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HomeMy WebLinkAboutHomestead_Sandusky (2) i ' INDIANA SALES DISCLOSURE FORM SDP ID SDO ID 1803283 Paget D.PREPARER Brandi Dickerson Manager A'eparer of the Sales Disclosure form Title 10723 Montgomery Rd. ._ Fidelity Land Title Agency Address(Number and Sweet) Company Cincinnati,OH 45242- 513-354-5571 bdickerson@fidelitylandtitle.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Bayview Loan Servicing.LLC Seller)-Name as appears on conveyance document Seller 2-Name os appears on conveyance document 4425 Ponce De Leon,5th Floor Address(Number and Street) Address(Number and Street) Coral Gables,FL 33134- [ Under penalties of perjury,1 he y ertify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complet as required by I w,a d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of 5 r Milagros Garcia ` Signature of Seller eif ar=f ringing Manaaer Primed Am—rr;UUP.r a- an,n,M rnnMm Pr-rM EnmanrcM.r m 1 m rvn ovr F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAXDEDII TIQN-S- IFY C{(THh T ATA Y David R.Sandusky _ _ Matthew D.Sandusky pA1 '�r Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2008 W.Brumfield Ave 2008 W.Brumfield Ave JAN 1 g 2015 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton, IN 47670- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TNOSE THAT APPLY. YES NO CONDITION )}'S�6-EBfiBFTIBN © ❑ 1.Will this property be the buyer's primary © n 3.Homestead residence? Provide complete address of prim ry ❑ © 4.Solar Energy Ifeating/Cooling System residence,including county: ❑ 5.Wind Power Device Address(Number and Street) ❑ El 6.Hydroelectric Power Device IN NOT APPLICABLE ❑ © 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 ❑ © 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: bee. • •e • ee instructions for more information. Not available in all counties.) Address(Number and Street) / C, a4 - /.1 " /7-30/ '00% (pz!-O )-6 City,State ZIP Code Coon •nmaryProt, E-mai O -441-6-H 5 / cwt CLAIM FOR HOMESTEAD PROPERTY TAX YEAR i STANDARD I SUPPLEMENTAL DEDUCTION FORM State Form 5413(R151 5-14) HMO- - Prescribed by me Depart Department of Local Government Finance INSTRUCTIONS:See reverse side for filing instructions. :11111 NOTE:Telephone,Social Secunfy,driver's license,state identification and federal identification numbers are confidential under : 1. - 2- _— -- _ --__—_—__CERTIFICAIIONSTAIEMENT----- —_—_ _ - ' - _ I(W e) I 7/ !_, r / i��i -�-� ' certify that I(we)occupied at (oF)pi ict4 place of residence or am(are)buying the following described real pr •ery under contract for which a Homestead Pr faxc Ste Deduction is hereby claimed on the date this application is signed, (date of signature). I(We): ❑ Own_ ❑ Am(are)buying under recorded contract. ,n[_-_ ❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. qq N��i-�I�WIiP r El Have a beneficial interest in the trust or the right to occupy the property under the terms of a quali e4 SONICeQiANYuAU i ITOR ❑ Am(are)the shareholder, partner, or member of the entity that owns the property. . _ - If buying on contract,Fee Simple owners name Recorders office where contract is recorded Record number Page __ _ _ . ._ .- -. , _l:-�z - -�+-.-.•�-�PROPERTY DESCRIPTION! ;. - -_C_ - ra12, .,11 � �, _ _a Coon:), Township Tadmr odd(my(-mm,ow,.ship) Parcel number L al description ■l'S Is Me propery 6r auesirr , ' J - ,H Pa; 7 El Real property ❑ AmwN assessed mode home(IC 6-1.1-1) If any portion of the residential saudure or the and not-eex eedung/ore(I)acre:a:u media:ely surrounds that structure is used to produce income,describe eu use and portion of the property utilized to produce income. 261 ' / Z - I8- 30 Le) O/. 6 a i o rl8 PROPERTY OWNED ELSEWHERE BY CLAIMANT - --- - Sate,County,and Township Is claimant vacating a homestead? ❑ Yes ❑ No � nru of m I hereby certify the above statements are true,correct,and complete/4771><T" Address of contact(number and street,city,state,and ZIP rode) IAdddress of vacated homestead,d (number and street,by,slate,and ZIP code) X 53o i310.;a6 Avg VC-iILCr2-1-bi n4, ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE NON-RESIDENTIAL VALUE Land not exceeding one(1)acre immediately I(1) - - surrounding residential improvements _ _ - - - ---- - Other land 1(2) Total land(line I plus line 2) 1(3) Residential improvements or Dwelling (4) Annually Assessed Mobile/ Manufactured Home Garage (5) -' _ _ -L,----------, Other improvements (6) Total improvements(line 4 through line 6) in Total value (line 3 plea line 7) (8) I hereby certify the above is true,correct, Signature of Assessor Date signed(court,,day,year) and complete. vastying action-signature of AiGtor Date signed(month.day,yea) - 20 pay 20 Lesser of 60%of the assessed value of the homestead or 545,000 Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $ JAN 5 Z�14 that is not assessed as real property or toe manufactured home that is not assessed as real property may not exceed one-halt(1/7)of the assessed vahre of the mobile home or manufactured hone Sgna^ -cfNdao Date sgnedn day,year) DISTRIBUTION:Original-County Auditor,He-Stamped Copy-Taxpayer GIBBON COUNTY AUDITOR