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Homestead_Meade INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Susan hlodine Agent, Title Company Preparer of the Soles Disclosure Form Title 530 S. Main St. , Suite 1031 Old Republic Title Company Address(Number and Street) Company Akron Ohio 44311 330-436-6244 City,Sate,and LP Code Telephone Number E-mail [E.:SELLER(S)/GRANTOR(5) -•- .:. - -- .. .. Tonya P. Meade Seller 1-Nome as appears on conveyance document Seller 2.Nome as aorta rson conveyance document 5841 North Trippett Rd. Address(Number and Street) Address(Number and Street) Patoka, IN 47666 Under penalties of perjury,1 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". Signature of541Ier Signature of Seller IOR Li,a (P at-efib_cie. elAk9la-dfc- Printed Nomaa Seller Sinn Data W04/00/YMI Printed Nome of Seller Sian Dote lxNRD/m'n -:F.BUYER(S)/GRANTEE(SJ:::APPLICATION FORDEDUCTIONS AND CREDITS=IDENTIFYALLITEMS.THgpAT 111111 APPLY .- ;:-.-. ` -- Jeffrey F. Meade ED Ovytrl-No me as appears en conveyance document Buyer Name as app rsan nve yo cu t `- 5841 North Trippett Rd. Address(Number cad Street) Address(Number end Street) Patoka, IN 47666 MAR 2 2015 THE SALES DISCLOSURE FORM MAY DE USED TD APPLY FOR CERTAIN DEDU CTIONS FOR THIS PROPERTY.IDENTIFY ALL OF T1aSBBCVliedRUNTY AUDITOR YES NO CONDITION YES NO CONDITION © ❑ 1.Will this property be the buyer's primary ® ❑ 3.Homestead residence? Provide complete address of primary residence,including county: ❑ © 4.Solar Energy Heating/Cooling System ❑ ® 5,Wind Power Device Address(Number and Street) ❑ ® 6.Hydroelectric Power Device cry,State ZIP Code coon ❑ ® 7.Geothermal Energy Heating/Cooling Device ry Deductions. ❑ © 2.Does the buyer have a homestead to be vacated for this residence? If yes,provide complete address of ❑ © 8.Is this property a residential rental property? residence vacating,including county: Address(Number and Street) City,State 2$PCade County Zia -05 -6 7-05 3 oo a .11/3 0/3 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". n,iI.5b F //a,), SiirTir lined irr Y F- /} fat - 191 Signature of Ouyer2 Printed Name a(Buyer I Stan Date(A$AI/DofiTYM Printed Name of Buyer 2 Shan Data(YN/DD/M1T'1 • STATEFORM!M.e.tI`t n+NI WARMER FORM?-1A 7. APPROVED BY RxTE Mt.0.DOFMVUNIS,Y.N PArsRIBID BY 7511 DFPARTFEYT OF LOCAL GIVflNMFT7 FIKASCE K.VI.Ir-l.l Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes _ more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher vac bills for all:therefore. 0 HEA 1344--3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will Inc this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Meade, Jeffrey F/Tonya P 5841 N Trippett Road Patoka IN 47666 261 Jeffrey F Meade \ 5841 N Trippett Rd • J State Parcel Number Lezal Description PATOKA IN 47666-917 likellitililliiellsilliiiill trtt l Illuieltlillileilitellelsill 26-05-57-0443x-0/02413-018 010-00608.00 PT MD 431-106.89 D-11 This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2:TAXPAYER INFORMATION Owner I First Middle M Last ��F�r ty Y— 4&aek Mrs t—o vJ k PJr t l Zat�� �ig Address number and meet,city,state, ZIP code) j�Same as property address 58`l- I NI ,TdpptIFRCI pcL4-0kLL t-im 41(o( , . Spouse First Middle Last —11.)nk-jc>,. iPentlopE. V\e-aC e, Mailing Address(Number and sweet,city,state,and ZIP code) Same as property address 58'I I NI . Tri peel- Ci ckA-6I�a IN L 1(0(p(p ----�_- — - -- Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or she may be liable for hack taxes and substantial financial penalties. Owner I Signature Date PART 4:ADDITIONAL INFORMATION II CLAREDIM FOR HOMESTEAD PROPERTY TAX CIT /STANDARD DEDUCTION State Form 5473 (8817 -07) Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for riling instructions. r r n ��r I (we) j certify that on the 1 st day of March, 20_ I (We) occupi as our princlpat pla ev ce the fol 'ng described real pro ity for which a Homestead Property Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract. Parcel number r --1 �1 Legal description Is the proPer(Q�' m. �qu�estion: �. - b S - V [ —� `_ 'i�r5.� . 1 12-c, I R eel property ❑ Mobile Home (/C 6.1.1 -7) If any portion of the residential stricture or the Ian not exceeding one (1) acre that immediately surrounds that structure is used to produce Income, describe ere use and portion of the property utilized to produce income. County Township County I hereby certify the above statements are true, correct and complete. I Sit gn re of claimant W ress (number and street. city. state. and ZIP code) 5941 NOP-M TRrPPETT PGAD 4)4- PKA. —r,4 'l'7ttU(I 217_ pay 20_ Lesser of 1/2 Homestead Valuation or 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $ 43,000 for 2009 pay 2010 40,000 payable after 2012 Signature of Auditor r r I Date signed (month, day, rr'. • Land not exceeding 1 (one) acre immediately _ surrounding residential improvements. Other land (2) _ Total land (line 1 plus line 2) (3) Dwelling (q) _ Residential improvements or Annually Assessed Mobile I Manufactured Home Garage (5) . Other improvements (6) Total improvements (line 4 through line 6) (7) Trial value (line 3 plus line 7) (8) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed (month, day. year) complete. Verifying action - Signature of Auditor Date signed (month, day. year) 217_ pay 20_ Lesser of 1/2 Homestead Valuation or 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $ 43,000 for 2009 pay 2010 40,000 payable after 2012 Signature of Auditor r r I Date signed (month, day,