Homestead_RichardsonINDIANA SALES DISCLOSURE FORM SDF
D.PREPARER
Steven L. Whitehead
rerof the Sales Disclosure Form
111 N. Hart Street
Address (Num ber and Street)
Page 2
Attorney
Title
Company
Princeton, IN 47670
E -mail
f*.
E. SELLERS GRANTOR(S)
Karla J. Richardson
Seller 1 - Name as appears on conreyo nce document Seller 2 - Name as appears on conveyance docunnenr
P. 0. BOX 72
Address (Number and Street) Address (Number and Street)
Mackey, IN 47654
City, Stale, and ZIP Code City, Seale, and ZIP Code
E -mail Telephone Number E -mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as req tred by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
. C(, L
Sngnamre olselleq Signature of Seller tQ
K_AyLa 171 c 14 P 124b SD 1- OY
WfSI/GRANTEE(S) - APPLICATION F EDUCT
Mark R. Richardson
I - Name as appears on conveyanre document
—a (Number and Street Mackey )
IN 47654
DO?. State• and ZIP Cade
Telephone Number E -mall
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR
YES NO CONDITION
Q ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
6969 S. Division Street
Address (Number and Street)
Mackey, IN 47654 Gibson
City. State ZIP Code County
❑ ❑ 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)
Cim. Stale ZIP Code County
Buyer 2 - Name as appears on conveyance document
Address (Numberand Sveer)
City. State, and ZIP rode
I .l
5
IDENTIFY ALL OF TH OSE THAT APPLY-
3. Homestead
.ai ❑
4. Solar Energy Heating /Cooling System
❑
❑
S. Wind Power Device
❑
❑
6. Hydroelectric Power Device
❑
❑
7. Geothermal Energy Heating /Cooling Device
Deductions.
❑
❑
B. Is this property a residential rental property?
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and mplete a required by I / Is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
AW
Wature o(Buyeh Signature of Buyer2
MARK e. IQLu+f1(z 0rJ 7- 1108__
STALE FORM!3:(0)OW I HNI TRE%SntERIORM 75.-TA
•- . •PRm'ED BY Mgt BOARD of AfrouNTS. nrxWAmaY nIr DEPMfle? (1F LIXt>L GOVERNMENT F ASCE MFLI-`_-t-t
• Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
• 101 N Main ,
c PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eta for homestead fraud.Ilomesteid fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpa'rrs who receive the homestead standard deduction to verify that they are eligible to recei a the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
- filings.This information will he kept confidential and can only be accessed by authorized county officials_The Dqunntent of
Local Government Finance will use this information to create cols that will help county officials eliminate homestead fraud.
-.y PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Richardson, Mark R
P 0 Box 72
Mackey IN 47654
8660
Mark R Richardson
P O Box 72 State Parcel Number Legal Description
MACKEY IN 47654-0072
111111111 t l r l l l l t 11111111 l l l t 111111 l l t r l l r l l t 11111 I I,I t l t l l t l l 26-20-15-204-000.024-002/ 015-00024-00 PT NE 15 3 9.21 AC
PART 2:TAXPAYER INFORMATION
Owner I First +'I (� Middle + Last
Ma of i �KDILrx 4 tcN4 -ciSO h
g.Address(number and street city,state,and ZIP code) - — _- Same as proproperty address —� - -- --
. 0. QoX 7C f'laekev _N, 47 , 5Y
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
Social Security Number(lavt 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
saw
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is toe 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 z Date
0.641/1
Spouse Signature Date Telephone
( )
PART 4:ADDITIONAL INFORMATION
0