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Homestead_Ruggles
r !NDIANA SALES DISCLOSURE FORM! SDF ID: Page 2 - „'” -3[-T�°i }.r,F _ar- °x -Y -`T a'-" pD^PREFAf2ER<a:1.... �a��S.n._-o:��1'G'_ . `f.'r�. .2�_`�'".3�`3•:...sa��' ��+�,ai si'•r`fi3cr. ,4* "_�£`a`.;t- .• Karen Harbison " - - VP i Preparer of the Sales Disclosure Form Tide " " ._ .- - - - 803.E State Rd 68— •-" -- ___ • Haubstadt State Bank _,. . . - "Address(NumberandStreet)---- , -- - . .. - -- • Company "'--- --- --- --- - _ _— _ Haubstadt IN.47639 812-768-5800 kharbisoneesbanc.com -•- -Ciry;4are,andZ!P cock,_-- --- — - _ . . Telephone Number E-mail EELS ELl7ER(SyGRANTOR(S) -ITZ:`,t�ts -' .:_i.E`�^.tn..�?•�at.�..•:Tlf. x�.11ci' ,r`y'. «Pra-�.- -ct`-�T-t?'nrtgraer, I Aaron"MRuggles"' - ' I Seller I-Name as appears on conveyance documeril Seller 2-Name as appears on conveyance document _ 4135 F 12nn S , - - - - Address(Number and Stree0 - Address(Number and Street) .5_• Hanhstad[IN 47614 - - Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and com requir by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act'. 1 / Signature pf Seller Signature of Seller Aaron M Ruggles 01/27/2016 Printed Name of Seller Sion Date(MM/Da/WY11 Printed Name of Seller Sian Date(4vnatirn E BUYER(S)'/GRANTEE(S). P,,PRIGATIONsFOR P..ROP,ENT`r3TAX!DED-UCTIONS?hlDENTIENA-N11TENI ,A '1' 1:ati tt Aaron M Ruggles An.ela F Rue.les . _ _ Buyerl-'Wthmeas appears on conveyance docmnen- Bayer 2-Name as appears an convcymmcdmument - 1 I • 4135E 1200-S-'i - 4135E 1200 S a r Adress(.1'umtier and Street) - ,• - •- ., Address(Number and Street) • Haubstadt-IN 47639 Haubstadt IN 47639 �6 'I . • . THE SALES DISCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIIIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY:-- ' YES NO CONDITION I YES NO CONDITION • t 4 ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Pleating/Cooling System residence,including county: ❑ 4195E 1200 S S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt IN 47639 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device City State ZIP Code County III [. 8.Is this property a residential,rental property? ❑ r� 2.Does the Bu'y'er have a homestead in Indiana tO lie 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) Z G)'-2 3-/L/! /OO 0° "')./7 O. Q a II City.State ZIP Code County °I Primary property owner ron:act name E-n:vil STan[Otai 3!'J Ry.-lot IRIASURER[ORM IS-1A .. APPROVED DI'N7A1E Aoon,oF:1lLK\rt.rI.0 rR[A'0.n.ED III Mk DIPARI..Er1OF LO:ALCOVFA\ffiST FINANCE ICb::r'at • 0 , Gibson County Auditor - IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS` 101 N.Main Street Individuals and married couples are limited to one homes gad standvA Jeduetion.As the receipt of.his D:tare tion becomes Princeton, IN 47670 mare beneficial,chore is more imcennw than sea for homaxrad fraud.homestead fraud caws higher Im bil JI:therefor.•. FILE HF.A Gii-dopy requires taspayen oho,eeehe the homestead standard deduction m verify that they art eligible to recent the Moefit and to provide additional identifying information nces,ary to allow county government to better monitor homes ad filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Department of local Government Finance will use this information to crate cool:that will help county officials eliminate homestead fraud. APR 30 2012 PART 1:PROPERTY INFORMATION Taxpayer Name Location Address C- .n Ruggles, Aaron M 4135 E 1200 S GIBSON COUNTY AUDITOR HAUBSTADT IN 47639 11132 -- - A a r o n M Ruggles - —'--- 1 1 1 1 1 1 1 1 i II I II 1 III 1111111111"1111111 4135E 1200 S HAUBSTADT IN 47639-7977 IIII'IIIIIIIIII'IIIIIIIIIIMIIIIIIItItIIItIIIIIIIIIIIIIIIIIIII'I State Parcel Number Legal Description 26-23-14-100-002.178-024 PTW NW NE 14 410 6 AC This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. ' • ' 2: AffA • ' 1 '1 • f` sr� •- ----•_ Fin Middle Last AAgOA/ micH, L - UL7(3LEs Mailing Address(number and street.city,state,and ZIP code) R'Same as property address y135- r /zoo 5 114v275r/1or s.N 5 763 9 Spouse First Middle Last Mailing Address(Number and street,city,state.and ZIP code) 0 Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) III IIII II I state • PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eligible to receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial fmancial penalties. CLAIM FOR HOMESTEAD PROPERTY TAX CREDITISTANDARD DEDUCTION Stete Fortn 5473 (R6 / 4-03) Prescribad by Me DepaRmeM of Local Govemment Finance INSTRUCTlONS: See /everse side /or (ling instruUions. �� FORM YEAR HC10 �. FI I(VYe) ' �� "'�� ce�rtJ[ v>lhat on lhre! 1 st day of March, 20 I(VJe) oaupied as our principal place of re ce the following descnbed real pmperty for which a HomesCead P�er y�T �ac�redit is hereby daimed: �GIBSON COUNTY �UDI7 I(We) owned ❑ Fve buying under contract A OR � Have a benefidal interest in the entiry that is liable for the property taxes on Ihe property and that owns the properry or is buying under a conVaU. If buy'ug on conuad. Fee Simple owners name County Parcel number �n�4-�_, If any porlion o( of the orooerN i County wniraq is recordeC . �,;.v,�3 ': °.�" . ' „_: _ _ �2.ta'r,�;},.-'_�r�.:a!a—«.�'�',g3", '�£�,., -'"�+� �',:.'?P.ROP.EF Tawnship Le I descrlpUan �) � � �� V lentlal sWCWre w fhe Wnd not axceeding one (1 � acre that produce income. �3-f5`��-DO� /��- � �"s."•}.n3"i'�`:,—��-.`a?-�:-?'-t�PROP.ERT7.0YVNED�' Bl' Tavnship _ _ . I hereby certify the above statements are W e, correct and complete. Address (number a�W s(reet, ciry, sfate, ZlPcade� Tating tlistric iry, I Is pro iatety sunounds that County Rewrd number � Paqa Pownship) al property ❑ Mobile Homo (LC. 67.1-� is used to produce inmme, desvibe the use antl portion To�vnship 20 jQ Pay 20 / Lesserof 1/2 Hom tse e� vawanon or 835,000 S Signature of Auditw n � � Date signe0