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Homestead_Elpers (43) ,.r->.. CLAIM FOR HOMESTEAD PROPERTY TAX YEAR fyyy�'���y.;�.�` STANDARD/SUPPLEMENTAL DEDUCTION FORM r Stale Form 5473(817(1-15) HOW Prescribed by the Department of Local Gaaaoat Foam ' INSTRUCTORS:See reverse side for IFmg inductions .. NOTE Telephone,Soda/Security.divests kensc.state el n55 adon end fdealidentlfcafon numbers are•• .;..Cale 1.1- 217. ii 1 .� CERTIFICATION STATEMENT h s' I(W@) .Ii �3dar/lai � certify that I(we) 2a='. Wane of •-••. _,5-or am(are)buying the following.••.. .-.real property under contract fa which a P Deduction is hereby claimed on the date this application is signed, (date ofsignafum). I(We): ❑ own. ❑ Am(are)buying under recorded contract n' . ❑ Am(are) entitled to ocaipy as a tenant-stockholder of a cooperative housing corporation. �,{bj ('•'f1 ❑ Have a beneficial interest in the trust a the right to occupy the property under the terms ot3)(6004I piiticirka4digistrigPR ❑ Am(are)the shareholder, partner,or member of the entity that owns the property. . ,CLAIMANT'S INFORMATION Social gamey number of dataafl+pose(last Are diet:) Other's terse IIdmtlCraaar/Other amber of dmnadt spouse(ash Ave diges) Issvig Sate I(A¢Fabla oNy1appicantssp0use does not fovea sum seas*naiDaJ -�r T..--":'"1".z. .:-'2� i-o• ,---cr.---41-'27-'71 II`` Ce T-ACT.- Ca RD s --An-it-6 v - Ydasp on=trod Fee Simple awnefs name '' z Remdefa oleos where contract is flooded Record number Page _ - - PROPERTY DESCRIPTION _ r 1 • TM Township IN 4.1 Sit IAt -4 Ills %Pfm/}J-n�mYrbv legg�allan Ism.. ..,l mgoestbrc �� I'f I,ei JsPT kf ❑Rea prtyaiy ❑Annually assessed nobWtme0C 6-1.1-0 It any por5m of the residential mute a the laid not amn8g one(1)ace In norm—y anastls In cincture is used a pmdm lama deacite the use rid patbn of the property Wired to pmdea Mara. "- — 27.--a[n4= PRO PERT Y OW-NED,ELSEt lHERE-•.—BYCL•-A-IhArTa. . .'r +T_._r r : Sias,Carty.end Township Is claimant vacating a homestead? ❑ Yes ❑ No d davnat I hereby certify the above satsosuts are true.correct and complete. A� f7 �' All C2h R_S-P /lA J -- cotact(aaetrreMstreet die,sheen.end27Pm*) 1( ^7 AMeis I .-.-•Imaseal,a any(N�vensaasC city,sizes,aaZIPade) • . . - $S Vt• _S�GSt„ ?. ..v ASSESSOR USE ONLY - 1 -_ ASSESSED VALUE_„- :i 'HOMESTEAD VALUE y - v=.” ` VALUE Land not exceeding one(1)acre Immediately surrounding resdental improvements ( ) _:` .. A? ) y- 7-5:1:12.1.7A:: Total land Cline!plus One 2) (3) Residential Improvements or Dwelling _4- *� ri I- manufa assessed mobile/ .. v r manutactnretd home Garage (5) _,.- -L;- %,.:^«,'su,-� •5.. Other improvements (6) g- . .,;L 1'7 ".-: Total improvements(line 4 through line 6) (7) Total value (line 3 plus line 7) (9) *mare of I hereby certify the above is true,correct, Assessor D s ata p�do (dM',mK read and complete. *dim action•S;Wwbve ofMdzr Dm egad Ora*day,yea) ;'.;_,-. 20 pay 20 Lesser of 60%of the assessed irate of the homestead or S45,001 NoMSWfdndi g any other provision,the sum of the dedottns provider;In IC 6-1.1-1210 a made home S that is not ass as tealpopeny a to a .---• -•home that is not assessed as real may not emceed.;• (t?/of the assessed we I..of ten mobile /(s1 namdacbmd home. m�'/aQ�. 3'�I/ SiWeaseof r / // Date dgyd( ra\ 1 i . Cr ..e/ /rglY!_T dSIRIBrROt1t Ong Casey AUdia Re-Smnrced Cray Taxpeyt \ 2 INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Michael K Morris, Jr. Preparer of the Sales Disclosure Form Tide 10377 Chippewa Drive Address(Number and Street) Company Newburgh, IN 47630 812-453-9242 mmomsir(Wwowway.com City,State,and LP Cade Telephone Number E-mail E.SELLE 1)LGRANTOR(S) Michael K Morris Jr Stacey L Morris Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 10377 Chippewa Drive 10377 Chippewa Drive Address(Number and Street) Address(Number and Street) Newburgh IN 47640 Newburgh IN 47630 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and comuired by ig law,apd is prepared in accordance • IC 6-1.1-5 ,"Real P, roperty Sales Disclosure Act". � Signature of{Seller tare of M,Grazl V Morris ( 7/1/1f, u.t., l `7II I I la Printed Name of Seller Sign Date(MM/PD/VYVY) Printed NamdofSeller Sign Date(MM/OD/YYYI) F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY James R Eloers Buyerl-Nome as appears on conveyance document Buyer 2-Name as appears on conveyance document 12373 S 200 E Address(Number and Street) Address(Number and Sores) Haubsta n IN 4 47 7639 ,/ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.CO(/ YES NO CONDITION YES NO CONDITION N).CONDITION -re. 0 ❑ 1.Will this property be the buyer's primary IZI ❑ 3.Homestead q(/� residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System 10,9 residence,including county: ❑ WI 1690 E I incoln Pass 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt, IN 47639 Johnson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Cole County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 171 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. i a3 73 S apo K Not available available in all counties.) ;its(Number yard1Street) q C/r"" -c2g�`�- (R4o-cod.`-^ �- akh51t.'LdI 1-2-i) 1/7(03! G)NSrrN :fa Mmes IZ. -t ed.TS -ttrn el?t fs'?c\?c rSt(u.tiCeem O State ZIP Code County 1 Primary property owner contact name E-mail