Homestead_Cuzzort (2) . SIMI FORM MtAIPr/4Yt TREASURER FOAM TS-IA
.APPROVED by STATE Bn4J(D Of MfTRk%TS.`n„ PRMAIIIn)nY Till DEPMhM.YM(F LOCAL GOVER NMFNT FD:AYCE IC 6-1.1-224.1
Gibson County Auditor
101 N Main u IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Iomestead fmud causes higher tat bills for all:therefor.
f��7 ^ /'S HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verily that they are eligible to receise the_
"�' r f— J benefit and to provide additional identifyine informanon necessary to allow county go ernment to better monitor homestead
v
filing,.This information will he kept confidential and can only h.arcevsed by authorized county officials.The Department of
1 --Le Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Trowbridge, Sheila A/Todd M Cuzzort
502 W MONROE
PRINCETON IN 47670
2924
I
Todd M Cuzzort ,/
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406 S 1ST AVE --
PRINCETON IN 47670-2310 State Parcel Number Legal Description
Itiu llurit llnlnt1ll Itlu llt nt1111 t11unIln tlt tll k 26-12-07-303-004.184-028 019-04184-00 RICHLAND FOREST 22
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
O" Al CU Z ZO r-
L
lei/Address(numb r and street:city.snit-,and ZIP code) - — - X•Some m property addrss — — - — . - — _--.
Li 06 S. ( 5- c� 4. Prince"- T/k/ y7• '70
Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as propeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sae
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.
OwTea I SirnPmn• ��_�/ Date
`I
`.?4J 55 — 401//11) /> l vi cam c
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erelfer.dy 4°fa'r PCs iS 1hcd< eec-r'
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INDIANA SALES DISCLOSURE FORM
n�nncnnndn:.� - . . .
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SDF ID:
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Page 2
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umber E-mail
Seller 1� Name as appears on
_
hereby certify that [his Sales Disclosure, [o [he bes[ of my knowledge and belie(, is [rue, correc[
and comple[e as re�quired by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
Nome as eppears on ronveyantt
\ �.c��-.
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APPLY FOR CERTAIN DlDURIONS FOR THIS PROPERTY. I�ENTI FY ALL OF TIIOSE THAT APPLY.
YES 60 CORDITIOY 1'6S BO CONDITION
1�1 ❑ 1. Will [his property be the buyer's primary � ❑ 3. Homesread
residence? Provide complere address of primary � � 4. Solar Energy Hea[ing/Cooling System
C' � � �esid; nS�clu� � cour([}�� � � rn
l ` � ,� �. ��� � y� S. Wind Power Device
(,jdress(Number�( dS�reetJ ,,r ^7 � �1 6. Hydroelectric Po�ver Device
't" (`��J�f p�r�.. �/' �_i 6 C� � � 7. Geo[hermal Energy Hea[ing/Cooling Device
Ciry,SmteZlPlade Caunty �
❑ � 2. Does the buyer have a homestead to be vacated for � $• �s [his property a residential rental property?
this residence? If yes, provide complete address of
residence vacating, including county:
Addrecs
Under penal[ies of perjury, I hereby certify tha[ [his Sales Disclosure, to [he bes[ o( my knowledge and beliet, is true, correct
and complete as�es}vtJ� by law, and is prepared in attordance with IC 6-1.]-5.5, "Real Property Sales Disclosure Act".
aJBuyerl L� v � � SignamreofBuyer?
.Q.D C�Z 26 � � - 1 S-O
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