Homestead_Denton STATE FORM 53/69(R2A-09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1
IM T OK. igrir NO IC -CHO IlicaniMagku e 6 0 a Y OWNI :1°a,S
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
.4-Auction
higher tax bills for all; therefore, HEA 1344-2099 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.
PAR.1: ROPER Y i ORM TON
Taxpayer Name Pro perty'Address State Parcel Number Leoal Description:
y ,. 5- /aL/D /o E /ooS
William A Denton �d 26-14-18-204-000.334-006 003-00334-00 PT SE NE 18-2-8 I AC
Oakland City IN 47660 �/ t/ C-I•
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
(PA &MISDAVitclfliMaregiaTION -
o«rer I Fast Middle Last
41/1P4"- 4, "_
Mating Address(ember and street,dly,state and ZIP ode)
Same as property address
Sp, Fist Middle Last
Madug Address(number and streel,city,state and ZIP code) Same as property address
Social Seamy Number(last 5 digits) Oriels License State ID Number(last 5 digits) 1 Sure Other(please rd
ease spoy in Part 4 below)
1
PAR �CBll4d ION t - :
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 t Signature Date
( )
DES`I�Q¢ DnTION
• 4 0 y /a`/oLF/loos o�-/rL�N�Ci iy ,-r 27/ 7‘ 1 b
t.IND1ANA SALES DISCLOSURE FORM
tehead
111 N. Hart Street
Addrea (.Number and Street)
Princeton, IN 47670
Ciry, Scat,, and LP Code
SDF ID:
Page 2
Attorney
ntle
Brenda L. Denton
Seller I - Name as appmr on conveyance document Sr1IerT Name at appears on ronvtyance dxvment
2130 Vine COULt APt 9 Address (Number and Street)
Address (Number and Street)
Princeton, IN 47670 CIO, State and ZIP Code
Email
Tele.hone Num her E -mail Tele hone Number
Under penalties of perjury,) hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
a complete as requ!xd by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
(��t /,.a ��' 1 Iii wti SignaturcoJSeiler
ignature of eller
(t_ ` -j(Q/L l� n 'a Sian Date MM/a0
Printed Name. Seller Si aDate MM/DD Rioted Nameo Seller
.p;g NTEI'S 1APPLI- IFOWIJEDUCTIONS'ANEF CREDITS' IDENTIFYjACL+ITEMSTHAT;APP,LY� i.
G rl�-ram— A•. —Denton—
Buyer 1 � Name as apP ,rs a• conveyance do
Buyer I Nome as aypears on ronveyance documrnl
"
100 South
Address (Number and Street) '
Address /Number an Street,
Oakland City ,J N 4
Telephone Number
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FORT I HIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
Q ❑ 1. Will this property be the buyer's primary
I esidence? Provide complete address of I
residence, including county:
Address (Number and$ eet)
Ciry, State ZIP Code county
❑ ❑ 2. Does t,te buyer have a homestead to be vacated for
_ thisr-�sidence? If yes, provide complete address of
residence vacating, including county:
AJdress (Number and Street)
❑ 3. Homestead
Heating /Cooling System
❑ ❑ 5. Wind Power Device
❑ ❑ 6. Hydroelectric Power Device
❑ ❑ 7. Geothermal Energy Heating /Cooling Device
❑ ❑ 8. Is this property a residential rental property?
CiN, Smte ZIPCode
Under penalties
letel a of
by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales bDisclosure Act".
orrect
� _ I Signature ofBUyeR
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