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HomeMy WebLinkAboutHomestead_Harrison (2) .,, CLAIM FOR•HOMESTEAD.PROPERTY TAX NCI 'STANDARD I SUPPLEMENTAL�DEDUCTION FORM State Form 5473(R18/1-20) HC1 0 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 un C• 1 37. _. CERTIFICATION STATEMENT • I(We) certify that I(we)occupied as my our)princigal nce place of reside or am(are)buying the following described real,property under contract for which:a:HorrlesteadElEiiertZTO gaae'd Deduction is hereby claimed on the date this application is signed, (date of signature). I(We): ❑ Own. ❑ Am(are)buying under recorded contract. ❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. O Have a beneficial interest in the trust or the right to occupy the property under the terrns of a quatiled ) CONTRACT RECORDED If buying on contract,Fee Simple owner's'name •- - - - Recorder's office where contract is recorded • Record number Page PROPERTY DESCRIPTION County—' Township, ' ' Taxing dissttriett(cciity,toiwn,,township) ' - • ' Parcel number Legal description Is the property in estion: ' e, H t/ /L.( t// ❑Real property ❑Annually assessed mobile home(IC 6-1.1-7) If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income;describe the use and portion of the property utilized to produce income. 016 —t7.— -400 - DoS1. 11F3 -OA/ PROPERTY OWNED ELSEWHERE BY CLAIMANT .. . - State;county,and Township' - � � � Is�cla(mant vacating a homestead? ❑ Yes ❑ No ' Si nature I hereby certify the above statements are true,correct,and complete Address of contact(number and street,city,state,and ZIP code) Address of vacated homestead,if any(number and street,city,state,and ZIP code) .6121 . .61) dte'isv• 66S .., • ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VALLand not exceedirig one(1)acre ui5mediately q { ^ ' * a=r•' surrounding'residential improvements (1) . Other land (2) __ . . Total land(line 1 plus line 2) (3) Residential improvements or Dwelling (4) - annually assessed mobile/ - manufactured home". - Garage (5) :: Other improvements (6) Total improvements(line 4 through line 6) (7) Total value (line 3 plus line 7) (3) I hereby certify the above is true,correct, Signature of Assessor - Date signed(month,day,year) and complete. Verifying action-Signature of Auditor Date signed(month,day,year) STANDARD DEDUCTION ALLOWANCE 20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000. Notwithstanding any other provision,the sum of the deductions provided in lC 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 Auditor Date signed(month,day,year) DISTRIBUTION:Original-County Auditor,File-Stamped Copy-Taxpayer Page 1 of 2 INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 1/1PR,EPARER: rk 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 E.SEP,_LER(S) GRANTOR(S). `. Thaddeus W.Milam Seller 1-Name as ap ears on conveyance document Seller 2-Name as appears on conveyance document al63' C S aS N Address(Number and Street) Address(Number and Street) F-G,rc;{1d lL Ga837 City,State,and ZIP Code City,State,and ZIP Code Telephone Number E-mail 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 o�s required by l��s prep ra ed�i�i accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 1 Signature of Seller Signature of Seller Thaddeus ' m --if -Z(2_ -°)-0 Printed me of-Seller Sign Date(MM/DD/YYYfl Printed Name of Seller ---------Sign Date(MM/DD/YYriY) iF , ERcS) GRANTEE(S),—,APPLI,CATI,ON.FORPROPERT-Y•TAXID,EDUCTI.ONS 'ID,EN ALL,-'; 1;THAT_AP.PLY, . � Malorie J. Harrison Buyer 1-Name as appears on conveyance document Buyer ame as appears on conveyan -•o ment 1623CoRd1400E a: ____,,,N\ //���Address(Number and Street) Address(Number and Street) U Cisne, IL 62820 CI�� E-mail Telephone Number L'O� E-mai\ T SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI EDUCTIO S FOR THIS PROPERTY. IDENTIFY ALL OF THOSE—MAT PLY. YES NO CONDITION YES NO CONDITION �0/JOk Z 1.Will this property be the bu s primary z ❑ 3.Homestead residence? Provide co ete address of pr' ary ❑ © 4.Solar Energy Heating/Cooling System r ence,inclu county: ❑ ❑✓ 5.Wind Power Device 7691 S 950 W Address(Number and Street) ❑ z 6.Hydroelectric Power Device Owensville, IN 47665 G bson ❑ Z 7.Geothermal Energy Heating/Cooling Dev ce City,State ZIP Code County El Z 2.Does the buyer have a homestead in India a to be ❑ 0 8.Is this property a residential rental pro erty? vacated for this residence? If yes,provide ❑ Z 9.Would you like to receive tax stateme is for this complete address of residence being vacate property via e-mail?(Provide contac information including county: below.Please see instructions form re information. Not available in all counties.) Address(Number and Street) City,StateZlPCode County"'` ` C1�y°o_ l_0di -. g3-Cat rimaty property owner contact name E-mail Number License/ID/Other Number