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Home My WebLink AboutHomestead_CoxINDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Karen Harbison VP Preparer ofrhe Soles Disclosure Form Tide 803 E State Rd 68 The Elberfeld State Bank Address (Numberoad Street) Company Haubstadt IN 47639 Email E. SELLER(S)/GRANTOR(S) Jacob T Reinhart Lori K Reinhart Seller1- Nameosappearsonconve)vneedocument 426 Bradley Dr Seller? Name osappearson conveyance document 426 Bradley Or Address (Number and Street) Haubstadt IN 47639 Address (Number and Street) Haubstadt IN 47639 City, State, and ZIP Code City. Stole, and ZIP Code E -mail Under penalties of perjury, Ihereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and pleteJas r uir d by law, and is prepared in accordance with IC - 1.1 -5.5, " eat Prop Sale )Disclosure Act ". ignan seller Signa a Seller Jacob inharl 02111/2011 Lori K Reinhart 02/11/2011 Printe ' d Sion Date MM DD Printed Nameo Seller Si a Dare MM DD YER S GRANT S - APPLICATION FOR PROPERTY TAX DEDU - IDEN L ITEMS THAT APPLY Rhea D Cox Kevin A Cox Buy'erl- Nameas appears conveyance document Buyer 2- Name asappearson eyance document 4 Ine Or ere one r Address (Number and Street) Address (Number and Street) / IN 47725 Evansville IN 47725 Evansville City State. and ZIP Code City, State, and ZIP Code E -mail Telephone Number E -mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 1'FS NO CONDITION YES NO CONDITION ❑ ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ ❑✓ 4. Solar Energy Heating /Cooling System residence, including county: ❑ ✓❑ S. Wind Power Device 426 Bradley Drive ❑ ✓❑ 6. Hydroelectric Power Device Address (Number and Street) Haubstadt IN 47639 Gibson ❑ Q 7, Geothermal Energy Heating /Cooling Device ❑❑ 8. Is this property a residential rental property? City, Stare ZIP Code County ❑✓ ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide ❑ 0 9. Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail? (Provide contact information including county: below. Please see instructions for more information. 4701 Peregrine Or Not available in all counties.) �q1f / � / J /I /1 > �Y`� &16 Address (Number and Street) Evansville IN 47725 Vanderburgh "Ot .7 —06 - „loo -Goo. City, State ZIP Cade Canary Primary property ownerronma name f -moil Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note: Spouse information, Social Security and Driver's License /Other numbers ar ecessa omes[ead Deduction is being .) � l�I Signameafduyerl Signa re cfBuyer2 /5pouse �heo n Cox 0 2 /1 112 01 1 Kevin A r`nx 0911112011 Printed Legal Name of Buyer 1 Sign Date (MM/DD/YYYY) Printed Social Security License /ID /Other Number Number License /ID /Other Number Y STATE FORM 535%(U/610) - tREASI'RFII MOAN 1SIA APPROVED BY STATE BOARD OF ACCOUNTS.EW ram ro BY TIM DEPARTMENT OF IDGN.GOVERNMENT FLWA`CE ICbl.l-238.1 ' Gibson County Auditor Ii\IPORTAN1' NOTICE TO HOMESTEAD PROP.ER1'110OWNERS 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes Princeton, IN 47670 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 �� FILED 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. PART I: PROPERTY INFORMATION APR 1 5 2011 Taxpayer Name Location Address Reinhart,Jacob T/Lori C3� 426 BRADLEY DRIVE GIBSON COUNTY AUDITOR HAUBSTADT IN 47639 3009 KEVINACDX II IIIIii11111111J 1111011.f 0110 I IIIII 11111hI_II I IIIBfIIDII_IIIIIl 426 BRADLEY DR HAUBSTADT IN 47639-8157 ---'�I=_'IJIllIl I_I'-IllIllIl llllIlhIIlIIIIIiII'IIiRillrllllrlllrlr _ • State Parcel Number Legal Description 26-23-06-300-000.683-009 / SUNRISE ACRESINC-16-----D-9--,- __ This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2: TAXPAYER INFORMATION First Middle Last 'it Pic o n J an rya I \cx t l:riitiill;�i14� C.OK _vas.", ► - -R ..o Mailing Address(number and street,city,state,and ZIP code) _ 'Same as property address Spouse First) Middle Last — Mailin Adams nt'—Smbei and sweet,ci — •'—`. ,�,�l� - g ( ry,sta[e�avid 7SP eodc) t v,f aame�as"piopcity address � 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. Owner 1 S' Date