HomeMy WebLinkAboutHomestead_ConwayINDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
J. Robert Kinkle Attornev
Preparerof [he Sales Disdosure Farm Title �
279 N. Hart St.. PO Box 13
es (Numberond Stree[)
�ceton.IN 47670
Ciry, Smte, and ZIPCode
E.
Fctate of Annilee Smith Os6omP. Shelly Hardiman. PPrsonal Ra�
Seller ]- Name as appears m converance dotumm�
Address (Number ond Sveet)
PrinePton IN 47670
��
Hall. Partenheimer 8 Kinkle
Compan�•
Seller? - Nnme as appeors on ronvevance dotumen[
Address (Number ond SveetJ
Ci9�. Smte, and ZIP lode
E mail
Email
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is tne, correct
and eomplete as required by law,�and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure AcY'.
)`Q�,�/.�./� �.�CG-r.�ti
Signamre of5 Iler �/ Signam�e o(Seller
Shcihi HoMim�n Porcnnal Ron �"Y/ 7/�u
-APPLICATION FOR PROPERTY TAX
on ronreyanre documen[
Address (Number and Stree[J
THE SALFS DISCLOSURE f'ORJI MAY BE lISED TO APPL1' FOR CERTAI.Y DEDUQIOHS
�✓ � 1. Will this property be the buyei's primary �
residence? Provide complete address of primary
residence, including county:
�07 N 3rd Avenue
Addres (Numberand Sveet)
Princeton IN 47670 Gibson
Cip�. 5rute ZIP Code Counry
Q � 2. Does the buyer have a homestead in Indiana to be
va�ated for this residence? If yes, provide
comple[e address of residence being vacared,
induding county:
629 Makemson Avenue
Add�ecs (A'umber ond S�ree�)
Princeton IN 47670 Gibson
[iry. smte ZIP Code Counry
NTIFY ALL ITEMS THAT APPLl'
Burer?- Name
Address (Num6er ond Street)
Princeton.IN 47670
Teleohane Number E-mail
PFS NO C
❑✓ ❑ 3.
❑ �
❑ �
❑ �
❑ `�❑
THAT,IPPLY.
nergy Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Hea[ing/Coolin� Device
8. Is this properry a residential rental property?
� Q✓ 9. 4Vould you like co receive tax statements for this
property via e-mail? (Provide con[act in/ormation
below. Please see instructions jar more information.
Not available in all counties.) �
a�-//-�a-ic�- �. �'9r- aa
Brian & Stephanie Conway
name
Under penalties of perjury, I hereby certify tha[ [his Sales Disdosure, to the best of my knowledge and belief, is h-ue, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcC'. (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)D //�++
/ `-' " " _ �f—� /�w / / �� . �L-�-T
�mreo/Buyer] �Sig m�eo(Buve2/Spause
R ian C fbnwa� `�-Z7— 2��� Staphanie S(lnnw:ry
Pnn[
License/ID/OtherNumber Number License/ID/OtherNum6er
Gibson Counry Auditor
101 N. Main SVeet
Princeton, IN 47670
(•
_ �II,EI�
APR 5 2011
ikFASI'FFIIiO0.M1S�A _
Individuals and married wuples are limited m ane homcctead standard deductioa As the receipt o( this deductian hernmes
mom 6eneficial, �hcre is more inccntive than ncr for homestead fmud. Homes�esd freud causes higher tax bills for all; thcmfore,
HEA 134:-?009 requims tacpa�rn afio recenx thc homestred standard deducrion co �crify ;hac �6ey arc eligible to racne [he
benefit and to prm�idc additioatl idcnufiing infomution necessary to allow� cow�ty grn�emmeci to betur monitm Fwmestead
filings. This information will be kept eon6deneial and can only be acecsud by authoriud counry ofT'ieials. The Depvanrn; of
Incal Gnvemmmt Finanec uill aY ihis infnrma[ion ro crrate mols tlut witl hdn counn• officials elimirute tromestead faud.
C.'J.n` �,�\
347 V v
GIBSON COUNTY AUDITOR
Brian S Conway
107 3rd Ave
PRINCETON IN 47670-1009 �
�III�'����I�I"�'I�i'll�'I'll'll�����1'I��I�II�'I�III����I�I�II��
Taxpayer Name
Smith, Annilee
ul
Location Address
707 3RDAV
PRINCETON IN 47670
� �II� II� II�I
State Parcel Number Lectal Descriution
26-11-12-103-002.891-02�OWER HGTS 119
------_--�—_ --�._ - ,--- - -_- - _
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.
,(�,2iA� • o I �C'OT/
ling Addxess (numba mmd street, ciry, stau, md ZIP codc)
/D7 3�`� A✓E 1�/1i,vice�o,..�
ial $ccurity \�bcr (last 5 digit�) Drivcr s License/Siau [D Numbcr (las� 5 digits
^� Is�
ng Address (Number and � ciry, srate, and 7.IP code)' � ' — ° -- ' ' - . - .
ln � .3�d �e �f e,�✓�P�,��, � �76 ��
il Securiry �umber (lazt 5 digits) Drivers License/State ID Number (lut 5 digits)
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, �OivArA��
s�� � �� �s
�7b7o
spccify in Pan 4 bclow)
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' az P�P�+�Y addtess— ---' — -, _ _
Oeher (please spccify in Part 4 bclow) .
undersigned certifies, under penatty of pequry, that the above and foregoing infortnation��is We and correct and that he or she is eligible to
+e the homestead standard deduction on this property. Each undetsigned also understands that, by claiming additional homestead deducdon
vfully, he or she may be liable for back taxes and substantial financial penalties.
wner 1 Signatu2
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