HomeMy WebLinkAboutHomestead_RussellH. PREPARER
Preparer of the Sales Disclosure Form
Title
Jill M. Cooper
Escrow Officer
Company
Crossroads Title & Escrow, LLC
E-mail Address
jill@crossroadstitle.org
Telephone Number
(812) 630-0104
Address (number and street, city, state, country, and ZIP Code)
623 Main Street, Jasper, IN 47546
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
Marcia E. Hamilton
Address (number and street)
Address (number and street)
_
y
City, State, and ZIP Code
City, State, and ZIP Code
Country r Country
E-mail Address Telephone Number E-mail Address Telephone Number
Under penalties of perjury, I hereby certify 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. A person who knowingly and intentionally falsifies the value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
Signature of Seller Signature of Seller
Printed ame of Seller Date Signed (mm/dd(yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy)
Marcia E. Hamilton � � _ i
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - I L T PLY
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appe on n yanc u ri
Jeffrey Russell
Address (number and street) Address (number and street)
5670 North 75 East
City, State, and ZIP Code City, State, and ZIP Code
Patoka, IN 47666
Country Country
E-mail Address Telephone Number _E-WallAddress NTY 1T1 Number
curlybillquasi@hotmail.com 812) 664-0046
.:..4....41— 114—ficg sli of fhnaa that nnnlve
rursuanc iv la. v-:.:-,c-.-., u:n —-
YES NO CONDITION
YES NO CONDITION
[ / ❑ 3. Homestead
Heating Cooling System
1. Will this property be the buyer's primary
�
FD/ ❑
residence?
4. Solar Energy or
❑ [� 5. Wind Power Device
�-y2. Does the buyer have a homestead to be vacated
❑ Lg for this residence? If yes, provide address:
❑ [0, 6. Hydroelectric Power Device
❑ 0' 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
9� - 0S - ram- g - (D�- , /� I - 0 ``-' ic
City, State, ZIP code, and County
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete
in with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of
as required by law, and is prepared accordance
transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
information, SSN/ river's Llcense/iD/Other Number is necessary only if a Homestead Deduction is being tiled.)
Signature uy 1
Signature of Buyer 2/Spouse
Printe g me of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Jeffr Russell August 28, 2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
SS#
Page 3
FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 29
SEE BACK FOR FILING INSTRUCTIONS
®(We) A L - ` - 3" -fit/ 1 '1. u i certify that on the 1st day of
March, 19 1 9, I, (We) occupied a our p 'ncipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Et owned
❑ are buying under contract .
❑ have a beneficial interest in the taxpayer
Property Description in -r*-) County Township
Taxing District (City,Jawrr, Township): Olik E.
Parcel Number or legal description shown on tax statement:
-- p . Mh a (. I - / o /s"4._
If buying on contract: Owners name (fee simple owner)
Contract recorded in Recorders Office - Record No. Page
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
Any other counties in which individual owns or is buying real property: County Township
-.hereby certify the above statement is true, correct and complete.
V %Gf I / :,/ /,r , 'j nra Y - Street Ad ress City. State and Zip Code
• Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one..acre immediately n.
surrounding residential impuovemgnts L t (1) Soo / 7 o / 7 0
Other Land (2) 6 G 0 = jAjJIiji/
Total Land JUN iN 2 ; 1979 (3) // / o - - - �d j���j���j�
Residential Improvements / Ding (4) a o 2 0
air
/ a-rage (5) F,�.
AUDI-CI:1W (6) a ozo go
Other Improvements (7)
T reImprovements - Line (6) plus (7) equals (8) (8) a a-o a 73o
by certify the above is true. correct. and complete. /O x/16
05 � s / 979
ant Assessoe �� Date
\,) {/� �'AC�TION BY AUDITOR - fro,51-77�d: G�lsih "r Date:
•
STATE FORM 5M•IR`/YMI nREASnamR EORMZIA
APPRtT'ED BY STATEBOARDO,ICCOI.N1S. fISEFIBm BY TUT DE.ART NT LOCAL GOVZRVMEKT wee:eEr.-Li-r-r.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 tax bills for elk therefore.
• HEA 1344-21709 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county govemment to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Russell, Jeff/Catherine
'- - _ _-_ _ _ —
_ _ '_ _ Box 141 AD
Patoka 1N 47666
275
Jeff/Catherine Russell
R1 Box 141 State Parcel Number Legal Description
Patoka IN 47666-9163
1t1tt11tt t1t11tttilttt nt tld ttttt 26-05-58-026-000.751-018 010-00751-00 PT MD 26 1-10 15 AC
This form MUST be returned to Count y 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 Last
TeFp �- I��d c/ uss- e//
'Dag Address(member and street,city.state,and ZIP code.)_-- -- - - —[ Snug as prepertY uddrs; - —- --5-67o N • 7 .5—,E ea fa ka TAY ' 766 6
Spousee First Middle Last
ea. lA en R e E 2u s s e//
Mailing Address(Number and street,city,state,and ZIP code) tt��[ "Same as property address
5070 ,4/ 75t / /okt %/l( y7666
- --
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 back taxes and substantial financial penalties.
Owner I Signature /fie Date
f •,
Form HC 10 Supplement =r'
Worksheet for March 1, 1989 Assessed Valuation
r® HOMESTEAD CREDIT CALCULATION FOR 1989
County Township Taxing District
Name of Ta::payer
Parcel No. or Legal Description �� MD z6 / -/o /S A
ASSESSORS CALCULATION
True Tax. Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre ma ::imam) (1) 02 0 o g8o XXXXXXXX
Other Land ( 2 ) / O ° ° XXXXXXXX 3� D
Total Land (3) 3 �O p /oZ70
Residence (Dwelling)
Garage - - _ (5)-- -
Other Improvements_:` (6)
Total Improvements (7)
Total Land and
Improvements ('8)
I hereby rtify the above ue, correct, and complete.
Signa ur of As66ssor
.STANDARD DEDUCTION CALCULATION- -
IC 6- 1.1 -12 -37 provides that a person who is entitled to a Home-
stead Credit is entitled a Standard Deduction. . .
Amount of Deduction Allowed
1989 pay 1990 1990 pay 1991 1991 pay 1992 Years after
lesser of 1/2 lesser of 1/2 lesser of 1/2 1991 (same
"R" A/V or "R" A/V or "R" A/V or as 1991)
$2,500 $2,600 $1,500
Signature of Audito%
Cc.. ry A"ub�rc/j
A