Homestead_Dearing -- —i
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
[D'`:'PR-PARER --- --- -- — --- -------- - — --
_C.Dean Higginbotham Attorney at Law _ -_
Preparerofthe Sales D& n,Disclosure Fa Tide
208 East State Street Higginbotham
Addns(Nanberand Street) Comparry
Princeton,IN 47670 812-386-3040 dean(athigglaw.net
ors,.State and ZIP Cade • Telephone Number E-mail
iE:.SEGtiER(S)/GRAN9'OR(S)L _ - -- —_ _--- _-. -_-- _—_- --
Randy A Dearing
Seller I-Name as appears on conveyance document Seller 2-Name as appears on comryence document
968 W350S
Addles(Number and Street) Addles(Number anti So-eec)
Princeton,IN 47670
Under penalties of perjury,I hereby ce i that t is Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c:m t •to as r t t ired t and'; t repave, in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
SignatureofS.er
IF �,, Signature opener
Randy A Dearing - (e t?17
_ Printed Name afseler Sip Date( Printed Name ofSeller Sian Dote WOO/Min
1 :.RUYER(S)/GRANTEE(S)_APPLICATION.PORIPROP.ERTY!TAX?DEDUCTIONSEIDENTIFY.ALL,ITEMS,THAtTOP,LK__ ____._ .
Pinky P.Dearing
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
968 W 350 S
Addls(Nwnber aid Street) Addles(Number and Street)
Princeton,IN 47670
THE SUES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
IZI ❑ 1.Will this property be the buyer's primary z ❑ 3.Homestead
L
residence? Provide complete address of primary ❑ ® 4.Solar Energy H�ng,C LAZY)
residence,including county:
968 W 350 S ❑ 0 S.Wind Power Device ,,,,V n 2017
Address(Number and Street) ❑ 0 6.Hydroelectric Power vie
Princeton,IN 47670 Gibson ❑ 0 7.Geothermal Energy Hgating/C oli ce
Ory,State VP Cede County
❑ Z 8.Is this property a re roe ?
❑ Z 2.Does the buyer have a homestead in Indiana to be v DPTp
vacated for this residence? If yes,provide ❑ Z 9.Would you IikgHArralbiC �Tattlt�ents for this
complete address of residence being vacated, property via e-mail?(Provide contact information
below.Please see instructions or more information.
including county: ^ /� Qa ^
Address(Num6Qard5trxt) _ 7"Q�QPgl�fllle ilf q(�'�f('QQOP�4. -�„�►�O ' ` .
Co t t ` Vr �ft�(i c�c,(� �`f.
1R-P C)e-a tss
got Smre 2IP Cade County Primary properryawir contact name 1E-matlAs_'
e%^� CLAIM FOR HOMESTEAD PROPERTY TAX
3a�': CREDITISTANDARD DEDUCTION
�� Stale Form 5473 (R2 / 5�92)
.���.
FORM YEAR
HC i0� � I"�e ,�,
Sd �� �y
�1. 11.. •.� LLA'
INSTRUCTIONS: See rever5e 5ide lor filing inStmCtions. /��� n U 4
Ff l94.�1
CERTIFICATION STATEMENT ��
•c'f. /`, �=
I iWe) Q• • certify that on the lst da}���la�b�.k9�� _
�
.) occupied as our principal place of residen the following described real pmpeny for which a Homestead Property Tax Credit is here Uclaimed
� I(We) owned ❑ Are buyfng under contract
Have a benefciai interest in the entity that is liable for the properiy taxes on the propeny and that owns the property or is buying under a contraci.
CONTRACTRECORDED
II buying on ContraCL Fee Simple owner's name
Recorder's oH�ce where coniract is recortletl Record number Page
Couniy
Parcel number
C�(, -oole�
- I I I.II R �
It any portion of the residemial simcwre o� ihe lantl not e.ceetling one (�1 acre that immetliately surrountls ihat stmcture is usetl ro pmduce income. describe Ne use antl
ot Ne pmpeny utilized m protluce inwme-
ASSESSOR USE ONLV TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
ILand not exceeding 7(one) acre immediately I I I
surroundingresidentialimprovemems. (�)
IOtherland (p) I
Total land (line 7 plus line 2� (3)
Dwelling (a) I
Residential improvements
Garage (5) I
Other improvemems (6) I
Total improvements (line 4 lhrough line � I(7) I I I (
To�al value (line 3 p�5 line ij I(8) I
I hereby Certi�y the above i5 true. Correci. and Signawre of Assessor I Daie signetl I
complete.
� ying aceion - Signa;ure oi Audiror I Da;e signetl
79_Pay19_
Lesser of 1l2 Homestead
Valuation or 52.000
Signatu�e ot AuOi;or.
STANDARD
STATE F02N S1569 (PJB-10) •
TRERSURER FG�iM TS-IA
MPROI'FJI BY SiATE BOAAD OF ACCOUYiS, 5009 PRESCRIBFD BY TME DEPART�.\T OF IACAL GO\'ER\:NE\T FI�A.\CE IC6-1.1-'_'-8.1
t 1 � ' , / , . ' 1 � , 1 I / � . _
Indi��iduals and married couples are limited to one homestead standard deduction. As the receipt of this
deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
•causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive the benefit and to provide additional identify�ing
information necessary to allow county government to better monitor homestead 5lings. This information
will be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help counh� officials eliminate
homestead fraud.
Taanaaer \'ame
Randall A Dearing Sr Sr.
Complete mtd return to:
Prooem Address
96S W 350 S
PRINCETON IN 47670
Stam Parcel \umber
26-11-25-400-000.100-027
Leeal Dexrimion:
PT SE 2i-?-11 I.I I A
D-17
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GIBSON COUNTY AUDITOR, l0I N MAIN PRINCETON IN 47670
Owner 1 Fvst
RaNdc� ( I A I 1� N
Ma1Wp AEEreu (nmber an0 zveet tiry, state anE ZIP coOe)
�ro�? ►�� 3SoS Pr� rvice-bN,.���.
P� �kY
wnter ane s5eet ary. s�ate ana Zia coae)
�
Each undersigned certifies, under pe
homestead standard deduction oyh
she may be liable for back t��s and
Owner Signapae
4
ury, Ihat Ne above an0 toregoing intormation is We antl wrrect antl Ihat he or she is eligible to receive I
Each undersigned also undersiands that, by claiming additional homestead deduaions unlawfulry, he or
financial penalties.
�..�� Data