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Home My WebLink AboutHomestead_Devine (4)INDIANA SALES DISCLOSURE FORM SDFID: Pa e2 =D�AEP,IiI2&'R-- � ,�tz.�e"�` ��°�� '� �`.��-� :� �-z3„�"�°"_'�-�,�-�� .�:sa �� Sames G. McDonald, III 'Attorney at Law Preparer o(the SafcOlsclwvre Farm Title 120 S. Main McDonald, Law Office Addr� (NUmberanE SbeetJ [� E-ma/l �EgSE1,iEER �SsGR'A�`NcTi0R:5�� -- � - - Lester Robert "Bob" Devine Sd/er ]� Name aa oppeon on ronreyann Jocumrn[ SUlcr S- Name n appmrz w mnveyantt docvmmt 624 S. Gibson eddrar (Number and Svee[) Addrm (Number anE Strrr[J Princeton, IN 47670 Ciry, Smtq and7JPCode C/ry, Sm[G ondTJP Cade Email Te! hweNumber E�mail Under penalties of perjury, 1 hereby certify that tLis Sales Disdosure, [o the best of my knowledge and belief, is We, torrect a�com,ylete as rgqgired by law, and is prepared in accordance wi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Ac[". y ,�r - � fr�� i/r � 5;g�aa2 �5��« srg�oa.�o�s��v LESTER ROBERT "BOB" DEVINE / J�/—/ p PnnledNamea(Seller AnDahMr/DD PnnfedNameo(SrJler SlonDatef�r+i00 � .--_._� - _ _ _ ' =6elB.� • � . �, -'�. TEE �5�'C 'P,PG ^. , , �� FF,QR:P,ROEER�7Y�Tt1X^DEDUCTtQNS-�rIDENTIF�l'�AItL I$E+�t�THr1T�AP,P,LY` � "�T�F"� Sandra Jane Devine Buyer 1- Nome ac appenrs om m�veva Buyn 2� Name ae appears on conveyance dxummt 560 W. Glendale Addras(NumbrrandSveeQ Address(Numberand5veet) Princeton, IN 47670 Te/eohoneNvm6n E-mail Tde honeNvm6v E-mai! THE SALFS DISdOSURE FORM MAY BE USED TO APPLY FOR [QiTAIN DEDURIONS FOR THIS PRO AL THAT APPLY. YFS NO CONDITION Y NO CONDITON � ❑ i. Will this property be the buyer's primary � ❑ 3. Homestead residence? Provide complete address of primary 4. Solar£nergy Headng/Cooling System residence, induding c unty: � S. Wind Power Device ��J` lPoosevc�T �R � !�Jdrev(NUmberand5trttt) /� ❑ � 6.Hydroelec�icPowerDevice Y'R i AIC� 'Tb y� �i✓ �%�07� (� /�SD.i% � � 7, Geothermal Energy Heating/Cooling Device �.Sm[eZIP[ode Counry ❑ 2. Does [he buyer have a homestead in Indiana to be � � $� �s this property a residential rental property? vacated for this residence? If yes, provide �❑ � 9• Would you like to receive [ax sta[emencs for this complece address of residence being vacated, propeny via e-mail? (Provide conmcc information induding county: belaw. Please see instructions%r more informadon. 560 W. Glendale Not ovoilo6fe in o/I countles) . Addr¢s(Numberand5treet) ^ , '^/� Princeton, IN 47670 �:, Rso� �� rx�—a� -003. �� Ciry, Smte LPCode County Pnmaryp�oprztymvncmnmctnar.ne E-mall Under penalUes of perjury, t hereby certify that this Sales Disdosure, m the best of my Imowledge and belief, is trve, correct and complete as required by law, and is prepared in actordance wi[h IC 64.1-5.5, "Real Proper[y Sales Disclosure Ad". (Note: Spouse information, Social5ecurity and Driver's License/Other numbers are not necessary if no Homestead Deduction is bein ed.) bw L�/k,-�� SignoNreoJBvyerl � SignaNreofBuya2/Spouse SANDRA JANE. VINE �0'�'/J �AnnredLegalNv.�neo/Buyrl SignOaM(MN/�D/YYY1J PnntdLegolNameajBvyv2/Spouse SignDa[e(MN/00/YYYI'J LastSdigiaa/Buyer]Dnver's Stare LaslSDigiGto(SoaalSecunryNumber LastSdigiGro%Buyer2/SpouseDnver's Smte LastSDigitraf5acicl5ecuriry License/!D/O[herNumber Number License/ID/OffierNum6er Y� STATE FOR.N 53569 (Rll&10) TAFASURFR FOR.\1 TS-IA APPRO\'FD BY S7AiE BOARD OF ACCOU'�'i5, ?009 PRESCR�FD BY THE DEPAit'l��T OF LOCTL GO\'ER.\1fE\T FL\p.\CE IC61.i-1-B.i Individuals and married couples are limited to one homestead standard deduction. As the receipt of this �eduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud �auses higher tax bills for all; therefore, HEA 1344-2009 requires taspayers «�ho receive the homestead standard deduction to verify that they are eligible to recei��e the benefit and to pro�lde additional identify�ing information necessary to allow county government to better monitor homestead filiogs. This information «•ill be kept confdential aud can only be accessed by authorized county officials. The Department of Local Government Finauce will use this ioformation to create tools that �vill help county officials eliminate t d .� Taxoaver\am< Pronem'Address StateParcel\'umb<r Le?alDaerinNon: Sandra 1 Devine 4I5 ROOSEVELT DR MAY 9 ZO�q6-12-08-203-003.421-028 DIKE EhLG SEC B 31 PRRJCEfON IN 47670 C'J. n� Complele and relurrt !o: GIBSON COUNTY AUDITOR �W;I��p�1��p�LL��O1LL0��60m0�p��I�O��WI GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON [N J7670 •• • Owner 1 First htiCEb •� Last �Y` i V./[�I / MaiGng AtlCreu (nianEC aM strae� uty, state arb ZIP cotle) �$y�a as property atlOrass Social Seaairy NiaMer (lut 5 tligi4) Dmeh Lirense/SWta ID NumOar (laat 5 tligits) swe OUrer (pleasa spetiy in Pert a Eelax) ��- � � �� Spause F'us� MitlCle LasY Ma'iling ACdreu (nunEet anC sVeel dry. state antl ZIP cotla) ❑$�a es properry aECreu Saial Seaairy Nimiber past 5 tli8�u) Dr'rvefs LicenseJSiate ID NumDar (last 5 tllgita) sne ONer (pleasa spacily in Part a balow) m � Each undersigned certifies, under penalty of perjury, that the above and foregoing in(ormation is true and cortect 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 unlaw(ulty, he or she may be tiable tor back taxes and substantial flnancial penalties. Owner 1 igrunae � Date �� Spouse Sigr�a:we (� DSe Telephone � � ' � � � � � � . Gibson County Auditor 101 N. Main SUeet Princeton, IN 47670 . �II,EI� MAY 10 2011 c�.m� ., GIBSON COUNTY AUDITOR 3314 MPCO.'FD el' s�!9 TNF'ASURFRiOtMi-IA ` Indi�iduals and muried rouplcc are Ivnittd m one humatead standard dcductioa As ;he rtteipt of �his deduction 6emmes more brneficial, �hcrc is more incrntrvt tlun ever (or homeslcad fmud. Homestead Craud auus higher tax 6i115 (or all; �herefore. HEA 13-f4-?009 mqu'vn taxpa}crs wtro rccen�e thc homesccad siandard deductian tn .xrify Ihac �hry are eliFiblc to recenx �he bencfii and io pro.�ide additimul idrntifring infomu�on �uccssan� to allw' county gmrnvnecl to bcucr monitor homes�e,�d filings. 71us infortnation will bc lepi mnfidrn[ial and um only 6e accesud by wihor'vcd crn:nrv of5cials.'I'hc Ihparmicoc of I,aral Gm'emmmt fiiunce will use tRis infomution ro crt•ste tools ihat will 6elp munry officials elimilute Iromestwd faud. 1 �' 1 Taxpaver Name • Location Address � . Devine, Lester RobeA � . , . � 415=ROOSEVELT - PRINCETON IN 47670 --- sa�d�a � oe�,�e —11fi6i�11��0111 �il�l Ilniiil i��iil�i�illl��ilalldilll�iOl�ili01ii6i �ll�ll�l�liiiialiC— 415 Roosevett Dr PRINCETON IN 47670-3233 ��'�II�"��I"I'��'�III��III�'ill"��9��1�'1�'�'�I��'� StateParcelNumber LeqalDescription � ° 26-12-08-203-003.421-028�/ DIKE ENLG SEC B 31 , , � � c This form MUST be retumed to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. (munbcr and strecL city, stau, and ZIP codc) 5 digiss) � Drivels LicensdStatc ID N�bcr (last 5 digits) ` I ; Address (�. `umbcr and svcc4 ciry, state, and 7.IP code) Drivers LicenulStau [D Number (lan 5 digia) I � I I ' �I � � $ame u property address OtLer (plcau specify in Pan 4 bclow) Ism� � Sarnc as properry address Othcr (pleb5e spetify in Pazt 4 bclow) � . J s� I � " undersigned certifies, under penalty.of pequry, Ihat the above and foregoing infortnation is true and correct and that he or she is eligible to ve the homestead standard deduction on this property. Each undersigned also understands that, by clauning addirional homestead deducnons vfully, he or she may bA liable for back taxes and substantial financial peqalties. _ � , b,Hn,n� I--�g f/ Io._....-- �� )