Homestead_Davis (25) •
,, INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER. - . r - ., ._ -1 .; 2:"
James G.McDonald, III Attorney at Law
Preparer of the Sales Disclosure Form Title
120 S.Main Street McDonald Law Office
Address(Number and Street) Company
Princeton, Indiana 47670 812-385-4816
Ciry,State,and ZIP Code Telephone Number E-mail
Calvin J Davis
Seller I-Name as appears on conveyance document Seller Z-Name as appears on conveyance document
425 E 200 S
Address(Number and Street) Address(Number and Street)
Princeton Indiana 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge an e e Is e,correct
and complete as re fired byd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Di o re Ate.
Signotur W_ Signature of Seller 4UG v
falvin.1 Davis ')L L1'c Y .moo/7 G rit e(/,, .-,.,
Printed Name of Seller Sian Date(MM/DD/YYYY( Printed Name of Seller / curp, Sign Date�IG.N/DO/YYYYJ
F.BUYER(S)/GRANTEE(S)_-APPLICATION.FOR PROPERTY:TAX DEDUCTIONS-IDENTIFY•ALL ITEMS?TA' -- - .
James Bradley Davis Ashley B.Mair Davis vNFt �
BuyerI-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document nI
395E200S 395E200S :G •
Address(Number and Street) Address(Number and Street)
Princeton, Indiana 47670 Princeton Indiana 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
N ❑ 1.Will this property be the buyer's primary j ❑r , 3.Homestead
residence? Provide complete address of primary ❑ [A 4.Solar Energy Heating/Cooling System
residence, including county: ❑ 5.Wind Power Device
G iC 0 1L 2ca s
Address(Nu ygrand reel) / ❑ 6.Hydroelectric Power Device
Y�-1Arc.c Tilt) , _i_id(' 6"IiSSd ❑ 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code ` County
a 2.Does the buyer have a homestead in Indiana to be ID B.Is this property a residential rental property?
Ea
vacated for this residence? If yes,provide ❑ a 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)
,-,7‘..7g-/9- Vero_U6 . /t3-dal ?
City.State ZlPCOde - County
Primary property owner contact name E-mail
�R�n° CLAIM FOR HOMESTEAD PROPERTY TAX
`�"`� � CREDIT/STANDARD DEDUCTION
'�� J State Form 5473 (RS / 70-07)
�O� Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side (or filing instiuctions.
��� :'� .;y:-.'.. � - �. : _ .. _ .. . . . i� .� . CFj2jIFICATI
FORM
HC10
YEAR i
I(We) // l,,,eXJ (� I��/�/ l/�( �/�Jj'( L��� //�C.((/c�iii(y thal"o'n- �iiF e ist`day of aM�"�rc . 20_
�`��..—� t _�_w—`�
I(VJe) occupied as our ncipa� place oi residence the following scnbed reai pmperty for r+hich a Homestead Pr�eri7rTay Geditriphereby daimed:
/ l. G LUOL
❑ I(VJe) owned ❑ Are buying under coniract �/ /
� Have a benefidal interest in the entity Ihat is liable for the property taxes on the properry and that owns ,�ie,property orj� b�ri�g unde�a cq(tracl.
if buying an conUaa, Fee Simple awner's name
RecoNers olfice whera wnirad is recorded
Tavnship
If any poNion af lhe residential sUucWre or the larid nol
ot the property uGlized co produce inwme.
Record number � Page
- 'PROPERTY.DESCRIFTION'� • . ' +" -_ . $�•'"=° .- �'"�`; . _
Tmcing tlislricl (cif , f , ow sh� ) ^
C.l�
'�' 19-� ao ar-�-�e v�o rty in question
Real propem/ ❑ Mobile Homo (I.C. 61J-7)
one (7 � aae t�at immedia(ely surrounds thal sWCture is used to D��uce income, desuibe Ihe use antl portion
f � `` �� � a�''` is - ' - ��°PROBERTN OWNED BY CLAIMANTiN�-0THER'COUNTIES �� � ::+< �+'- ;�-3'�.v - .�� � 3 "' ��
County Tavnship County Tawnship
I hereby certify the above statements are true, correcl and complele. � n ur ot lai nt .
>ddr n 6 r and 5lreet, city, stafe, ZlPcode) �
�( �x ai�{ Prz.i ee�l.o � 7 0
,�+3"�'M '�*`'� - � 3���' •.,TRUETAX _��ASSESSEDVALUE -HOMESTEAD -'T s3�NON RESIDENTIALyt� �-
i{-�'�-�-J} � ,}i ASSESSOR��USE ONLY �_ �. .. a ' VALUE• �� ' AT 100% OF��TN - . V/1I.UE�'� t. �'�{7 `�t�`�'� � `.,'VALUEr�; ��E�
r. . .t„ i`J,�"..:.+� _.�',. : F. ,�t„�., u
Land not exceeding 1(one) acre immediately �� �-. .w l-�', i,�.3 �;�i
surrounding residential improvements. (�� " } rY`4� ;`�_ -... i �2 � �
A.r
Otherland (2) -��'�� ss. ,�:
Total land (line 7 plus line 2) �3)
., 5 y-:{J.�Fk4,'f�s �:.h t ."±
Dwelling �4� S i{1 �t j 1-. ��� j{f`a r� 1.�..
Residential improvements "` � �� � �� �' t
g (s) ���� ��� 3� �� ���:�,�-x^x3 s.;
Gara e
- .�..:�.a�".s.:l-'_+-..,�;K�-�:. :.i:�
_��,�'. ,t�:
Otherimprovemenis (6) � �=
. (, y
Tdal improvemenLs (line 4 through Irne 6) (7�
TUai value (line 3 plia line n (g)
I hereby certify the above is W e, cortect, and Signature otAssessor Date signed
complele.
Verifying action - Signawre of Pnditor Date signed
20_Pay20_
Lesser o( 1/2 HomeStead
_ (�/�uation or 56,000
5
Date�ipIIed� — D �
U
•
Gibson County Auditor
701 N Main
PRINCETON IN 47670
0
4034
James B Davis
395 E 200 S
PF2INCETON IN 4i
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[liRlRIN!)!MIIL' /�W I
.\��RIT'Fl] BY [i�TElO\ADCi N��t': il!1�!�
nrwniArnwx�:s�n
.TiY:AVCE1fH.�SJJ .
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InJividuaL. anJ rturried coupb arc limitnf to onc homeveaJ 9andaN J:dunion. �s ihe �ttcipt ol �his dedunan becomen
more beneficial. �here is more ineencnr than e�cr for M1omesteyl fnwi Ilomr'rcal fiawl causes higMr tac bills' (ur all; therefae.
H!A 13i7-?fNW requ"vn uapa�en who nccirc the hanenmJ standa�d JrAuction to rerily tivi Nry are eliciNc w mcrnc �he
benefit ani tu pmcide aAditiu�l idennf}'in_ in(umu�tiun nece.arr to aliw' ewnn� w:rmment ro b_ner muniror homare:xl
filin��.'IUi� inlnrmaiion x�ill Fe Aryu mnlidemial and r.in nnly fn: acm:.eJ by wihorieed rnuny� olTciul�.'1'hr Ikpanmem of
I.ocai Govertvnem Fi�uerc< will use this infoimmion co areate t vls ihat �eill h:ln ��rY ulfieials diminate Iwmes�rad (rauJ.
Tazpaver Name Prnnertc Address
Davis, James B/Ashley B
RI k3ox?76
Princcton 1� 47670
� State Parcel NumAer Leeal Description
I I I I I I I I I I I 26-12-19-400-004.123-027 oo�oa123-o0 PT SE 19 210 2.0o AC
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and sv<e4 �p'. siate, and "LIP code)
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� P�yc„y �aa� -- _ _--
Olher (pleuc spaify in Part 4 below)
�a � iS
� Same ns pmpeny addres�
Othcr (plcasc spccif�� in Pan 4 balow�)
undersigned certifies, under penalty of pepup•, that the abo�•e and foregoing infurtnation is we and correct and that he or she is elieible to '
:e the homestead standard deduciion on this property. Each undersiened al;o understands that, by claimine additional homestead deductions
+fully, he or she may be liable for back taYes and substanrial financial penalties.
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