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HomeMy WebLinkAboutHomestead_Russell (2) Re'setform; --,...1,.",. CLAIM FOR HOMESTEAD PROPERTY TAX (.: I;$ STANDARD I SUPPLEMENTAL DEDUCTION FORM YEAR MI � State Form 5473(R20/12-24) HC70 i Prescribed by the Department of Local Government Finance INSTRUCTIONS:See reverse side for filing Instructions. NOTE:Telephone,Social Security,driver's license,state Identification and federal identification numbers are confidential under IC 6-1.1-12-37. CERTIFICATION STATEMENT • I(We) t! certify that I(we)occupied as my(our)principal place of residence or am a e)r uyi g t e following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the dat s application Is signe (date of signature).I(We): Own. 0 Am(are)buying under recorded contract. w (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. ❑Have a beneficial Interest in the bust 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. . CONTRACT RECORDED If Buying on Contract,Fee Simple Owner's Name Recorder's Office Where Contract is Recorded Record Number Page PROPERTY DESCRIPTION County .-. 0(-) Township t Taxing District(city,town,rownsF(Ip Parcel Numb r Legal Description 1` th props in question: RealProperty ❑Annually Assessed Mobile Home(IC6-1.1-7) If any portion of the residential structure or the land not exceeding one(1)acre that immediately su nds hat structure is used to produce income,describe the use and portion of the property utilized to produce income. - i'�2—G� a * * i 0 6 - 00 d . -0 i' .-- PROPERTY OWNED ELSEWHERE BY CLAIMANT State,County,and Township Is Claimant Vacatin a.. mestead7 '/,�/ El Yes Si elute of Claimant r.1'4-ssy*�'T- ". I hereby certify the above statements are true,correct,and complete. Address of Contact(number and stratakcity,state,and ZIP code), Address of VacatadMiomestead,if any(number and street,city,state,and ZIP code) %OCt N IVO0 It ma — _L1 -6 D ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE NON-RESIDENTIAL VALUE Land Not Exceeding One(1)Acre Immediately Surrounding Residential Improvement (1) Other Land (2) ji� Total Land(line 1 plus line 2) (3) Residential Improvements or Dwelling (4) ; ' Annually Assessed Mobile l JUN 1 Manufactured Home Garage (5) 7 2025 Other Improvements (6) Total Improvements(Line 4 through Line 6) (7) / i.€`'' a � Total Value(Line 3 plus Line 7) (8) GIBSON COUNTY AUDITOR Signature of Assessor Date Signed(date,month,year) I hereby certify the above is true,correct,and complete. Verifying Action-Signature of Auditor Date Signed(date,month,year) STANDARD DEDUCTION ALLOWANCE 20 Pay 20 Lesser of 60%of the assessed value of the homestead or$48,000. Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that $ is not assessed as real property or to a manufactured home that is not assessed as real property may not exceed one-half(1/2)of the assessed value of the mobile home or manufactured home. Signature of Auditor Date i e onth,day,year) In \1\i"" (q.D (-4.023'''—''' DISTRIBUTION: Original—County Auditor,File-Stamped Copy—Taxpayer Page 1 of 3 INDIANA 7S�ALES DISCLOSURE FORM SDF ID: Page Z DmilowFi',1r ` 1 ., ,, - �`x, K't .. ..,,. ,. ~ 4 . . ::q,. 1 ;34-6"; 'C',. y, °.`.' ....::+' .. a'€-.�..o z.c•r:.�.i2�?,.. ',i i ^.y ?" ., i titi ue ♦- ' x L zi7 -- nl":EL_ J. Jason Spindler Attorney Preparer of the Sales Disclosure form Title 112 N. Main Street Spindler Law Address(Number and Street) E-mail g t ' EtSR •NriGOz :•4, i c.., ° ... �� ._�. r ww 4r _ x • b A AVT R�. S 2 :ax . ... .ttz� e ,..t v.> t r. .-T S a,t i n 1 " ' aY , r ...-f. Sally McConnell Revocable Trust t Seller!-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3950E50S Address(Number and Street) Address(Number and Street) Princeton, IN 47670 City,State,and ZIP Code City,State,and ZIP Code 11 Telephone.Number 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 complete as requi ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �C»-CCYNn.Ge Ill's 1, Signature of Seller Signature of Seller Trustee of Don and Sally McConnell Revocable Trust 02/1 1/2020 k Printed Name ofSeler Sig!!Date(MM/DD/Yri'F1 Printed Name of Seller S(gn Date(MM/DDLI'YYY1 ?Ka;B.. , g(S)i �Al?PL1C TI4'lyiF� liti P,E�TY`C=Ai UEtIUG IONS DEN1T[F.Y'A1sLNTT A d`� s._ - M rian Russell ° , uyer 1-Name as a conveyance document Buyer 2•Name as appears on conveyance document 5 00E _ 1 Address(Number and Street) Address(Number and Street) Patoka, IN 47666 11 City,State,and ZIP Code City,State,and ZIP Code Telephone Number E-mail _, TIIF;SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P RTY. IDENTIFY ALL OF TAIPL HAT f eb 12 2020• " YES NO CONDITION YES NO CONDITION A 2 ❑ 1.Will this property be the buyer's primary © ❑ 3. H GIBBON COUNTY AUDITOR CB residence? Provide complete address of primary rgy Heating/Cooling System i residence,including county: e ❑ ❑ 5309 N 400 E 5.Wind Power Device II Address(Number and Street) ❑ ❑ 6. Hydroelectric Power Device Patoka, IN 47666 ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County . [I] 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 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: - structions for more information. Not available in all coon Address(Number and Street) 26-05-57-106-000. 198-017 1 City,State ZIP Code County Primary property owner contact name Email Number License/ID/Other Number