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HomeMy WebLinkAboutHomestead_Hooker STATE FORM 535691113/8-I 0) TREASURER FORM TS IA APPROVED BY STATE BOARD OF ACCOUNTS,2009 - - PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE ICS-ti-22-S-I R'1 g,rt IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS •> - ;! 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 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. ---1-i -,t ' ` -4 PARTI P OPERTY INFORMATION 41 • ;': , 19t,wrimptipa.fisiirtia Taunter Name property Address State Parcel Number j,ral Descri lien: Chad L Hooker 107 S Willard 26-19-18-303-000.196-026 EASTVIEW 4 Fort Branch IN 47648 Complete and return to: Iu011ilflJC illi IfIIlitliiiail iiiII]II]nIillalltiIII011V GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 T- T ,t - . n . PART2:TAXPAYER INFORMATION . . Mt`; _a�?2 u c pp m Owner 1 Piss _ _Middle - lest • C1-, ee - Lee NcoVVe.► Mailing Address(number and street.dry,state and ZIP code) Same as property address ID-) S W i 1 I ar c S fi. P+ C3reri ck, 1 u Lf`1 co y F 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. Owners Signature Date • F1L37. Nov 7 ., GIBSON COUNT', ant:: •• .� ^•� e" t CLAIM FOR HOMESTEAD PROPERTY TAX ''4� "' � CREDIT/STANDARD DEDUCTION '� J State Form 5473 (RS / 10-01) �°� Prescribed by Ihe Department of Lacal Govemment Finance INSTRUCTIONS: See reverse side !or (ling insfrucfions. e3-i�` � 4._: .� ' �. w _, _... t-t. ��:�=� .'Q�RTIFICATI FORM � YEAR HC10 � 01 O 9 �(We) � \,IL ��(j��(/`, �ertify �at tF t d y�,�//ch, 20_ I(VJe) occupied as our principal pl of residenc e following described real properfy for which a Homestead Property T�c Credit is hereby claimed: ❑ I(VJe) owned ❑ Are buying under contracl MAR 2 0 2002 �iave a benefidal interest in the eniiry Nat is liable for the property taxes on ihe property and Ihat owryathe property qr is�tiying under a�pntract. It buying om m�traU, Fee Simple ownefs name otfice where wntraG is recordetl County Toxnship Leyel�descriptio�� If any portion ol lhe residential strucWre w the Wn0 not exceetling one (1) acre ot the property ufilized to produce income. Record number Tacing dislritt (ciry, tawq township) Pa9e I Is lhe property in question: ❑ Real pwperty ❑ Mobile Homo p.C. 67.1-7) surtounds that swUUre is used b produce income, desuibe Ne use and poNOn 9�-�:•� ��yy_^ � -..�a::x.w �. �_y'°4.-,,, �.� },;4's. � � . .. £ _ _ . . . . � _ . . . ���}�� �}���ESSO�SE�ONLY 1-'.`;r�e �,y:�rTVALUE �.y'-�AAiE00%OFTTV "HOVALUEAD . ��� NON VALUENT.-`. "��-c•; Land not exceeding 1(one) acre immediately � � ���+`�; ` 5- -"' �"�,�• surrounding residential improvements. (�� . ;��.,_>."•,.y;-;;,;.,� �r �,=� r�.`• ^!' �. ; ' Other land (y) � r a � 'ry, �e� .�r Tolal land (line 7 plus line 2) (g� Dwelling (4) �� <L�'ti e�� �J' .�7f� a�.�.:. ResidentiaiimprovemenLS � r' �� iG�s'- � � Garage 5 '���?4. y,�,��,:tr""� r�.p`�}^ii'. ( ) . � ""s� _..1d_ t:7c� Otherimprovements (6) r�-��r; �.� - 'S��'.::7,-*=�t...,. TUaI improvements (line 4 through line 6) (�� Tdal value (line 3 phs line n (8) I hereby certi(y lhe above is W e, correct, and Signature of Asseswr Dale signed complete. Veri(ying action - Sig�lure of Pudi�or Date signed m 20_Pay20_ Lesser of tf2 Homestead ValuaUOn or 56,000 S SignaWreofAudilor I�� M I A/ � A_1 O� IUat�=��11 V INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 I W:iPREPARER -�s-ki:. it >_e. i4 i_ w••� a 2:1: _:' T :,,--_ �Z£''F . -:ai;�k�. -Ii!-;3:,i'�`ig'_=_ .1,1"x._ .€ 'T• Roman Ricker Attorney Preparer of the Sales Disclosure Form Title P.O. Box 13, 219 N. Hart Street Partenheimer,Kinkle& Ricker Address(Number and Street) Company Princeton,IN 47670 812-386-0050 City,State.and ZIP Code Telephone Number E-mail Malin-Ng/6 RAN TON SI E.wu ;:7; ....,�.P 4 r -..<:, :ijTt : :71;3!raTTP ih'. :ter- ,_. -0l t _i o-sczj .7 Jennifer 1 Honker Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 30C\ S ft x4t five Address(Number and Street) Address(Number and Street) I kt gd?C } 1 N `f-1 LOP Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an complete as required b law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". - n are of Seller J1�1�'�t�� Signature of Seller Jennifer I Honker 61//L /,?p/7 _ Printed Name of Seller Slim Date(HM/DD/YYYY( Printed Name of Seller Sian Date(M.M/DD/YYYY) F:BUYER(S)'/-GRANTEE(S)JAPPEICATION,EOR PROPERTY,TAXDEDUCTIONS']IDENTIF,y?AL(5ITEMS_THAT:APRL1±_y C:771;---1.-; Chad L. Hooker Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 107 S.Willard Street Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YFS NO CONDITION ® 11" 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ Igl 5.Wind Power Device 107 S_Willard Address(Number and Street) ❑ Z 6. Hydroelectric Power Device Fort Branch, IN 47648 Gibson ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ IZI 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) Chad L.Hooker a 6- 19 -t' -3 a 3 - bl)l9(o-43(0 City,State ZIP Code County Primary property owner contact name E-mail