HomeMy WebLinkAboutHomestead_Goodrich-INbIANA SALES DISCLOSURE FORNI
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SDF ID SDO ID 727361 Paget
D.PREPARER - v
Leilani Galbreath '
Preport, the5ales Dnr1aauWForm Title
7202 N. Shadeland Ave. Hocker 8 Associates
Address(Numberand Street) Company
Indianapolis, IN 46250-
E -mail
= EfSELLER S' GRANTOR S
The Secretary of HUD
Seller I - Nome as appears em conveyance document S
Seller 2 - Name as appears on conveyance document
40 Marietta St.
Address (Number and Street) A
Address (Number and Street)
Atlanta, GA 30303 -
City, Stare. and ZIP Code C
City, Stare, and ZIP Code
Email T
Telephone Number Email
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
andete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
7 a
U4ig�eo//�d/er uw Signature afSellrr
e:
F. BUYER S �/GRANTEE S -'APPLICATI ON, FOR PROPERT .Y- TAXIDEDUCTIONS�I DENT] FY ALL ITEMS THAT APPLY �
Aaron Goodrich A
Ashley Goodrich
Buyer I - Name "appears on mmryonce document B
Buyer 2 - Nome as appears an conveyance document
311 s. 1st Street 3
311 S. 1st Street
Address (Number and Street) A
Address (Number and Street)
Hazelton, IN 47640- H
Hazelton, IN 47640 -
Ciy, Stale. and Z/PCode 0
00ty State, and ZIP Code
STATE FORM 53569(R315.1(1) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-I.1-22-6.I
IMPORTANT NO ICE TO HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
Suction 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 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.
.PARTI: PROPERTY IN ORNATION •
Taxpayer Name Property'Address State Parcel Number Leal Description:
Aaron Goodrich 116E FIRST ST 26-02-29-200-000.250-019 OLD PLAN 3PT/4PT/5PT BLK 8
HAZLETON IN 47640 1IIIIp7 7 pi[1I7i11Ffp lB
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Complete and return to: I®IIlllll®lflD3QllQlI�IU t�IwDII1IIUILilliili3uu
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART T:-TA?CPa1'ER INFORMATION
Owner 1 First Middle Last
AARON L RtC CopT7 P.Ace4
Mating Address(number and street.city.state and ZIP code)
I t• Same as property address
iIL, E Ist ST, NAtcf-704-1 . /N Li7 (all
Spy R. First Middle Last
Asr4LEI Nlcot GccDR cal
Madmg Address(nunber and street city.state and ZIP code) I f sane as property address
llto E 1ST S7' to 4o
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 1 Signature Date Telephone
Spouse Signature Date Telephone
IN.0 ILA_Ai kCAl e • •. `J
PART'4:ADDITIONAL INFORMATIOiN __..... -
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