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Home My WebLink AboutHomestead_ParishINDIANA SALES DISCLOSURE FORM SDF -5 - Ray M. Druley Pr sales olpdonre Farm 505 N. Church St. P.O. Box 146 I Addrra(NUtabrr —Mnd K() Fort Branch, IN 47648 Gry. Smte, and ZlPCode Page 2 Attorney No. 4759 -26 nd, Law Office of Ray M Druley Co pony E -mall - Name at appears on conveynnce document Addrev / NVmber and StrertJ Clry Stott and Z/P Code Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and copfple reqr/,iidb law, and Is prepared in accordance with iC 6- 1.1 -5.5, "Real Property Sales Disclosure Act". Buyer 1- City, Scat, S/gnamre o /seller Bvyer Z -Name ar appear on conveyance document Address (Number and S& ..) State, and SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDFNTIFY ALL OF THOSE THAT APPLY. ❑ 1. Will this property be the buyer's primary residence? Provide complete address of primary ❑ [V 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide complete address of residence vacating, including county: Addrea (NUmbn and Surtt) LT ,. Homestead ❑ [DI�4. Solar Energy Heating /Cooling System ❑ ,(�� /S. Wind Power Device ❑ �i�' 6. Hydroelectric Power Device ❑ 4�V/ �7 Geothermal Energy Heating /Cooling Device ❑ `6' 8. Is this property a residential rental property? d'C- a/o- oa - Ta 3 - 0ao,17iZ- oa 3 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'. Signature o/BuyerZ flat E FORM'�W Or/firvl MEASURER PORN 711A nrrttsED UT MATE Bn■¢D OF ArCOOMS."no rtIniBM BY PIE DEPARMEYT OF LOCAL CAwRRYMn.T FI: ■iE lc li- -!I Gibson County Auditor 101 N Main 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 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 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 Department of Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Larson, Carolyn Jean - Box 327 Somerville IN 47683 125 Carolyn Jean Parish P O BOX 327 State Parcel Number Legal Description SOMERVILLE IN 47683-0327 1111 tlllitltl'Itll11111111ll I IIPlltllll till11111 ttl11th I 26-20-02-403-000.174-003 020-00174-00 PT SE 2-3-91.72 AC / PART 2: TAXPAYER INFORMATION 1 Own First U.-- h Middle /i / Last g Address(numb d street,city,stat$ '/l ode) -- -— Spouse First Middle Last 1��//('l , 4,e,SX � 7 en in/ � v � Mailing Address(Number and s ttreet,city,state.and ZIP code) Same as property 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. Own- Signature Date . !PART 4: ADDITIONAL INFORMATION t •