HomeMy WebLinkAboutHomestead_Selby (2) fir,,- CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION HC70
d Stale Form 5473(R151614)
Prescribed by the Oepartnere of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,driver's license,state identalcation and federal identification numbers are confidential -37. t 1.F
4; vi1' -�.1 - C'S�RTIFICA':r)O�N STATEMENT):'-. N:1-Thy.. ft1I1T 1F? 1k_']
I(We) fll-1II�nTaltin7nr w--•IT9.^✓-T i. . ur doe' .
place of residence or am(are)buying the following described-eal property under•• :for • d1- omestea.Property TaxStgridprd
Deduction is hereby claimed on the date this application is signed, -Ai of siMicRa)b'I �W11)I rf
❑ Own. ❑ Am(are)buying under recorded contract
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. ei
4 .
CI Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified •-t •i. „: Z..—•r t.
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. COUNTY AUDI OR
Recorder's o'Sa where cPCad is recorded • I Record number 1 Page
-'-e. 1ii$07g7tr.:• 3n.=�a7 °A,. •�PROPERTYxDESCRIP-TIONTliti Y -.'.''r ? T �1
`� �' T2. favnshp)
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P a/}ns ter 7 /� Legal deeTsWipoon /'�.lr Is the property in cues-Con:
lL I /—1 Q V iI 5-Qr r cO—Q 7 'fJI/eai Popery ❑ Annually assessed=Se tome(IC 6-1.1-7)
If any Paton of the residential '-lC or the land not ezceedig Pe(1)ace that immediately surround that structure Ls used to produce income,descibe the use and pardon
of the property ttilzad to produce boccie.
- _ _ • . - -PROPERTY OWNED ELSEWHERE BY CLAIMANT • - - •.
Sea.Casty and Township 1 Is daimant vacating a ho •'sad?
❑ Yes ❑ No
I hereby certify the above statements are true,correct,and complete. r f G ///
Address of=tact(number and street,city, are,and ZIP code) vacated homestead,it any(number end- : •• .ate,end ZIP We)
_5?/r 4.- 0 10 cs'- .•
. ASSESSOR USE ONLY: - I ASSESSED VALUE . I HOMESTEAD VALUE-' I ..'NON-RESIDENTIAL': ,
Land not exceeding one(t)acre Immediately '-
surrounding residential improvements (1)
Other Land (2) t
Total land(line 1 plus line 2) (3) - _ _.
Residential Improvements or Dwelling (4) • _'d t._-4 _ 4- ''r'r'-i
Annually Assessed Mobile! r l
Manufactured Home Garage (5) Tr' p: _ v`>•':
Other Improvements (6)
Total Improvements(line 4 through line 6) (7)
Total value (line 3 pis line 7) (8)
I hereby certify the above Is true,correct, �"''1fe of T ��
and complete. I' ,'
ppee�' 1 i
Vm,y'vg fiction-Sgw:ure dPn br 17 1 nk
-l°a '&— ='..T .,`F t,,'-, +pj aSTANDARO DEDUCTION'ALLOWANCEF • _;-"Aye _
20 pay 20 Lesser of 60%of the aswssed value of the homestead or 545,000
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $ /(I
Net is note =sled as real property or to a manufactured home that is not assessed as real property may -I IL-,
not exceed•1e-hr (112)of the assessed value of the mobile home or manufactured home.
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Signature;'/ /, • t meq)•aw ids a( w
1.
DISTRIBUTION:Original-Canty Audb.Fie-Stamped Copy-Taxpayer
INDIANA SALES DISCLOSURE FORM SDF ID: 2015 Page 2
D. PREPARER
Penny S.Tracey
Preparer of the Sales Disclosure Form Title
9800 Crosspoint o!vd.,It Floor Suite B New Hope Real Estate Services.LLC 1
Address(Number and Street) Company - .
Indianapolis.Indiana 46235 (317)219-3316
City.Stare,and ZIP Code Telephone Number
E-mail
E. SELLER(S)/GRANTOR(S)
Willow Development Group,LLC by Michael Short,Member
Seller l-Name as appears on w•nveyance document SePe.•2-Name as appears on conveyance document
PO Box 647
Addre (Number and Sleet) Address(Number and Street)
Westfield, IN 46033
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 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller
Signature of Seller
Michael Short, 1229/2016 !_ ( rg201o"
Printed Name of Seller Sign Date(MM/DD/t'YYY) Printed Name of Seler i :Mi.
i I SlI'MMrD:rYYYY)
F BUYER(SWGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AL T .r. • • •-
( '
Marlin Cody Selby Deborah K Selby JAN 9 2017 •
t:r . , !
\ .'...re. :-.ra,.ie as appears on conveyance document I
Buyer 2-Name as appears on conveyance document
910 E. Ohio SL I
Address(Number and Street) )
! :;ddra.s(Number and Street)
Princeton, IN 47670 ,
YES NO CONDITION I YES 'D 6rUU:AtT�i
L ❑ 1. Will this property be the bLyers primary C 3. Homestea,
residence? Provide complete address of primary «<< ❑ 4. Solar Energy Heating/Cooling System indudino county:
910=Ohio St. ❑ El 5. And Power Device
Address(Number end Street) .0 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 2 7. Geothermal Energy Heating/Cooling Device
City,Stare Z7 Code County 0 0 8. Is this property ?
p perry a residential rental property.
L-' 0 2. Does the buyer have a homestead in Indiana to be ❑ 2 9. Would you like to receive tax statements for this
vacated for this residence? If yes,provide complete property via-email? (Provide contact information
address of residence being vacated. including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
caysa:ear?rte P n a(v - /2 -(7 -103 -ooc/• 3 i8/-o '1.9
County y property owner contact name E-mail i