Homestead_Hallam INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
•
kI'z?PREPARER — - — � __ - -- _
Christopher C.Wischer Attorney-Lender
Preparer of the Sales Disclosure Form Title
20 NW 4th St./P.O. Box 657 Bamberger, Foreman, Oswald&Hahn. LLP
Address(Number and Street) - Company
_Evansville, IN 47704 812-452-3595 cwischer(tbamberger.com
City.State,and ZIP Code Telephone Number E-mail
E;,SELL'ER[S)%GRAN;TOR(S)i_ �_ �.—_---
_�— _ _ __ _
John C C7ner Julie A C7oer
Seller I-Name as appears on conveyance document Seller 2•Name as appears on conveyance document
11701 Silverlhorne Ct 11701 Silverlhorne Ct
Address(Number and Street) Address(Number and Street)
Evansville IN 47725 Evansville IN 47725
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an. complete as required by law,and is prepared in accordance with IC 6- 1-5.5,"Real Property Sales Disclosure Act".
Signa .fSeller / Signatur,of Seller
John C C7oer .3/?� /•7v/6 Julie A C7oer ,1/72 /
Printed Name of Seller lgn Date( M/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYY(
:PT:BUY MST/GRAN,TEE(S))=APPLICATION_FOR•PROPERTYT AXWEDUCTIONS=,'DENT IFYIALL' ITEMS'THATIAPPIN_ _ __
Anthony D. Hallam - Dana J. Hallam
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
-
1843 E. Sierra Drive _ _ _ 1843 E. Sierra Drive
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLJYAR 3 ) 201s
YES r NO CONDITION YES NO CONDITION 1 U
L!I ❑ 1.Will this property be the buyer's primary Qt ❑ •3.Homestead • A
residence? Provide complete address of primary ❑ d�J 4.Solar Energy HeaillitgIN'00 o -: �t7z'
residence,including county: ❑ L��/ 5.Wind Power Device AUD/TOR
Address(Number and Street) ❑ VY 6. Hydroelectric Power Device .
❑ [v' 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County
❑ 2. Does the buyer have a homestead in Indiana to be ❑ d/ 8. Is this property a residential rental property?
ug
vacated for this residence? If yes,provide ❑ lJ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
( incl ding c unty: below. Please see instructions for more information.
ileS rP - i 247- a3 Not available in all counties.)
dress(Number and Street) GI -acn COa .48,5-oaV
kA -,tQa+) ►N 4•ry123q o. ;65Un Ak{-Ym 1+10_0-&In III eaalt33Ahe wile.cC
City.State ZIP Code County
Primary property ownd contact name - E•mall
xsz- CLAIM FOR HOMESTEAD PROPERTY TAX 's 1�025''
�j 4�' STANDARD I SUPPLEMENTAL DEDUCTION FORM _ $..,, .
Sate Fm S473(R15/5-14) HC10 Y.'I.
Presaihed by the Deppxmnena of Loral Government Finance
INSTRUCTIONS:See reverse side for tiling insbuctrns - / / /
NOTE Telephone,Social Security,drivel's license,state identification and federal identification numbers are confidential under IC 6-1.1-12 ! I _
- n i • - , , ' . �.. - CERTIFICATION STATE67ENT • -. . - -- s. ?3rJ
f7• ' `Z ia4CQ- I my( pa I/ x
I(We) �%>• �i4 � � certify that I(we)occupied as m our��''��``��'' I
place of residence or am(are)buying the following ti, 'bed real property unde`•ntract for which a Homestead Property Ta>t'9>eAd l 7 9
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We): l OS.-
❑ Own. ❑ Am(are)buying under recorded contract '
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. G'8S),, V�j��i
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal res.4�ne -t' A
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. •Wirr-
If tsyi g on conCac.Fee Simple owners name
Recorders office where contract is recorded 1 Record number 1 Page
Bi °. 7/7 %✓nR. ��'-3= 's' --r._ ,'c=PROPERTY,DESCRIPTION�.t`p, S''v'res
co. .:/ Township
-~ T1....'- f°wn.lownsliy
AP/ 810 if i' - o
Parcel number Lejal de/wlip]on / Is the property it ccstio.:
/ 4 I tel ,' • =RW property ❑Annually assessed mobile borne(IC 6-1.1-7)
It any; '• of the residential raw re or the land not es....'.. ".,(.1.1.7Z" `ter sunou.is that structure is used to produce income.describe the use and portion
of.if •_ tti¢ed to produs'nco me. dell
soz -g3 /6 -,?6,o.-60a. gj Oa `/
PROPERTY OWNED ELSEWHERE BY CLAIMANT State. -
Canty.and Townatip - Is claimant vacating a homestead?
. . ❑ Yes ❑ No
Sg claimant
nabre of claant
I hereby certify the above statements are true,correct,and complete.
Address of contact(rramber and Cruet.dry,Sorb,and ZIP cede) - I Address of vacate :vd,E any(number and teat u<Y.site,end Z/Pwda)
Ia- t a. A '.
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE' ,. VA
' it-NON-RESIDENTULL
LUE
Land not exceeding one(1)acre immediately — - '') -'
surrounding residential Improvements (1) tr ,_ s , 1
Other land (2) -6 y �_. '4
Total land(line f plus Tine 2) (3) _ - I - _ _
Residential Improvements or Dwelling (4)
Annually Assessed Mobile/ - Y
Manufactured Home Garage (5) .}�
Other Improvements (6) ';- a As a
Total improvements(line 4 through line 6) (T)
Total value (line 3 pits line 1) (6)
I hereby certify the above is true,correct, Signature of Assessor Dore signed(month,day,year)
and complete.
Vadyiy action-Signature ofAUdtor Data signed(month.day.year)
°°e -isrnr DARU DEDUCnon'Ai:MANCE .
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwfth•anding any other provision,the sum of the deductions provided Li IC 6-1.1-12 to a mobile home $
that is not assessed as mai property or toe manufactured home that is not assessed as real property may
not exceed one-half(112)41/the assessed value of the mobile home or manufactured home.
Signature of Author Data signed(math,day,year)
DisTRlaunoN: Drigb-al-Casty A:rddr,Fie Stamped Copy-Taxpayer