HomeMy WebLinkAboutHomestead_GarwoodINDIANA SALES DISCLOSURE FORM SDF ID:
Page 2
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o(the Sales, Disclosure Form Title
AddressfNumberand E SERVICES. LLC
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City, State, and ZIP 47708
. E. SELLER S
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Seller l- Name as appear; an conveyonce document
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Address (Number and Street)
this Sales Disclosure, to the best of my knowledge and belief, is true, correct
[e as r ui y law, and is p pared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
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Prided Nam o Seger Si aDate MM /DD Printed Name o Seller Si nDate MM /DO
.F.BUYER(S)/GRANTEE S - APPLICATIONFORDEDUCTIONSANDCREDITS - IDENTIFYALLITEMSTHATAPPLY
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Buyer I - Nam as appears on con doaumn t
Buyer 2- Name as appears on conveyance document
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lipddress(h'amberandStreet)� ' I.r�'l�
Add. (Number and Sweet)
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THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's primary
9 ❑�,( 3. Homestead
residence? Provide complete address of primary
E] CJ 4. Solar Energy Heating /Cooling System
7)1V We incl din county:
5. Wind Power Device
❑ 6. Hydroelectric Power Device
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❑ 7. Geothermal Energy Heating /Cooling Device
❑ $ Is this property a residential rental property?
Ciry,Stamte Z/IPC�, a County
❑ L6�"' Does the buyer have a homestead to be vacated for
this residence? If yes, provide complete address of
residence vacating, including county:
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Address (Number and Street)
CityStataZIPCode County
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
a complete a e�e by law, a is prepared in accordance with IC 6- 1.1 -S.S, "Real Property Sales Disclosure Act ".
rN', % Signature o(Bvyer2
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Printvd4.aafBuy,r1 Stan Dea, MM/UD/YWY) Printed Name o Bu0nr g Sign Data MM /DD
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TITLE FORM!Me. /awl TB[ASUVArORM EST
APPROVED BY SAVE ROVtoor AMOUNTS.2IRN PrI3RIBtn BY VIE DEPARTMLYT(E LOCAL GOVERNMENT FINANCE IC I.1-224.1
Gibson
• 101 l N IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
mole beneficial,there is more incentive than e'er for homestead fraud.Ihomestead fraud causes higher tax bills for all:therefore.
•� HEA 1341-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing:.This information will be kept confidential and can only be accessed by authorized county officials.The Depannrem of
Local Government Finance will use this information to create ads that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Garwood, Penny L
303 N Division
Francisco IN 47649
1702
Penny L Garwood
303 N Division State Parcel Number Legal Description
FRANCISCO IN 47649
26-13-17-303-000.012-005 012-00012-00 SHOP ADD 43PT
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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.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Lasl
.nrnl Lee_ ga/1.0000/
ding Address(number and street,city state,and ZIP code) [] Same as property address
03 N . \ i say s r- ( Rrca.ncv co , "LIU 476, ceq
Spouse First Middle Last
Mailing Address(Number and sweet city,stale,and ZIP code) 11 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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PART 3:'CERTIFICATION --
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct 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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
I Signature Date Co
PART 4:ADDITIONAL INFORMATION
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