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HomeMy WebLinkAboutHomestead_BrownINDIANA SALES DISCLOSURE FORM SDF ID: e 2 D.PREPARER' preparero dxSals Dadasure Form title E. O Address(NumberandS7) E -mail ;E°SELLER GRANTOR r' �L V li A J P S Shcer] -Na eas appear on mnveyana document t� V*1 Sell erg- Nameasoppmrsoamnveyancedocument %:Aa I D I1.) I3 7-.�0 i o" AUe— W U A/dd ea (NU�nber and Stmn) Address (Numberand5beet) lk d4 I S City, Sweg andZl Cade City, State andA Code Email Takpltonellineber E -mail 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 op rty Sales Disclosure Act". Signoture Seler �Si aO,reo/Sdb - e)6 A�7 -'?6/0 Prin Name Of Seller n Date MM D Pd Sin Dale (MMIDDIYYM 'P:B NTEE - CATION FORPROPERTY,TAXbE CTIO`S FNTIFY ALL ITEMS TTHAT o law Buyer l- Name asappovrson amveyanl d ent 2 -Name as appears oa tnnveyanrn document, , Address(Numberand Street) �crar,cISro jN 1- 11Leyq Addres (NUmberand Sheet) F�anclSCn 11`� Ii�Le4`j City, E -mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION NO CONDTRON Eir ❑ L Will this property be the buyer's primary E3�- ❑ 3. Homestead - - residence ? Provide complete address of pri Heating /Cooling System residence, inducting county: y �� N El Ek S. Wind Power Device C ❑ 6. Hydroelectric Power Device dres(h71,0)N r nd a tie I Li 1 1, Li4 ❑ 7. Geothermal Energy Heating /Cooling Device ❑ 8. Is this property a residential rental property7i 0t%State7lPCade ' County ❑ ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide ❑ ©,�'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. Not available in all counties) o?G -6G -ta'6- Co0- 600. a(oS -6 1 Address (Numbs and Strret) City, State ZIP Code County Primary pmperryawner mntaa name Email 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 are not necessary if no Homestead Deduction is being fil 1 natersofBuyerl (� S7goature ofBuyer2 pouse Soh "1-a -1U rk Ph Y. 1JfCLe Y(,al rOwfl_ Printed Legal NameofBoyer l S(qn Date(MM/DD/Y" Printed Legal NameofBUyer2/Spouse SIgn Done(MM/DDIMT) Number last 5 d igits of Buyer 21Spouse Driver's State LastSDtg of�5ecurlty Lice IID /Other Number Number License/ID /Other Number • STATE FORM S]SIP BRi/&IB) TREASURED FOAM TSIA - APPROVED BY STATE BOARD OF ACCOUNTS.MY) PRESCRIBED BY THE DEP.ARME EOF LOCAL CAtTASMEYT FINANCE IC 6-IA-21-1.1 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 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 • 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 1: PROPERTY INFORMATION Taxpayer Name Location Address . . 6837 E 400 N FRANCISCI IN 47649 1140 • Ip� John A Brown Sr. • Ill IDIII.moll__IllIDIIII111IIIISII ill mill_Ill fillIIIII1III_fIIlIII fill II II 6837E 400 N FRANCISCO IN 47649-9213 11-1-1 IIIIIII'ill"'III'IIIttIIIItItIIIItIrIIIIItI�lltttllltlllI State Parcel Number Legal Description FILED26-06-20-300-000.265-017/ PT NE Sw 241-9 3.75 AC C-1 f/ MAY 9�(220`W S This form N ill3ST ketwitittiiiia to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. _/ _ PART 2:TAXPAYER INFORNIA77ON _ • Ow..cr I First Middle Last --nhn 4 , P)('b LA3 in SC Mailing Address(number and street,city,state,and ZIP code) Roe as property address Spouse First Middle Last eS Rm A nc A .3CouD n Mailing Address(Number and street,city,state,and ZIP code) Berme as pmperty 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 I Signa Date