The URL can be used to link to this page

Home My WebLink AboutHomestead_RobinsonINDIANA SA D. PREPARE Prepareraf the Sales Disclosure Form iN. Hart St.. PO Box 13 Tress (Number and Street) dncelon IN 47670 City, State, and ZIP Code E. James F Turoin Seller I - Name as appears on conveyance document Address (Number and Street) Rolla Vista AR 72715-6085 Tide Hall. Partenheimer 8 Kinkle Company Telephone Number E -mail Rose M. Tumin Seller 2 Name as appears on conveyance document Address (Number and Street) Rolla Vista. AR 72715 -6085 City, State, and ZIP Code Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct aflomple[e as required byilaw, and is prepared in accordance with IC 6.1.1 -5.5, "Real Property Sales Disc sure Act ". FOR 1 Nameasappeorson Address Numberand Street) i.oe er%� /-� �-5 Email Buyer 2 - Name as appears on conveyance document Address (Number and Street) City, Store. and ZIP lode THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTA IN DEDUCTIONS FOR THIS PROPERTY. I DENTIFT ALL OF THOSE THAT APPLY. ✓❑ ❑ 1. Will this property be the buyer's primary It residence? Provide complete address of primary residence, including county: RR-t-82rrtt 10 !2S9 7�J(- -s5VO — Address (Numberand Street) Hazleton IN 47660 Gibson City, State ZIP Code County ❑ ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide complete address of residence being vacated, including county: Address (Number and Street) City, State ZIP Cade County YES NO CONDI ❑✓ ❑ 3. Homestead 4 Snla rgy Heating /Cooling System ❑ ❑✓ S. Wind Power Device ❑ ❑✓ 6. Hydroelectric Power Device ❑ ❑ 7. Geothermal Energy Heating /Cooling Device ❑ ❑ 8. Is this property a residential rental property? ❑ ❑ 9. Would you like to receive tax statements for this property via e -mail? (Provide contact information below. Please see instructions for more information. Not available in all counties.) Zachary S. Robinson c(co Primary property aumer contact name E -moil Under penalties of perjury,) 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 , Sg�ial $�e'curity and Drive License /Other numbers are not necessary if no Homestead Deduction is being filed.) ; / // c/ 6 Number License /ID /Other Number Signature of Buyer2 /Spouse Printed Legal Name of Buyer 2 1Spouse Sign Date (MM/DD/YYY1) Last 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of Social Security Number License /ID /other Number STATE FORM 53.5b9 'TRFASLFA roam Ts-IA APPROVED 9\STATE RMR DOrACCOUNTS. YOl eRESCN1am BY ME DFPARiMECTOF LOCAL CA\LI\MEYrfIXAVL£IC61.1-331.1 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, S HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the beings. and ti e% additional identifying information necessary to allow county govemmntt to bear monitor homestead filings.This information will be kept confidential and coo only be accessed by authorized county officials.The 0.parroxnt of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION APR 1 S 2011 Taxpayer Name Location Address C Turpin, James E/Rose M 10959 N SALEM LN GIBSON COUNTY AUDITOR HAZLETON IN 47640 24 1 •Zachary S Robinson 1111 III II_muInli imII](I[mirII 1o111�111111111U].1111101 [l llmill 10959N500E HAZLETON IN 47640-9381 IIIIIIII ItsIIi ilIIIItIIiiIIIIIt IIIIIIIII'iItiIIIlliIIIIIIIIIIIIII State Parcel Number Legal Description 26-02-02-000-000.291-017/PT LOG 2 1-10 15 AC —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. __ ART 2:TA\PAPER INFORMATION __ _ _ Oa er 1 First Middle Last Zc arf7 S/2e.ncele" ZL;nsor✓ Mailing Address(number and street,city,state,and ZIP code) ❑ Same as property address /o9S9 /1' Srkem tine /702t/%h JN V7690 ,=. Spouse First Middle Last /6/54 Ann " /zlias( h _Mailing Address(Number.and street,city,state,and//ZIP_code) - —0-Same as property'address _ . —___ - — /0 /901 n/, C Lein /Ant 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 Si t. .acre Date — • PART 4: ADDITIONAL INFORMATION