HomeMy WebLinkAboutHomestead_George` INDIANA SALES DISCLOSURE FORM SDF ID:
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West L&FgYelte TN 479o4
Oty, State and ZIP Cade
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Seller I - Ne. ^e u cppean an raaveyorce docMnea:
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Address (Ilum6u cnd Street)
7D6llc-4' TX -75941
City, State, and ZIP Cade
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Sellv2 -Name as appeart on convevanre documen[ . .
Addres (NvmBer and Street) :. ... ',
City, St tm and ZIP Ccde. ..
Under penalties of perjury, l 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 .Propertc °Sales Disclosure Ad ".
�Slgnagtre a — %SR ��•�tfTIR10 � Signv[ura of5elly ...
Assistant secretary 4.ZI�
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THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS. FUR
[ ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of f
residence, including county:
Add" (Nvmdu and Street)
Ciry, State ZIP Cade Ccunry.
EJ 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide complete_ address of
rpcidpnre vacating, including county:
/vmbvc.d 5t re , e/ L'! //
l/.,. 2 , T
OPERTY.'IDENTIFY ALL OF THO TAPPLY.
Q 3. Homestead
rX 4. Solar Ener g /Cooling System
S. Wind Power Device
6. Hydroelectric Power Device
[ 7. Geothermal Energy Heating /Coaling Device
8. Is this property a residential rental property?
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to the hest , -my knowledge and belief, true, correct
1
and cotruilete as req*ed by law, and is prepared, in accordance with IC "R a operty Sales Disclosure Act".
q iivyer:
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STATE FORnt!!!w 1R:l,wl TREASURER PORN Y IA
.VPMn'Enal'MAIL WARDnt AM!ISIS.Low PRrgltltW BY 111E DEPARTMENT(wuMAL CiWERNs1rsTrn:sscE IC 4-1.t-224.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples arc limited to one homeuead aandatd deduction.As the receipt of this deduction becomes
• more beneficial,there is more incentive than eta fur homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1341-2009 requires taxpayers who receive the holneste d standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tilingv.This infnrmatinn will he kept confidential and ran only to accessed by authorized county officials.The Depanmenl 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 --- '• •—Property Address
George, Michael/Mary
R3 Box 204
-----------
1025
/Michael George
6956 N SR 65 State Parcel Number Legal Description
HAZLETON IN 47640
26-06-06-300-000.178-017 109-00178-00 PT N SW 6-1-9 25.93 AC
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PART 2: TAXPAYER INFORMATION 1
Owner I First Middle Last
4770c, �ae� C. 6 ev2`s �
•ag AadfESS lnumaJr iota stxoem,city,wane,grad Zir code-). _ _ - _ - - _ ._ _ _ _Z,So.oe.1 pmyfrty'ad ;' —__ _ . __ __. _.__
'A95t6 V STTe ece 66 �V
Spouse First Middle Last
f l,2 y /. ( eoP e-
Mailing Address(Number and street,city,state,and ZIP code) 14ZI Same as propeny address
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<r I Sigel tare Date
T PART 4:ADDITIONAL INFORMATION I