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HomeMy WebLinkAboutHomestead_Dougherty INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER • James G.McDonald, Ill Attorney at Law Preparer of the Sales Disclosure Form Title 120 S.Main Street McDonald Law Office Address(Number and Street) Company Princeton. Indiana 47670 812-3854816 City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) • lames G McDonald III Mary Frances McDonald Seller 1-Name os appears on conveyance document Seller 2-Name as appears on conveyance document 511 Timmerman Drive 511 7immerman Drive Address(Number and Street) Address(Number and Street) Princeton Indiana 47670 Princeton Indiana 47670 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 6-1.1-5.S "Real Property Sal Disclo ct". fa[ y� Signureelle // ignature of Se Vier -- • lames.. McDonaldi III Mary Frans McDonald Printed Name of Selleri Sian Date(MM/DD/VYYY) Printed Name of Seller Sign Date(MM/OD/YYYY) F.BUYER(S)/GRA'NTEE(S)-`APPLICATION.EOR PROPERTY TAX DEDUCTIONSIDENTIEY ALL ITEMS THAT APPLY Roger M Dougherty Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 511 Zimmerman Drive Address(Number and Street) • Address(Number and Street) Princeton, Indiana 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TUS/E THAT APPLY. YES NO CONDITION YES NO CONDITION 6"S co,„ © ❑ 1.Will this property be the buyer's primary g ❑ 3.Homestead CO C/A, residence? Provide complete address of primary ❑ 4.Solar Energy Heating/C6dtj r s • •t residence,including county: 0 ❑ r2 S.Wind Power Device p/T Address(Number and Street) ❑ Uv 6.Hydroelectric Power Device o/Q ❑ 0' 7.Geothermal Energy He-ting/Cooling Device City,State ZIP Code County ❑ � 2.Does the buyer have a homestead in Indiana to be ❑ ,�,/ 8.Is this property a e:il �Cial rental property? [t vacated for this residence? IF yes,provide ❑ DI 9.Would yo lik- t ewe tax statements for this complete address of residence being vacated, prope vi.e -ail?(Provide contact information including county: below.P :.--see instructions for more information. Not available in all counties.) Address(Number and Street) 2.4 -la -0-7 .3n 6 0 0 3 0 2 aag City,State ZIP Code County Primary property owner contact name E-mail CLAIM FOR HOMESTEAD PROPERTY TAX YEAR • ors STANDARD/SUPPLEMENTAL DEDUCTION FORM State Form 5473(R1s 15-14) HC10 Prescribed by ee DepaT.teR of Local Goverment Finance INSTRUCTIONS:See reverse side for firing instructions NOTE:Telephone,Soda/Seculify,driver's Alicense,state identification and federal identifcaton numbers are confidential under IC 6-1.1-12-37. I(We) ,( D Cs— M • V k t.C-r certify that I(we)occupied as my(our)principal place of residence or'j(are)buying the following described real perty under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed, 12 1(' 4 (date of signature). I(We): ❑ Own. VAm(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 sbnge owner's name Recorder's°rice where canvass is recorded Record number Page • ii-&- -701,-�i^ .,&∎74. -matt: ifirP,ROPERiftig RIPTfolil-'` '!= ilE nm cu-4,.Y,t Coon'? / TownaNN iaung district(city,town,tonnship) LD/pS J+•J ( A-T it 4- zParcel ntcrb(er ,,�y p�"��Leeggal desviption Is teeyproperty In ques.'ieer 6'(Z-b7-Ja3 Wit.rzs-02 c Heal property ❑Annually assessed=tie tame(1C 61.1 If any potion of the residental=uctire or the land not exceed:mg one(1)ace that irnmediatehy surrounds that seumae is used to produce boome,describe the use and portion of the property utilized to produce income. ' r, 7 ' -' - - - ,PROPERTY OWNED ELSEWHERE BY CLAIMANT _ , ■ State.Conroy,and Township Is claimant vases''''ni.a homestead? . ' ❑ Yes Q'No Syry ftrar•aimars I hereby certify the above statements are true,correct,and complete. '<JOS .i�v1Iss..... is La Address of cnact(number and �t Sall.and ZIP - w;ed W1 e�/•!'A� end ZNade) Ga w Iu e r<tivc�r(f. I L+ :7 ASSESSOR USE ONLY • I _ ASSESSED VALUE _.L.- HOMESTEAD VALUE-4...:..—NONRESIDENTIAL: -_ Land not exceeding one(1)acre immediately surrounding residential Improvements I(1) f -Other land (2) Total land(fine 1 plus line 2) (3) - - _ _ - - Residential Improvements or Dwelling 1(4) Annually Assessed Mobile/ __Manufactured Home Garage I(5) ,-- _..-_ Yz Other imProvementh 1(6) Total improvements(line 4 through line 6) l(7) I Total value (line 3 plus line 7) I CO T I hereby certify the above is true,correct, I mature of A Dots fra�dt d -Year)�s and complete. -�l.f� Vei'yeg aeon-Signature ofMCtr Data signed TA day.yen y C2 , . 4F-_--=—rrg i iiSTANDARDDEDUCTION'ALLLOWANCE a 153/.'3 20 pay 20 Lesser of 60%of the assessed value of the homestead or S45,000 0/a0,.. ' ' that is other rea�pedy or to a maanufacured home provided assessed as real properly $ N COUNT ,�/nl not exceed one-half(1/2)of the assessed value of the mobile home or manufactured hone. 5"g a:ua of tor ^ Cam'-�� Date cub? Onontk 01 der.Her) •R DISTRIBUTION: Orignal-Co tA"-%,Ere-Gamped Copy-Taxpayer