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HomeMy WebLinkAboutHomestead_Miller INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 "rti5P,REPARER ` + N:1e" ;f« b ZeilE.ftratA Vt,T4 .„S M tfaS C:' ra't y rieRZCa iaan:. J. ROBERT KINKLE ATTORNEY I Preparer of the Sales Disclosure Form Tide I 219 N. HART STREET,PO BOX 13 HALL,PARTENHEIMER&KINKLE Address(Number and Street) Company I PRINCETON, IN 47670 812-386-0050 jrkinkle(a)hpk-law.com City,State,and VP Code Telephone Number I E-mail ,E SEEL'ER(S)/GRANTOR(5)1 _, 1 _.=-.__. °`1;1Rti; ' `zz_'x-'�s=' ;,. st •. '� - - c- cn7. -.. - ' j' - - . _ <_«� 02 .. .. PAMFLA KAY MILLER I Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4010 HFNDFRSON FORD ROAD I Address(Number and Street) Address(Number and Street) MARTINSVII I E IN 46151 Telephone Number I E-nni/ Under pe .Ides of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co/`m/�: e s •• 6,11 I v,and is prepared in accordance with IC 6-1.1-5.5, "Real Pro perry Sales Disclosure Act". S(gnieo Seller Signature of Seller I PA ,i A KAY MII LFR /0��'I/ZO/3 Ps ted Name of Seller Sign ant(MS./DO/YYYYI Printed Name of Seller I Sian Date(MM/DD/r•y) F.:BDrEfAS/GRt1NTEE(S17-7 APPLICATION!F,ORTPIWERTIYTAXIDEDUC-TIO∎KMIDENTIEVALUITIEMS THAT PPEY r 7a. DANNY P. MILLER n I veyance document Buyer 2'Name as appears on conveyance document 2999 S 825 W Address(Number and Street) Address(Number and Street) I OWENSVILLE IN 47665 Tele. one Number I i I .11.‘ E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE • A 'L i P' YES NO CONDITION YES O .r^ ON 0 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead I l SO residence? Provide complete address of rims ry ❑ © 4.Solar Energy Heating owiing System residence,including county: I 0255 9 S s'as k/ ❑ 12 5.Wind Power Device Address(Number and Street) /� ❑ 0 6.Hydroelectric Pow tt11lI 0W E t/S ✓/L l Er ,r,/ `i 7 /o/n Jr (� I gSt� ✓ ❑ 0 7.Geothermal gti tierd(�i el&o ng-ue OR Ci y,State ZIP Code County I lg ❑ ❑ 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: below.Please see instructions for more information. _--Not-availa counties)-- Address(Number and Street) r)------4. _ AB_ .1(p_ /Oa - o0/. 7O - City,State ZIP Code County arnmary propeuy 8wn�cnroacl name I E-mail i=���«4 CLAIM FOR HOMESTEAD PROPERTY TAX ;�'�`` ; CREDIT/STANDARD DEDUCTION •`.�� Stale Form 5473 (R2/1-90) °�• ` INSTRUCTIONS: See reverse side !or liling instructions. CERTIFICATION STA I (We) FORM tiC10 YEAR � �" a Ihat on lhe 1 st day o( March , 19� I(We) occupied as our pf�cicipal place ol residence ,l�he, �f Irowing described real properly for which a Homeslead `�roperly Tax Credit is hereby claimed: tld I(We) owned ❑ Are buying under contract � Have a beneficial interesl in the enlily thal is liable lor lhe properly taxes on the properly and that owns the properly or is buying it under a contracl. on coniract, County contracl Township Legal CONTRACT RECORDED PROPERTY DESCRIPTION Record Nurnber town, � —l� I�.SD Page Ii any portion of the residenlial structure or lhe land nol exceeding one (1) acre Ihat immedialely surrounds that siruc- ture is used to produce income describe ihe use and portion of Ihe properry utilized lo produce income. ���� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES ASSESSOfl USE OtILY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RES�DENTIAL VALUE land nol exceeding 1(one) acre immedialely surrounding residenlial improvemenls (�) Other land (2) Tolal land - line (1) plus line (2) (3) Residenlial improvemenls Dwelling (4) Garage (5) Olher improvemenls (6) Total improvemenls - line (4) lhrough line (6) (7) Tolal value - line (3) plus line (7) (8) I hereby certify ihe above is true, Signature of Assesor Dale Signed correcl, and complete Verilying Aclion - Signalure ol Auditor Dale Signed 1989 Pay 1990 Lesser ol t/2 Homeslead Valuation or $2,500 STANDARD DEDUCTION ALLOWANCE 1990 Pay 1991 Lesser of 1/2 Homeslead Valuation or $2,000 1991 Pay 1992 19—Pay 19— Lesser ol 1/2 Homeslead Lesser of t/2 Homeslead Valuation or $1,500 Valualion or $1,500 ��- Signa[ure of Auditor Date Si ed � �„ _ .. � /i1 iil/I / , o � „ � - �'— S 2,