HomeMy WebLinkAboutHomestead_Aparicio INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
2DARERARERL p,. .,. ` '`_ f- ':;: ' - ---. 1
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer, Kinkle& Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkleehpk-law.com
City,State,and ZIP Code Telephone Number E-mail
EitSELLER(S)/,GRANTOR('Sl ?i3r 'ar T -
Patricia D.Vanoven
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
911 S. Jefferson Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Under penalties of pe 'ury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
aneplete as req• 8 y w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
r
4GGGG I Qnzf/4Qf��S of Seller Signature of Seller
Patricia D.Vanoven 3/1532017
Printed Name of Seller Sian Date(MM/DD/MT) Printed Name of Seller Sign Date 1MM/DO/Yin'
.-:BiiAC R%GRANITEE(SOA RISI CATION{F,QRcEROP,ERWArtTAWDEDUETIONS IDEN;TIEWAMPPEMSITHAVAP,PMN . .
Erin Aparicio Crispin Aparicio
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
936 5. Hall Street 836 S. Hall Street
Princeton, IN and 47670 Address
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION Mme' 'cv
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead GIBSON COUNTY AUDITOR
residence? Provide complete address of primary ❑ CS 4.Solar Energy Heating/Cooling System
residence,including county:
❑ IS 5.Wind Power Device •
Address(Number and Street) ❑ IN 6. Hydroelectric Power Device
City,
State ZIP County ❑ al 7.Geothermal Energy Heating/Cooling Device
❑ ❑ 2.boesthe.buyer have a home&teadin India a{o be ❑ �/ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 2 9.Would:youlike.to-receive tax'statementsfor this
complete address of residence being vacated, C'—property via e mailZ.(Provide contact ntacft forration
includink county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
Gibson aL-1 a-i g-ion- 003- /(92-0Z
City,State ZIP Code County
Primary property owner contact name E-mail
,�T'� CLAIM FOR HOMESTEAD.PROPERTY TAX YEAR
_ �-y- STANDARD/SUPPLEMENTAL DEDUCTION FORM
. t_v State Form 5473(215/5-14) HC10
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions,
NOTE:Telephone,Social Security,drivels license,state identification and federal identification numbers em confidential under IC 6-1.1-12-37.
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I(We) C i2-gird.. Le to a - certify that I(we)occupied as o r� • I
place of residence or am(are)buyi the following described real property under contract for which a Homestead Pro ax to and
Deduction is hereby claimed on the date this application is signed, (date of signatu I((�Ipp�
❑ Own. Zn(are)buying under recorded contract
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. MAY 2 3 017
❑ 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.
a a =yiYy trL-._a ?=Y' .__.._. ,- ..£r CI:AIMANP,SINFORIMTION' :::?-71.:.'-
- .- l rii'� 7:a-- ':,—eaTlriZ2-tl�>-gi..G. ei
Name dairnar(lege/name) _ •.Telephone nw6(3$ri r4 (O'�(feN. ••r,Ilr
C. r%!✓ � 4P1 C_ y0 (s/ �771Y b✓ UDITOR
Social Searcy number of dastard(last ) Dave a tense/Ideetitatm/Other number Issuing
l
Vo claimant(fast hedy( /Oo/ 4R 5/
Na of dalnats spouse gnat name)
I .
Social Security number of Wonarts sparse(last five dg.fa) Rweos tense/Iden::5atwn/Other number Irving Sate
I ofclamart c..-me n,.,F.,ega}
{i'5-- -.cF5trral YG L_"4:1- .pis?.cnW,LNEGONTRACTRECORDEDMSF-A=._4y"4 ` 8.tht,a`=3�-"�}Y_X
I!.16 g or -read,Fee Staple Dune? name
0Vale1/4ov(m
Recorders ot5rn where contract is recorded Record number Page
I i 0 1 133b
Ak{'a' a 3:s. yy P,ROPERTY,OESemwrION"-ar a rr,'acg{.�.£.L?-'!s?r: ,-2n ea
County I Township 1 Tang /j// 9 town,townshp)
�r�.cNl
Parcel number Legal desaiptlon Is the property set Pe...-
..al ❑Amiialy assessed nctee home(c 5:-1-7)
•
If any potion d the resideital steue or the land not exceedag ore(1)ace that immediately same. that=case is used to produce income,describe the use and portion
of the ru- or traced to produce income.
0? ‘C,— / - / S -io / 003 . i10 a - ourg-
• • , PROPERTY OWNED ELSEWHERE BY CLAIMANT , -
Sate,County,and Township Is claimant vacating a homestead?
. ' ❑ Yes ❑ No
5-1 of tlen=
I hereby certify the above statements are true,correct,and complete. P N
Address of mrdad comber and.:: dry,Pee,and LP ) 'Address of�vaa vacated homestead,E any(nu er and street,ray,state,end ZIP nude)
IC a 01 S- •� S c . s
_ _
•ASSESSOR USE ONLY _t .1 ASSESSED VALUE, .j _ HOMESTEAD VALUE . , NON-RESIDENTIAL SIT
Land not exceeding one(1)acre immediately -- —
surrounding residential Improvements (1)
Other land, (2)
Total land(line 1 plus line 2) (3) - - - — _..
•
Residential improvements Dwelling (4) I -'5' ry. ,,} ;St -
Annually Assessed Mobile I
Manufacnrred Home Garage ?t-
Other Improvements (5) - -1'- a}. *1...
Total improvements(line 4 through line 6) (7) I
Total value (line 3 pits line 7) (8)
I hereby certify the above is true,correct, Signature of Assessor Date signed(month.day,year)
and complete.
Verifying adios-Signature oAudtor Data signed(naws,day,year)
4 ) .:i.. fiv i,a.ti raft tt;;TI'nat. ".STANDARD DEDUCTION ALLOWANCE_:_, T.mi„_=-A si` _—c, -_a'�:,,=
20 _pay 20 Lesser of 60%of the accessed value of the homestead or$45,000
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a nabile borne 5
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-half(12)of the assessed value of the mobile home or manufactured home. ,
Sgma:me of Patton 4 0a° Dab sgned(nvL'e day,year)
SA.€ : S.,i s -013 /
DISTRIBUTION:Offal-Weer Audio;FpYSamped Copy-Taxpayer