Homestead_Michael MATE FORM!Mt4 nl/NP.I lacvsulna FORM S-IA
APPROVED BY,TAIL MARO OF Ara(....7,.Zino PRf9[AmED BY Mr DrPARTh MT(K LOCAL GOVERNMENT FINANCE MVI.1-r-,.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial.there is d
more incentive than e'er for homestead fraud homestead fraud causes higher tax bills for all:therefore.
HEA 1344-21119 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings-This information will he kept confidential and can only he accessed by authorized county officials.'The Depannent of
Local Government Finance will use this information to create cools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Winchell, Adam/Amber N
205 S Main
Fort Branch IN 47648
2538 /
Scott Michael (/
205 S Main St -State-Parcel.Number Legal-Description
FORT-BRANCI IN 47648=1311
26-18-13-404-000.420-026 011-00420-00 OLD PLAN
I t I I I t It II t I I I I t t I I I I I I I I I I t t I I t I
7PT263/264/265/266PT
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.
1 PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
660 4--t- ' Eo?wa2p ;chug
IIAddress(number and strut.city,state,and ZIP code) Same as property address
- - ■ , - — -- —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 o this property. Each undersigned also understands that,by claiming additional homestead deductions
unlace . t y,he .r she may be liable for b' 'k t es and substantial financial penalties.
Owr/7 i- •e
•
•
• • INDIANA SALES DISCLOSURE FORM
�..� SOF ID: Page 2
:D.EREPAREtt.,_..[r i->�-..'si .:Yt ali.-ka 4 ^_- 'F �.x_a-+` A`%# tsfs-. w"'ar
(,heryl hoit Reo Coordinator •
' Title 92R2arPr(oSay w
• West Dr.,Ste 110 Security Title Services, LLC
Address n oi eC
Indianapolis, I 46240
8-2999 CHOLT @STINDY.COM
do;State.and DP Code Telephone Number
E-mail
3&SEIIiER(S)1 GRAN T R(S) _'.:ri_.1'_" .T t_r:faSci';' y'.4_- . .i.__". .;W r i_.,,-.`- –<.:. _t-a }-_;_CM,rrxi%- +.
U.S. Bank National Association
Seller I-Name ar comers on conveyance document Seller 2-Name as appears on canveyancedocument
12650 INGENUITY DR.
Address Mambo and Streetl
ORLANDO, FL 32826 Address(Number and Sheet)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as requir law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature opener fr Signature o`Seller
Printed Name o/Seller Sian Date(MM/DD/YYYY) Printed-Name of Seller
Sian Date(MM/p0/YYYYJ
SF:BUYER(Sj%GRANTEE(S) APPEICATION€EORTROPER77TAXDEDUCTIONS=
THE SALES DISCLOSURE FORM MAY OE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENT6Y ALL OF THOSE THAT APPLY.
YES ES, .NO CONDFON I YES O CONDTON
:9 ❑ 1.Will this property be the buyer's primary Q 0 3.Homestead
0165—.6 rrdRn-ceNPrgyjgle complete address of primary ❑ 1' q-Solar Energy Heating/Cooling System
t res Tic ,and ng coun : C,/
�� _ _ .-f 0 5.Wind Power Device
- -;(Nu a r:,�e-. j, y ) l' i. -F,/' ❑ In -r.6.Hydroelectric Power Device
--.:CA.., L C) Geothermal Ener Heating/Cooling Cooling Device
rd-�o;State ZIP Code County ❑ �, ]� gy g/
k2 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ,�—�7,�°•Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 1 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
/0!l/-� �y l' including county: _ I /•1 below.Please see instructions for more information.
& o --5A„k cr7 H I I I Not available in all counties.)
Address(Number and Street) ��5
A)l.f Lt 12AH / /t--�.J i /&_7C/ WiltZick
City,State ZIP Code County
Primary property owner contact name E-mail