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Home My WebLink AboutHomestead_Crooks LATE FOIOA 50M(R21ia,, TREASURER FORM TS-IA S.•Ptm'FD BY IT.STE BOARD OF ACCOUNTS.:009 PRESCRIBED BY THE DEPARTMENT of LOCH.GOVERNMENT FINANCE C 6-11-n4 I IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS Individuals and married couples are limited to one homestead standard deduction. As the receipt of this - .eduction becomes 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 benefit and to provide additional indentifying 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 I: PROPERTY INFORMATION . Property Address(number and street,city,state,and ZIP code) tad / & '- / Co ,4 • D` °-r ee et, y- 6 60 State Parcel Number (U/ T o2lp' �`{- 17 - 300 - c�0I . 53a _ p0 � FILED OCT 252013 PART H:TAHPAYER H‘FORMATHOH Owner I • First Middle J!A ° Last Mailing Address(number and street,city,state,and ZIP code) ,.Same as property address . Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) ❑ 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) Stair 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 Date • HNSTRUCHHONH A-sq MV `P ex IINDIANNA SALES DISCLOSURE FORM SDF ID 26- 2008 - 0000060 Page 2 PREPARER CARRIE WEIL ACCUTITLE, LLC C •, Preparer of the Sala Disclosure Form Title 3820 OAK HILL RD., STE A ACCUTITLE, LLC Address (Number and Street) E. SELLER(S)/GRANTOR(S) DAVID G CORN SHEILA R CORN Seller - Name as appears on c nvevance documma Seller - Name a, appear., on conveyance document 1653 ARTHUR -BURNS RD 1653 ARTHUR -BURNS RD Address (Number and Street) Address (Number and Street) WINSLOW, IN 47598 WINSLOW, IN 47598 Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and omplete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". SEE Ai%c 60 Signature of Seller Signature of Seller Printed Nance of Seller Sign Date (bL10DD/YYY)9 Printed Name of Seller Sign Date (MAUDDIYTIT) BU ' EE(S) - APPLICATION FOR DEDUCTIONS AND CREDITS - IDENTIFY ALL ITEMS THAT APPLY ARLY R CROOKS Burr - Name rs on comrpmice document Burr - Name as appears an coni,nunce ductmient 16 E COUNTY RD 150 S A dress (Number and Street) Address (Number mid Street) oAKL.nND CITY, IN 47660 Telephone Number E -mail HE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN D EDY. - PROPERTY. IDENTIFY ALL OF THOSE THAT F I. Will this property be the buyer's primary residence? Provide f7 3. Homestead complete address of primary residence, including county: Energy Heating/Cooling System 12216 E COUNTY RD 150 S r 5. Wind Power Device Addrea (Number and Street) r 6. Hydroelectric Power Device OAKLAND CITY, IN 47660 Gibson F- 7 Geothermal Energy Heating/Cooling Device City. Stale, and ZIP Code Counry f 8- ]s t11is property a residential rental property? r 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide complete address of residence vacating, including county: ' Address (Number and Street) F _ ZIP Code Cnwiry Cut-. State. and o per ury, ere y cerU y t at t is a es isc osure, tote est o my -now a ge an e c , is true, correct an J,, 7penaftes quired by' law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". WAGH -�D Signature of Bu)-er Signature of Buyer Printed Name of Buyer Sign Date (SAIIDDIMY) Printed Name of Burr Sign Date (ALVIDDI)TY))