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Homestead_Armstrong (4) .. CLAIM FOR HOMESTEAD PROPERTY C TAN /�9' E ei STANDARD/SUPPLEMENTAL DEDUCTION FORM / '( �� Stahl Fen 5473(R17(1-18) HCIO Prescribed by the DepiOnaLL of Wed Goverment Fie® INSTRUCTIONS:See(omen side for Ming i,sbucbons r • NOTE Telephone,Social Sewfi driver's Arena State i entdca5on and federal krnt ca oat,numbers am canhrtidlel under IC 6-1.1-12-37. 4 which a Homestead Tax - •-rd f2 Deduction is hereby claimed on the date this application is signed, (date of 1 I V . 1pf> Own. ❑ Am(are)buying under recorded contract -@ik 'r'••, '- . ❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. 'i%,. ❑ Have a benefidal interest in the trust or the right to occupy the property under the temis of a qualified personal residence • ❑ Am(are)the shareholder, partner,or member of the entity that owns the property. °t44)-e Q1yy Cony Towne* ��/y\��7 )strtt(aTY,lbws iberiN Pace mbar Leib desa¢rem Its the property in dun eat property ❑Anaaay assessed noble home(IC 641-7) eery path d the ra9dedat stvnse a the lad mt ecs-&e one(I)me that Emmett 1• that estais and to preens Inectrie,desale the use and piston et to property tared be produce iaxaoe 01 & -/7 _ C? coo- crud X5/ 7- oat / _ ,' PROPERTY.OWNED EISEVIHERE BY CEA MIA 6'T - e-----!..:“-?'"--, .. , - .- -7. Scab,Case,and Township Is claimant vacating a homestead? ❑ Yes ❑ No sre I hereby certify the above statements are true,fl,and complete. _`yI',I1 41,..„,c1 Address of contact( eed steel sib:"fta,andZI en) Address lmlm%stl,i sty(rants end sheet,city,Sr.and ZIP code) S87 S-S �s w OwrNS Li (.ex lJ)Plc•� ASSESSOR USE ONLY _ -'.. ASSESSED VALUE._. _; . HOMESTEAD VALUES.I , NON RESIDENTIAL-_ Land not exceeding one(1)acre hnmedbtely c- .4, 'surroudng residential bnproyemem s (1) _ 3 .X +;. . �? y 2Other land (2) `3 Total land(line 1 plus line 2) (3) - _�Z v 'yt Residential improvements or DwelIng (4) .i -_ ` :"'annually assessed mobile/ r L s - mewtactned home Garage V r Other improvements (6) ayx h:,_ -s Total improvement(line t through tine 6) (7) Teti value (line 3 phs fore 7) (8) I hereby certify the above is true,correct "re ciAssessar Date signed(c IUS day,lead and complete. Vetytg min-Surmise of Aar Date signed(axnaa,dab,lea) -•-0.------'-----rrSTANDA R GDEDUCil-C ALLOL'JAt- T _ - 20 pay 20_ Lesser of 5096 of the assessed value of the homestead or$45.000. Afandhstandrg any ofherp,ovisiors the sun of the deflations provided in IC 61.1-12 to a moths borne $ that Is notassessed as real p opertyor to a nunufacNmd home that is not assessed as real property may not exceed one-hat(12)of the assessed value of the mobile home or manufactured hobo. Audis caf Data dated(rtards dal:)xis) A401),1) 9-la -17 DISIRISIRION:Original-CareAu9a,Rte-Stetyped Cops'-Taxprya Page 1 012 LOSURE FORM. SDF ID: Page 2 - ri -- .,.�_._ -"-'"" '-- '-- ---- .-c _,_._._ x�z. ..—"ms's"°--°�� _ n2,.......,.^ �a '�.EARBISON - . I VP al.Sines Disclosure Form Title ATEHWY 68 HAUBSTADT STATE BANK rihber and Street) Company ADT IN 47639 812-768-800 kharbison(alesbanc.com nd ZIP Code Telephone Number E-mail iR.sECL•ER(S)(GRANT.OR(S) il.__ __-LILL ..__ _._-_. _ ,_ _,. =± 2 .-_...._. ._ : z_. c1i,: r71;;y, 3e' ):1 I FX A FOI I MFR Seller I-Name as appears on conveyance document Seller 2.Name as appears on conveyance document 5875S1075W Address(Number and Street) Address(Number and Street) Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and mplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".aPairC Si azure of Seller Signature of Seller FX A FOl I MFR 05/08/2017 Printed Name of Seller Sign Date(MM/OO/YYYY) Printed Name ofSeller Sign Date(MM/DO/YYYY) P;)BU,YER(S)Y/GRANTEE(S)SAPP,,E ICATIONIFOR:P,ROPERFIN THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION IA ❑ 1.Will this property be the buyer's primary © 3.Homestead residence? Provide complete address of primary O 4.Solar Energy Hea I T residence,including county: 5875 S 1075 W ❑ Fl 5.Wind Power Device Address(Number and Street) ❑ 2 6.Hydroelectric Power lel 1 2017 OWENSVILLE IN 47665 GIBSON_- ❑ 171 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 2,Does the buyer have a homestead in Indiana to be ❑ Q 8.Is this property a res. a operty? vacated for this residence? If yes,provide ❑ 0 9.Would you likCISSIDtilvettg rpm fly leis complete address of residence being vacated, property via e-mail?(Provide contact information including county: below. Please see instructions for more information. 310 HAUB ST Not available in all counties.) ' Address(Number and Street) / HAUBSTADT IN 47639 GIBSON &s_ I -og'— w— cos_511-0ai Ciry,State ZIP Code County Primary property owner contact name E-mail •