HomeMy WebLinkAboutHomestead_SmithH. PREPARER
Preparer of the Sales Disclosure Form
Title
Jamie E. Smith
Escrow Officer
Company
E-mail Address Telephone Number
True Title Service, LLC
:jamie@truetitlein.com (812) 453-2559
Address (number and street, city, state, country, and ZIP Code)
101 Plaza East Boulevard. Suite 102, Evansville. IN 47715
I SELLER(s)/GRANTOR(S)
Seller 1 — Name as it appears an conveyance document
Seller 2 — Name as appears on conveyance document
Larry Curtice
Address nber and street)
Address (number and street)
City tatejand ZIP ode
1—t bi 7
City, State, and ZIP Code
A
Country
/Q S
Country
E m it Add�rM Number Ss
E-mail Address Telephone Number
Er
C
Under penalties of perjury' I hereby certify this SaTe's Disclosure', t
'Z
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 prop; , or omit 5-ef falsifies any Information required to be provided, commits a Level 5 felony.
Signat of Seller
Signature of Seller
P t Name of,&VIer
Date Signed (mmddlyyyy)
.... ......
Printed Name of Seller J Date Signed (mm/dd/yyyy)
Q Z/ ce
lAugust 13, 2026
L'I-r, lAugust l3,2026
J. BUIYES)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — I&AN11Y ILL VLY
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears on conve_&4enJ
Lisa A. Smith
Address (number and street)
Address (number and street)JW6
208 N Mill St
?026
. e
1. City . , Sta . te - , an . d .1. ZIP - C . od
City, State. and ZIP Ie
9�'
Owensville, IN 47665
Country
SON �_
CO SON
Country Wiry
E-mail Address
Telephone Number
E-mail Address
Tj4hone Number
frerckr63@yahoo.com
812-�15-9551
i
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES ,NO CONDITION
F-1 1. Will this property be the buyer's primary
E Ej 3. Homestead
residence?
[] Ea' 4. Solar Energy Heating or Cooling System
❑
ET12. Does the buyer have a homestead to be vacated
'
F-1 Kr5. Wind Power Device
f,
for this. residence? If yes, provide address:
❑ [V,16. Hydroelectric Power Device
Address (number and street)
E] 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and County
a I coo
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 law, and is prepared in accordance with IC 6-1.15.5.
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. (Note: Both spouse's
information, SSNIDriver's License/ID/Other Number is necessary only if a Homestead Deduction is being filed.)
Signature . of)5uye( 1
_ il, I XbT_K
Signature of Buyer —2/spouse
I
Printed Legal Name of Buyer I Sign Date (MMIDDIYY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MMIDDIYY)
Lisa A Smith V August 13, 2026
___�4�9 1 ------ -- 01 C
-of
August 13, 2026
Buyer 1 SSN/Driver's License/ID/Other Number —
-Last 5 Digits of Buyer 2/Spouse SsN/Drivers License/ID/Other Number
ssn:68891
Page 3
•
r. _ CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
t ''- STANDARD/SUPPLEMENTAL DEDUCTION FORM -
-_ State Fonn 5473(R15/5-14) H010
Prescribed by the Depaf nerd of Loral Government Finance
INSTRUCT IONS:See reverse side for Mug insbudions. •
NOTE:Telephone,Social Security,drivers license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
s a,.
I(We) certify that I(we)occupied as my(our)principal
place of residence or am(are) uying the following described real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
❑ Own. ❑ Am(are)buying under recorded contract
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust -
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
If buying on contact Fee Simple owner's name -i
Recorders o5ce where contract is recorded Record number Page
+� -�-�•TFh E'_�-_:'_��=F'�_.�v.'k':._..,.��PROPERTYtDESCRIPTION=�':�'sf>e.. _� .-'w".r.s.r 3.�i�:�-�.aF..�...r_A,
Caccy Township Taring district(city,fawn,tamshp)
Parcel number dLegal deteitlon 4 I T Is the property N question:
- -
IT T se /-.3-/2 9 A-G ❑Real aopeny ❑Annually assessed mottle home(IC 61.1-7)
If any portion of the residential structure or the land not exceedng one(1)ace that immediately surrounds that stn#tae is used to produce income.describe the use and portion
of the property Loused to produce income.
oZ(o - 17- co / 903 - 000 . l9G - o .L�
•PROPERTY OWNED ELSEWHERE BY CLAIMANT _
•
State.County.and Towns*. Is claimant vacating a homestead?
❑ Yes ❑ No
of daimam aimans
I hereby certify the above statements are true,correct,and complete.
/Address of correct(number end Street,ay,&ate,and ZIP code) Address of vacated homestead.E any(number and street rd y,Sate,and ZIP code)
I(\ ._ 08 , wens■fli si7b6S
ASSESSOR USE ONLY I ASSESSED VALUE' I • HOMESTEAD VALUE ,'I NON-FTSISIDENTIAL •
-
Land not exceeding one(1)acre Immediately (1)
surrounding residential improvements a--
Other land (2)
Total land(fine I plus line 2) (3)
Residential Improvements or Dwelling (4) 11i _ _.11 11.6 •� ht.
Annually Assessed Mobile I
Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) I(7)
Total value (line 3 plea line 7) 1(8)
I hereby certify the above Is true,correct,
I Signature of Assesses Date signed(rmnth,day.year)
and complete.
Vedyi g advn-sigrahne of Aerator Date signed(monM,day,year)
t�e^L- -e .L—st. "s ;?:tj•=STANDARD_DEDUOTIONALI.OWANCETgLV_t .04:o/tragl _".*.r,-
20 pay 20 Lesser of 60%of the assessed vdue of the homestead or$45,000 1.11
Notwithstanding any other provision,the sum of the deductions provided in IC 61.1-12 to a mobile home $
that is not assessed as real property or to a manufactured home that is not assessed as real property may JUL 2 0 2016
not exceed one-half(la)of tthe
assessed value of the mobile home or manufactured home.Aadlor Signature' Cite signed(tnetN day.yew)
ex ,2 -- /,e o _ �+ "`vic
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DISTReulloN:Original-County Aultor,Re-Camped cop)-Tareayer GIBSON COUNTY AUDITOR
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