HomeMy WebLinkAboutHomestead_GilesIIVDIANA SALES DISCLOSURE FORM
D.PREPARER
Oisrlosure Farm
Addres (Numberand Svee!)
Recordina Soecialis[
Title ,
REO Title Services LLC
Campany
Indianapolis, IN 46202 ti�
Ciry.Smte. and IIPCodr Telephnne Numbe E-mail
Household Finance Com III
541er ]- Nome as appmrs on cam�ryana Jotumrnt
9R1 Weigel AvP
Addrw (NUmbe� and StreeQ
SMler d- Name as oppmrs on tanveyance doavmmr
Addras (Numbrr ond Sbret)
Elmhurst. IL 60176
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Tele honeNumbrr £-maT il Tde honeNumWi E-mail
Under p a es of per' ,1 hereby certi(y that this Sales Disclosure, to the best of my Imowledge and belief, is true, correct
and co le�"�3.r�q ired by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
1-Name
-APPLICATION FOR PROPERTY
�176
FOILN MAY BE USED TO APPLY FOR CERTAI4 OEDUCI70A5 FOR THIS
� � 1. Will this property be the buyer's primary
residence? Provide complete address of pri ary
residence, including coknty:
_ �U 1 In\ �..la,�_�r3,%R.ru--� �
�e(Num6erand5treel) n
P�ricC- � o,-1 , i �l 4��0 l-,�RSO_l
Ciry.Srote Zl�— Counry
❑ � 2. Does [he buyer have a homestead in Indiana to be
vaca[ed for [his residence? If yes, provide
complete address of residence being vacated,
includ�lg�county:
Address (Numher and5[reet)
Ciry.StareZ/P[oee Counry
sry�oMree/s�nU
ALLITEMSTHATAPPLY
Bvye� 2- Name as appmrs on ronvryante
Add�as(NUmbe�andStreeQ '
Ciry.Smte. andZlPCade
TeleohaneNUm6er
�ER .IOENfIFYALLOF TAPPLY.
FS NO CONDITION
T�❑ 3. Homestead
a�ner atlng/CoolingSystem
�
�
�
S. Wind Power Device
�`/ Hydroelectric Power Device
�. Geo[hermal Energy Heating/Cooling Device
Is [his property a residential rental property?
�9. Would you like to receive tax statemenCS For this
property via e-mail? (Provide contac[ in�ormotion
below. Please see instructions jor more in�ormation.
Not ovailable in all counties.J
aG-/a -o7-3v s -vo/.Gs�9- aa �'
� rnmarypropertyawnertanmc[name E-moil
Under penaldes of perjury, I 6ereby certify that this Sales Disclosure, to the best of my Imowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance witL IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
j����'02(
Sign Date (al.v/uu/�'n'h
Signomre o/Buyerd/Spouse
PnntedlrgalNameofBuyer2/Spouse S{gnDa[e�NM/o�/YYYt]
LastSdigitro/Buye�7�river's Sm.e LustSDigiGCOjSocialSecurityNum6er I LastSdigiuo(BuyerZ/SpoureDnver's Sm[e LastSDigiuo/Social5ecuriry
License/ID/OtherNumber Number License/lD/OtherNum6er
/�
Glb'sori County Auditor
101 N Main
PRINCETON IN 47670
97$
SLV£ fOAN �1K�2'/ fN1
IRFASU4LFl00.Y'SIA
lnJi��idual> anJ mattiN coupin are iimi�ed to ore homewnd �andaN JNu7ion. As ihe receip� of this dedunion bcaonre_
more bemficial, thrre is morc incenm�e than ner (or homestead fraud Hom vead f�aud causes hi�her �aa bills ior all: thercfae.
HEA 13a-i-2009 rcquims uxpa�en xho reccive ihr hanestcad s0ndarJ �4vlunion Io vxrily iha� �he�� are clieiWe lo recmc ihe
benefit anJ m p�m�ide aikli�ional iJrntiiyinc Iniormation Mce+-vn' �o allue' cuunn' gm'emmrni ro Mner moniror homesrcad
fili�y. This infomution x�ill be Aery conli�lmtlal amt can nnly he aceecseJ br awho�aed mumy nfiicials. The Depannreni nf
Local Gwemmcm Fiwm'c ��ill mc [his informatiun ro crcau twls �hai will h:Ip cm�tt' ufficials elimiaitc homatead fiaud.
, • , , , ,
Ta�oaeer Neme Prnpert�� Address
Braun, Sandra L
Tiffany E Giles
501 W Mulberry
PRINCETON IN 47670-2347
�i�u��ni����u��n���inn���n��n�n��ui���unn�����n�
v _
501 �1' hlullx�m�
Princeton I\ i7670
State Parcel NumAer Leeal Description
2612-07303-001.649-028 079-01649-00 PRINCE PLACE 45 PT/46 PT
_. __ .,\.'_'__' ' ' ._ ___"__' ' `__ __' _
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.
a.De� i
saat, city, smtc, and ZIP cadc)
z�
SI �
N �-N - �
NC Address (l�umber and Nee4 cily, Slaie, and'LlI' cotk)
� ��
d Sttyriq� Number (las[ 5 digits) Drivers License/Stare ID Niunber Q�st 5
s+ pmpem addrcs
� Smne u pmpem addlas
4
undersigned certifies, under penalry of perjury�, that the abo��e and foregoing information is we and correct and that he or she is elieible to
�e the homestead standard deduction on this property. Each undersigned al>o understands that, by claiming additional homestead deductions
�fully, he or she may be liable for back taxes and substantial financial penahies.
( )