( 434 .-ncce trust
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. 8N CO _, i
"
—-
if buying on contact,Fee Simple tenets name
Readers o5ce where=Kidd is recorded • Record number 1 Page
T ,gj $?�•�w'llat,';��i�rle -PROFigil ESCRIP-TICK"d - K ! + �^ 'u s..� $
Toenshiy Taxing..,sw orgp. � '� i AAP
1 P--camber F-•-.-m/ Is-the • dY In RUesYri
�y 7 - )--a? I Real popery ❑Mnuaty assessed mobile home(IC 61.1-7)
t any portion of the resifer'..ial=Iran or the land not Gex ee6Sp—gore(�1—)�aaos OF`• . ...•.,-that stnyare a used to produce bore e,describe the use and pod=
of the property utilized to income. ( i
. ��-/ 2 . Ce-C/a a- Ada-Q.G
-:PROPERTY OWNED ELSEWHERE BY CLAIMANT _ . - _
State,Carey,and Township Is claimant vacating a homestead?
. - ❑ Yes ❑ No -
I yona' airn= f
I hereby certify the above statements are true,correct,and complete. y( a 7_ i72 5 4//7�',2J�,/� d
Address of co tact(number and sheer.cry,state,end LP code) rl Andress of vacated homes laid,i any(number and street,try,gate, 'end LP code)
14 , St41e2e2c.01 5/I o a.!,k.Nrr//erfrt- //lid o
�- ASSESSOR USE ONLY •I t ASSESSED VALUE -• I HOMESTEAD VALUE` ;I- .`NON ESISIUENTIAL-.:
Land not exceeding one(1)acre Immediately (1) a ` e i
surrounding residential improvement _ - __ _
Other land (2) v"`..... T_'.
ITotal land(line 1 plus line 2) (3) _ _ _ _
Residential improvements or Dwelling (4)
Annually Assessed Mobile l
Manufactured Home - :n±as .'
Garage (5) k.. _ - Y-�_ _ __._<
Other improvement (6) ,. ._ .
--- +... -i-..
Total improvements(fine 4 through line 6) (7)
Total value (line 3 pits line 7) I(8)
I hereby certify the above is true,correct, I S'grnrture of Assessor Data signed(`snug day,yea')
and complete.
Verdyeg aeon-Signature of Auditor Date signed(month,day,yea)
ids- 35TANDARODEDUGT1ON'ALLOWANC -•'-'- -- ':_ +kr.t
20 pay 20 Lesser of 60%of the assessed value of the homestead or 545,000
Notwithstanding any other provigon,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.
6'gnat=of Audio/ Data Signed(nn-M.day,Year)
DISTRIBUTION:Original-County/U-1Zr,FtleSanged Copy-Taxpayer