Homestead_McNeeley STATE FORM 53560 OW 8-10) TREASURER FORMTS-IA
APPROVED BY STATE&LARD OF AMOUNTS.SW PRESCRIBED BY THE DEPARTMENT OF LOCAL GOYIA\MENT FINANCE IC 6-1.1-1241
0_
Gibson County Auditor �:E4MPORT_ANT NOTICE TO.HOMESTI:AD-PROPERTY ON' ERS
101 N. Main Street Individuals and married couples am limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
1 benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
• Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
'PART 1: PROPERTY INFORMATION
Taxpayer Name Location Address
McNeeley, Brent H
629 W Emerson
- Princeton IN 47670
724 IpI
Brent H McNeeley II 11III_�III Oil I huI011_II DIII hulliiiDhill11:1111111 hIll IIII�IhI BIIlII.IBII 111111
629 W Emerson.
PRINCETON IN 47670-1329 .
111111111 iliillllti lillltlllllttlltil'i'iiIlllirllillillllli State Parcel Number Legal Description
i,_ 26-12-07-103-002.732-026/ DEVINS ENLG 7 PT
Flit..., - -/ — _ —
JUN 082011 .
c•o.
one oN ou�im�� 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 �/J ) Last
I3renl - i-7 /'/ c/(./ge ier
Mailing Address(number and street,city,state,and ZIP code) I'N Same as property address
9 ln� Emerson/ r i rice ion MI 4-11-'614--e° Iy}1
Spouse - First Middle Last
nA
—M a i l i n g A d d rt s i(Number and s t r e e t,city,–smte,and LIP c o d e)_ _ - - —o-"0 Jame as properly iiddress _ _ -------_ _°
Social Security Number(last 5 digits) I Drivels License/State ID Number (last 5,digits) Other(please specify in Part 4 below)
I—I Ill I 2:: — - .
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.
Owner I Signature - Date
INDIA\A SALES DISCLOSURE FORAI SDF ID 26-2008-0000062 � Pape Z
P.ARER ,
KINKLE HALL, PARTENHEIMER 8 KINKLE
oorrr uf d�t S�des Di.ccL�srmt Fnnn
N. HART ST., P.O. BOX 13
ATTORNEY
HALL, PARTENHEIMER & KINKLE
dddrecs (.\'innher artJSlrteU
�
Cin'. S:�rtr. m:d Z/P Cn��, Tr!ephant ,\i�mbnr E-m�iil
�
JEFFREY H. SUMMERS
Srllrr .,�'au:r ac oppear.a on c»ncc�•aure
629 W-EMERSON STREET
AMY M. SUMMERS
Stllrr -:Vume os ap{K'ars m� ronrtrunce dncumciv
629 W.EMERSON STREET
,1Adre.s (.�5imher inniSvterl I Add��nss l,\Sm�brr and StmrU
PRINCETON. IN 47670 PRINCETON, IN 47670
E-muil
Citv, Sta1�. nrtd ZIP CoJe
(
!nder penaltics of perjur�, I hereby certif� that this Sales Disclosure, [o the best of m� kno�rledge and belief, is true, correct nnd
umplete as required br In�v, and is prepared in accordance �ritli IC 6-I.Lii. "Real Properh• Sales Disclosure:�ct".
�.�� QJ C24wvwv:--,� � �///-s--"� /// '-'�"'m.�'`�7 -
S�. c.., r nf S dei. 5i.t'���lur.� h) Seller
TFF2t'Y V-{. SuMMF2i ���1�1�1� �mv /�I suw��nars /1�/7���
Pri+rterf i�'amr ol Selkr S+gn Dutr I:N:N•DD!Y} iY/ Prinrrd : ame of Se!(er Siln D�ite (dLI BDD.O Y} il
H.MCNEELEY
m� cmirtranre
AND CRE
iTE�iS THATAPPLI' � �
Rurer -,Vm�rc as oppcur.c on rnnvepnna dat'umtnt
1742 N. STATE RD. 65 I
dddrescn'umhe�undS;r�eQ . Addrr.ccfA4mihrrandStrertl �
PRINCETON, IN 47670
Cin'. S1ute.
TelrpAonc J'unebe�r £-mni! Tefzphane:�`umber E-mci!
FOR�I �IAI" RF. GSED TO APPL\"
TH.�T
� I, N'ill this propert}• be che buyer s primary residencz? rovid r i Homzsiead
complrte addrrss of primary residence, includin� coun e ���er4
629 W.EMERSON STREET
Addrr.�s h\5nnhrr �nd StrenU
PRINCETON, IN 47670 Gibson
Cin: Sra�r. anJ ZfP CoJr Ca�mn�
r 2. Does thz buyer have a homestead [o be � lcatzd for this
residence'? If �•es, provide comple[z address of residence vacacin�_.
includine couniy:
9ddrt.c l:\'wnbtr mid Svret)
Citc. Smt.c and LP Codr .. . Cumrn'
as required bc law, aod
Systcm
r (. Hpdroelectric Power Dz��ice
r Z Geothrmial Enzrg}• HeatinJCoolin� Devict
r S. 1; this propert� a residenti�l rental propett�'
�/-a=�% ��3=��.-%3�=0��
' CCfh Y:t a[ I 115 S31P5 DISCI0511�P, [0 Ihc DCSt OI m)' 6nurv�cugr �uu ucuc�, u.� .+�,
prepared in accordance ��'ith IC 6-1.1-5.5, "Real Propert�� Sales Disclosure Ac[".
Si�nannr ojBurer
y /�/= /(/ee (ev 11//f/o6
oj Burei� . � S�gn Date (,VdCDD.4YY}� Printed Nmrtt aj Bm'cr Siyn Date (.i/.17.�OD.)lYY)