Homestead_FolsomINDIANA SALES DISCLOSURE FORM SDF ID: Pap 2 '
D.PREPARER -
am Kruger Closer
Preparer of the Sales Disclasure Form Title
26 W Broadway Broadwav Title, Inc
Address (Number and Street) Company
Princeton IN 47670
STALE FORM 53?t'IR2/)WI TRIASUIER FORM 75-IA
APFMA'ED BY STATE&MRDOI-MYtuNT%.`I' PREYRthm BY nn DEPARTmnr(FLFRIM.GOVERN-METT Fr.tscr IC 6-1.1-2:4.1
Gibson County Auditor
101 N Main IMPORTANT\NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 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 causes higher tat bills for all:therefore.
• HEA 1344-1009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information neet-san to allow county government to better monitor homestead
filing.This information will be kept confidential and can only he accessed by authorized county officials.The De annxnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I:PROPERTY INFORMATION
Taxpayer Name Property Address
Folsom, Austin D/April A
No Location Description
•
Francisco IN 47649
1074
Austin D Folsom
4322 N 575E State Parcel Number Legal Description
FRANCISCO IN 47649-9228
ltlttllttt ltlltttlttllF�r Fltittt tlF�trlFilttitt titirtItItItItI 26-06-19-100-000.682-017 009-00682-00 PT NW 19-1-9 1.946 AC
PART 2:TAXPAYER INFORMATION
Outer I First Middle Last
uc-Vi v\ \acne �ol�m -
—
ngAddress(number and street,city.scare,and ZiPcode) - —
L1�9-2- N 5-15 £ FV-ax\(A\C)c o IM -}--11 r,Llet"
Spouse First Middle Last
`R-cr \ \ \3c v-� kl Sow,
Mailing Address(Number and street,city,sate,and ZIP code) Ime 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.
Owner I Signature Date
PART 4: ADDITIONAL INFORMATION
•