Homestead_Miles STATE FORM 53569(Ri/5-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-222-8.1
f r 4„ . MPORTANT NOTICE TO HOMESTEAD PROPERTY`QWNERS
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Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
'^duction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
IiiPcauses 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 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.
715 PARTI—PROPERTY INFORMATION w -
Tasoarer Name Property'Address State Parcel Number Lesal Description;
Andrew S Miles 1006 E EMERSON ST 26-I2-OS-103-000.986-028 S&R ADD 15 PT
PRINCETON IN 47670
Complete and return to: Itl1111t1�Jhtl11��11[IIILIIiI�ull�hll�� �(I�� � �������
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 .
. x, , ,'_st PART 2: TAXPAYER INFORMATION
Owner 1 Fest Middle Last
Prndr t.u) S-1-e_pile/ m eS
Marling Address(number and street,coy,state and ZIP code)
v Same as property address
IDOCQ E Erne 1 Sow ' "Fr l✓\ce*cn Irk) < lI ?
- - -
Spouse First Middle Last
Marling Address(number and street,city,state and ZIP code) I ' same as property aadresa
Social Seaway Numb.r(last 5 digits) Drivers License/State ID Number(last 5 digits) thee Other(please specify in Pan 4 Deb”)
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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 1 Si.•.tire Date
5 r
I
I d
NOV 5 2012
GIBSON COUNTY AUDITOR
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f,\DIA�A SALES DISCLOSLBE FOR�I SUF ID 262009-1000080 � Pa�e?
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J. ROBERT KINKLE HALL, PARTENHEIMER & KINKLE
Prcyorer oJ rht Safet Disclo.nire Form
r9 N. HART STREET, P.O. BOX 13
PRINCETON,IN 47670
Cin�. Sr�nr, ond ZIP Code
i. SELLER(S)/GRANTOR(S) , . ; ' ' : ,�> � , _ , _ ,
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ATTORNEY
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HALL, PARTENHEIMER 8 KINKLE
er E-mni(
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�GAW PROPERTIES, LLC
Se!!er -,\Smre .xs appeors on comr�nnre da'umani Sef(er -:\ume as nppeart a� rornreante dtw^umenl
P.O. BOX 1077
.iddrets (\Simber ar�d Srreeil qddress' L17.mber ond SlrerU
PRINCETON, IN 47670
F-mai! Talephona:�innber E-mail
Jnder penalties of perjurr I hereb�� certi(�� that this Sales Disclosure; ro the best of m�� knoe�ledge and belief. is true, correct and
omplete as required b�� 1. c, and is prepared in accordance �rith IC 6-1.1-iS. "Real Propert}� Sales Disclosure :1ct".
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ANDREW 5. MILES �
�cer - n'ome as upyears m� t .yontr da'ament
Printed:\'ume of SzNu� Sign Dn1e (b1Al%DD/}'YY] j
�1L'L 1
Bu��er - h'nme axs oppears an cnnveraiocz dxamenr
9Jiress l:�'umber and SnerU
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PRINCETON,IN 47670
Cin�, S1mr, m�d ZIP CaAt Glr. Smre. und LP Code
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Trlephone:\'umber f-mnil Televhone:\'umber F-mail
fHE SALFS DISCIASURF FORU �L�l' BE USFD TO APPI.I' FOR CF I\ DF,DUCTIO\S FOR THI. OPFRTI'. IDF\TIF\' ALL OF THOSE THAT
� I. R'ill thii propeny be the buyer's primary residencz'! Pro ��. Homestead
complere address of primary residence. includinR county: r 4, Solar � _.� eatin�iCooline System
1006 E. EMERSON STREET
A�i�r,cc (A5nn6er and StrerU
PRINCETON, IN 47670 Gibson
Cin�. S1atr, nnd Z/P Code Cwmry
r 2. Does ehe buyzr have a homes�zad co br ��aca�ed for rhi�
residznce? If }•zs. provide comple�z address of residenct vacatine.
includine counn :
.1Jdrrs�' (�'umbrr nnd Srree+J
Cifv. Smle. ond ZIP Code CnmN�'
r 5. �\'ind Power Dcvicc
r 6. Hydroelectric Power Device
r 7. Geothennal Enzrgy HeatinelCoolina Device
r S. Is this propem� a residential rental propzm?
dG-ia-aP- ��.� - oao. 92� - oa �'
n�, 1 herebc cerfitt� [ha[ this Sales Uisclo5ure, [o [ne best o� m�• KnowD
law, and is�epared in accordance wi[h IC 6-l.1-i5, "Real Properh•
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vnumrr ol oui•e� ..��.,�,�.,. qi ..., o.
i9>�ro,�z� �. /ylr�cs 3��%r,z�og
Prirttrd J1'an:e oJ Bin'er . i n Dnm 1.11.1f/DD,%}YY7% Pr�meA,Vumr oj Burer
Disclosure Ac[".