HomeMy WebLinkAboutHomestead_Matsel STATE FORM 53569(0.15-10) TRFASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-222-5.I
,IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS ry t °`1 7 ;
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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.
r:,,; � R,x �^�; P.ART1 PROPERTY„.INFORMATION , ';::. ;F it
Taspaver Name Property Address State Parcel Number Leal Description:
Derik A Maisel 504 N Main 26-18-13-402-000.777-026 DOUGLAS ADD
Fort Branch IN 47648
Complete and return to: I011110111Illf11aaO1Im Ell IElDh I!1I!O ml1111a muBuu
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
:4; PARTS:-TAXPAYER'INFORMATIONW,141. , 'Zg `-a .”" :?
Owner 1 First + Middle Lan
r)et; K ft I a t.J m oc c— I
Mailing Address(number and street,city,state and ZIP code) I Same as property address
50y N. Mainz 5¢. Far+ Cirz.NC/, SW Y>bh'S
Spouse First Middle Last
it4 e,(tsso. /thin) q-F-se 1
Mating Address(number and street,city,state and ZIP code) Same as properly address
491-1 N - Yna; N S - Ar erotic-& .LN 'i7/. Y 5
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
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• JAN 3 0 2013
GIBSON COUNTY AUDITOR
,
INDIANA fALES DISCLOSURE FORM SDF
226 W. Broadway
Address (Num6er ond Street)
Princeton, IN 47670
Ciry, Smte, ond ZIFCode
Page 2 �
Absirador �
Form 7itle
Broadway Title, Inc.
Company
812-386-7687 broadwaytitlel@insightbb.com
Tefephone h'um6er E�mail
E: SELLER(Sl/GRANTOR(Sl� � : -� . �� � -� ��� "� - . . � _ .- _ .
Steven Creig 7eel
Sell 1- ameasappmrsomm�veyan[edxumm[
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[o the bes[ of my knowl ge an belie(, is
IC (�l.1-5.5, "�al Pr�rty SaJg�D'y�cips�
ITEMS THAT APPLY ��> . .
Derik A. Matsel Melissa A. Lewis
Buyer 1� Name as appmrs m mnvryance docvment Bvyer 2- Name vs appears om m�veyance document
207 N West St. 207 N West St.
Addrcss (Nvm6er ond Smee[) Add�ess (Num6er and Street)
nrt Rran�h; TN 4764R Fort Branch, I?V 47648
THE SALES DISCLOSIIRE FORM MAY BE USED TO APPLY FOR CERTAIN UEOURIONS FOR THIS PROPENTV. IOENTIiY ALL OF TNOSE THAT APPLY.
❑� ❑ 1. Will this properry be the buyer's primary
residence? Provide complete address of primary
residence, including county:
504 N Main St.
Address(NumberandStreeQ
Fort Branch, IN 47648 Gibson
Ciry, Smte Z/PCode Counry
❑ ❑J 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide complete address of
residence vacaring, induding county:
Addrrs (Nvmber ond5treet)
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3. Homes[ead
4. Solar Energy Heating/Cooling System
S. N�ind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Hearing/Cooling Device
Deductions.
8. Is this proper[y a residentlal rental property?
Under penalties of perjury, 1 hereby cer[ify tha[ [his Sales Disdosure, [o [he bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC.6-]1-S.S, "Real Pr`o�p ,r,[y Sales Disclosure Ac[".
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