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HomeMy WebLinkAboutHomestead_Loehr (2) Ir" , CLAIM FOR HOMESTEAD PROPERTY TAX - YEAR STANDARD I SUPPLEMENTAL DEDUCTION FORM State Farn 5473(R17/1-16) HCIO Minuted b1 the Dryatrnern at Leal G=ermad Fame INSTRUCTIONS:See reverse side tor gag instructions. NOTE Telephone,Social Seaagy,driver's hxnse,state itlentr lone and federal Mentj a5m numbers are con&denffal under IC 6-1.1-12-37. CER..TIFICATION STATEMENT - •l(We) oCIQ- /Vt Loei. certiythat l(we)•,-- • �°- ' r place of residence a am are thei�' i��. (are) following described real property under contract for which a Ho =.tad • ...• ax - a . Detl is hereby claimed cc the date this application is signed. • (date of signature). I(We): [S'a,m. ❑ Am(are)buying wider recorded mot. MAR 2 9 2019 ❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation_ ❑ Haw a beuefc;d interest in the trust a the right to wimpy the property under the terms of a qualified persptel rest e L ❑ Am(are)the shareholder, partner.or member of the entity that owns the property. name) OR' (Aµ6Ele My/agn6ma does not Inn•serial saw*manta) 2- Said Seeaey cumber el data seam(last be char) Drivers 6m®,btrance n I Om at er mure claue Vast fa -- toning Sate (AtPd=de aytap[isadtr spamdas-oflase ammn.spousesayelseas3Y maser)-J If Wong al moan.Fee Seale amens name Readers o6=Ware=.ract is recorded Read number Page -. - 'PROPERTY DESCRIPTION:-,--' -_ Caaq Tanta Tana g dsaid Vert: aw faun nhp) GI&St 7ft)kAe P24nta.-f1nt_) Pats)ranter 1 1!.._/,„ I Acid -I.8 a D eta ROPeI/ 0 A.'ma%asaessed mntde home(IC s-1.1-I) If any Pabm at the rmtlertal data a as r'landdae aa/ll ate•' •orr(11)Q�the Ornately strata ma suumser is med to pear,hrmq ascribe Me isle and roman of on p toe y LGEed to pore as a 26/ 2- /7 - /O/ - to3. 35/_ oLg _-_. PROPERTYOVINED ELSEWHERE BY CLAIMANTi - a=:r See.Cara and Toe sh Is ' I vaez5ng a hanestead7 ❑ Yea ❑ No I hereby certify the above statements are hue,coned-and complete. • el• 'I A -••._.d aMd(nmberW Meet ca sa:ee.and2l AG*/ PCpre. (mamtaemdrRd,gy;s�e,areZlPcoat)aoa E. K•e.r`kck- It'Lrup .1--A SSOR US ON Y . _ ASSESSEDVA - OME T •a r UE t NON-• SID NTIA sand not odmg residential 6nf)p acre mveents immediately (1) C 1 eta=r Other land (2) d,--0,r_ .4'st . > ... -_` - Total land(line 1 plus fine 2) (3) - ___ _ Residential improvements or Dweiing (A) ._c?s -- noway assessed mobile l - manufactured home Garage (5) x.a.liitet _.-,_ i tz.� Other improvements (6) Sitc! CILE _ .£ 4;,,,,� y-e.3 Total improvements(line 4 through Rae e) (7 Total value (The 3 eke fine 7) (6) I hereby certify the above Is true.correct, Sgwaa of Assessor Dar signed(math.du peer and complete. verifying wan-Siganre anda Date signed(matt era Yarn! -, -! _ - STANDARD DEDUCTION ALLOWANCE _ - _ - 20 pay 20 Lesser of 60%of the assessed rare of the homestead or T45.000. Notnihaldndr g any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $ that is not assessed es real properly or to a manufactured home that is not assessed as real property may not exceed one-hall(1/2)of the+nnead vaerp Sfthe mobile home or mamlactred home. aPudir Date flied(ma day,Wen p.(vtA_ Wyk._ 1 3 24- 14 WSTROA ON:Origin-CantyAnCta.Fie-Repel Casey-T Page 1 of 2 INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 - l— - --- D!;PREFARER+_ r — — Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 patti{a�broadway-title.com City,State,and ZIP Code Telephone Number E-mail I E.SELL'ER(S)'/GItANTOR(S)L' Paul Przymus Frances I Przymus Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document 902 F Kentucky St 902 F Kentucky St Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton IN 47670 I City E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co lete as requ d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". StgrJti Se le Signature of Seller Paul Przymus 2 - ) 3 , a-D) I Frances L Przymt+s4 a LI 2.4,/ Printed Name ofSeller Sion Date tMM/DD/YYYYI Printed Name ofSeller - Sian Dat (MM/DD F.,B.U;YERCMGRANTEE(SIE-014LICATION F R PROPERTY(TAX<DED1101161 IDENTIFYi'ALG)TEMSLTHAT APPLE' ._ I Josie Loehr Byerl-Name as appearson conveyance document Buyer 2-Name as appears on conveyance dacumen 746 E 800 S QQQQQQ al) Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 F E-mail Telephone Number s4O l?Y E-mail THE SALESDISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT Af�' YES NO CONDITION YES NO CONDITION UN, frA• El ❑ 1.Will this property be the buyer's primary IA ❑ 3. Homestead 1Jfi00 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 902 E Kentucky St ❑ 25.Wind Power Device Address(Number and Street) ❑ IA 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ [ 7.Geothermal Energy Heating/Cooling Device City,State Z Code County 0 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ [ 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below. Please see instructions for more information. Not available in all counties.) Address(Number and Street) M City,State ZIP Code County ��—id- / 7 /D/-g COT daS�/- o;2 Primary property owner contact name E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct Number License/ID/Other Number