Homestead_McKinney4
INDIANA SALES DISCLOSURE FORM SDF ID:
Page 2
PARE RMSKOUZWi MY7Q
jD-n P. RE
Kimberly A. Lewis Office Manager
Pteparer ofthe Sala Disclosure Farm Title
226 W. Broadway Broadway Title, Inc.
Add. (Number and Street)
•
STATE[Oft N i2'I YNI TREASLIER FORM 7.3.1A
.VWRtn'EO BY MATE BOARD Of ArrnIZ1A ry1`1 - PI/SCRIBDBY 1111 OEPARTY£vr OF LOtAL rO47RNMET'I FINANCE M 4-I.I-n4.1
Gibson County Auditor
101 N Main • IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandani deduction.As the receipt of this deducion becomes
more beneficial,there is more incentive than eser for homestead fraud Homestead fraud causes higher to bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho 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 on only be accessed by authorized county officials.The Ds-penmen'of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Thomas, Keith D/Karen D
619 S Old Patoka Road
Patoka IN 47666
155
JERRY W MCKINNEY/SHELLIE M THOMPSON
619 S OLD PATOKA RD
PATOKA IN 47666-9002 State Parcel Number Le2a1 Description
I n III I I I 26-04-25-302-000.548-020 018-00548-00 PT NNW 8 PTE SW 251 11
tie
t n nr 1 ru nt n t n nt r r r t n tit ---_— . 8.633 AC ._ --
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.
PART 2:TAXPAYER INFORMATION
Owner I First • Middle Last
, W In nt YV1°- K )vh n e
'g Address number and street.city,st ate,and ZIP code) 2' m es
$ae as property addr ;�
coif o
Spouse First - Middle Last
Shat Ma-de, ItarnpSan
Mailing Address(Number and street.city,stale,and ZIP code) • EJA!me as property address
Cdr H G Id, R} cc Its Kc{ C�'JJ
- -
• 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 elieible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he ocs be liable for back taxes and substantial financial penalties.
Owner 1 nature Date