HomeMy WebLinkAboutHomestead_Daly�
�
�
1.\DU,�'ASALESDISCLOSUREFOAM SDFID SDOID 727747 Pagel
_D. PREPARGR... . . . ' ..-� .: .. . . . � � � : � - .. :. .
Samamha CNSitmer
('rrycrtro/�hextn DisWr.ve farm 7itlr
226 W. Broatlway BroaQway Ttle Irrc.
� .IdOrto(.4'umbvaMS✓iet) �
E.SELLERS GRANTOR
Scott E I(i,sch
Srper )-Nmn m ep�mrs on rw�. wae •J�nvmrm SAIc I� Nume � o�-jron rm �vn.iym�e Eawrcnt
602 E. Oak
Add:rss(NvmOerand BmtJ .i�-0� /n'umbrr:nd S:neQ
Princeton,IN 47670-
G�; Smu,
Emoil lrie nennmbn Rnrod
Under penaltles of perjury, I hereby certify that thls Sales Disdosure, ro[he best of my Imowledge and belief,ls Irue, correct
and complete as required by law, and is prepared in atcordance µith IC 6-11-5.5,'Real Property Sales Disclosure Act".
�OP THIS PROFEHTY. IOEIJfIFY ALL Oi TNOSE TNAT APPIY.
YES NU [08DRION I 1E5 NO COSDITIUA
�x � 1. Will this properry be the buye?s primary �x � 3. Homestead
residence? Provide romplete address ofprimary � Q 4. Solar Energy Heacing/Cooling System
residence,includingrnunty: ❑ �
s02 e Owc S7. 5. Wind Power Device
nee���n�um�,��as:,�n� ❑ Q 6. Hydroelectric Power Device
Princeton, IN a7670 GieSON � � 7. Geuthermal EneR;y Headng/Cooling Device
Gry.SmxZ/PCoG� Counry
��c ] 2. Does the buyer have a homestead in Indiana m be ❑ 0 8. Is this property a residenrial rental properry?
vacated for �his residence? If yes, provide ❑ � y �vould you like to receive w�c stacemencs for [his
tomplete address of resiAence being vamted, properry via e-mail? (Provide contact in%rma[ion
induding counry: Gelow. Please see instruttions�or more informa[ion.
�\bt cvnilable in all countles.)
eetress(Nmneonnesven)
�,ry.�os�,o��. �o��ry � ti=i � - -, aa �.� ao � o
{YIOIOrypN(KIIY ��Tei [Vnm(f M�M E�-rcll
/•
�
STATE FORN 53569 (R3B�10) TREASURER FORM "CSIA
APPRO\'ED BY SIATE BOARD OF ACCOUD.TS, 2009 PRESCRIBED BY i}1E DEPARTIE\T OF LOCAL GOVER.�M1�M FI�ATCE IC61.1 ??-8.1
, / , � , , � . ' 1 �' � � O �
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this �
�duction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
causes higher tax bills for all; therefore, HEA 13Ad-2009 requires taspa}'ers who receive the homestead
standard deduction to verify that they� are eligible to receive the benefit and to pro��ide additional identif}�ing
informatiou necessary to allow count}� government to better monitor homestead filings. This information
will be kept confidential and can ooly be accessed by authorized county officials. The Department of Local
Government Finance �r•ill use this iuformation to create tools that will help county officials eliminate
homestead fraud.
��� �. �
Tazoaver �ame Pronem' Address Swle Partel Yvmber Le¢al Des<riotian:
�faureen E Daily 602 E OAK ST 26-12-07-202-002.005-028 WARNOCK 20 PT
PRINCE'fON IN d7670
Canplere and return to: IQ�]��QQ�LQ��Q���m��������������.�������m�
GIBSON COUNTY AUDITOR, 101 N D1AIN PRINCETON IN 97670
Spouse First / htiEdle Last
�� J ��
Mailvg AtlEreu (nianber antl s•.reeL dry. sute anC ZIP mtle) � Sartre as property aCEress '
—��
SotlalSeauiryNumber(IastSEigits) Driveh�icenselSUtelDNianEer�last5algin) swe pih¢r(pleasaspactlyinPart<balow)
\ _` —� � � �� —. I I m
I I
— __ �
� ��,'
Each undersigned certifies, under penalty o( perjury, that the above and foregoing information is true and wrrect and that he or she is eligible to receive ihe
homestead standard deduction on this property. Each undersigned also understands that, by claimin9 additional homestead deductions unlawfully, he or
she may be liable for back tazes and substantial financial penalties.
Owner 1 Sigriaaae Date Teleywna
��,�,,.- �� 04 � o� �aoia �
Spwsa Signahae Dato TelepMere
� �
• � � � � � � "P:
•