HomeMy WebLinkAboutHomestead_Gardner (6)DISQ.OSURE FORM SDF ID:
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of perjury, I
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certify that this Sales Disclosure, to the best of my.lmowledge and belief, is ave, correct
t�is prepared in accordance with [C 6-11-S��eat Prypp�rty Sales Disdosure AcC.
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2HESALES OLSOASVBE FOAA1 MAY HE IISm TO MPLY FOR �tTApV OmDCf10NS FOAiHLS PBpPptiy, mp�'1¢yNy OF iS10S6 iHA7 AppLy,
❑ 1. Will [his properry be ffie buyer's prunary
residence? Provide complete address of primary
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❑� 2. Does the buyer have a homestead'tn be vamted for
this residence? Ifyes, provide wmplete address of
residence vacating, induding county:
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3. Homestead �
4. Solar Energy Heating/Cooling S}s[em
S. Wiad Power Device
6. Hydroelecaic Power Device
7. Geothermal Enecgy Heatlng/Cootiag Dcvice
8. Is this property a residentlal rental property?
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Under penalCes of perjnry, I hereby certify that this Sales Disdosure, to the best of my Lmowledge and helie� is a-ue, correcc
and comptete az required by law, and is prepazed ia accordance wiih [C 6-1.1-S.S, "Reai Property Sales Disdasure Ac['.
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SfTTE PoRM 53569 (Rt9-10/ iAEqSURER FOR.\1 T$-IA
MPRO\'ED BY SIATE BOpRD pF ACCOU�TS.'OW PRESCRIBED BV THE DEPAItTMEhT OF IACAL W\'FRNfE\T FL�.aNCE IC61.1 :. 8.1
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Individuals aud married couples are limited to one homestead staadard deduction. As the receipt of this
deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
�uses 6igher ta� bills for all; therefore, HEA 1344-2009 requires taspayers ���ho receive the homestead
�tabdard deduction to verif}� that the�� are eligible to recei��e the bene5t and to pro��ide additional identifying
informatiou necessan� to allo��• count�� go��ernment to better monitor homestead filings. This iuformation
�r•ill be kept confideotial and can only be accessed by authorized county officials. The Department of Local
Go��ernment Eioance will use this information to create tools that will help count�� officials elimivate
homestead fraud.
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Taxoacer \ame Pmnerh' Address S�ah Parcel Number Lteal DescrioHOn:
Teresa J Gardner 419 N SEM WARY ST 26-12-07-203-001 A 12-028 OLD PLAN 79 PT
PRWCETON fN 37670
Comp(ete and return to: . I���Q��m�����➢�m������m0���- .
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GIBSOY COiJN7'Y AUDITOR. 101 N bIAIN PRINCETOY IN 47670
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Owna 1 Firs� A4CNe tast
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Mailiig Aadress (n�er aeW Weel, tly. state aM ZIP wEe) '
� Same as poperty a0aess
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AlaiGrq AEGess lnu�reer ar�e s+reel tlry. srale aM ZIP mCe) ��� as proputy aEMea
SotlalSmmN Nurtber (qst 5 Glglts) Uivers Licensel5late ID NunDCr (�st 5 E10ILS) sue ONa (Wease sV��Y in Pan d p¢Ww)
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Each undersigned certifies, untler penalty of perjury, Nai the above and foregoing infortnation is We and correct and Nat he or she is eligible to receive the �
homestead standard deductlon on this property. Each undersigned also undersfands that, by daiming additlonal homestead deductions unlawfully, he or
she may be liable for badc tazes and substantial finandal penalties.
Ovma f SiA��ae Da;e
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Spwse &giaMe �ate Ttlephane
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