HomeMy WebLinkAboutHomestead_Miller (7) STATE FORM 51569(RIB-10)• TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.) 2-8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
.
rladuction 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 INFORMATION 't - ' ..,';'";..r k�'
Taanarer Name Pronrrt•Address Slate Parcel Number Jabal Description:
500 S MAIN ST
Christopher T Miller 26-18-24-202-000.260-026 MCCRARY ETAL 87
_ _ _ -— ——FT BRANCH IN 47648 - - -- — - — — _. — - -- ._ __ _ _
_ Complete and return to: IIII���Wi11�i11�i101 1i1i17I��IN ills�laira�lili llall.11gllll h
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
—.— — -_ -.T '-"J '' i . PART 2:-TAXPAYER INFORMATION- .. - -' _. -
Owner I First Middle �— last
�V1 ■5 �V,r I ocid 6' ° 6lt kr
Mailing Address( and street_city,state and ZIP code) Same as property address
ri 500 S. Ulla(v ,+reef fOv - Dira tck ) N Lt7 q •
Spouse First Middle - Last
nciUU Ra. a rra tvie, K.otleAr
Mailing Address(number and steel.city,state and ZIP code) [X 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 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
2
/,,/
a
INDIANA SALES DISCLOSURE FORM SDF ID:
I Preporcra(rheSalesDisdosurtfarm
226 W Broadway
Addresv (NumAer ond Svee<J
Princeton IN 47670
Ciry, Smtq and ZIPCode
Dou4las A. Cam�bell
Seller !� Nome as appears on ronveyonte dxument
5!)0 S Ma� n ST
Addres (Number and Streei)
Page 2
rn�
RrnaRwav Titla� Tnr
Seller 2- A'ame os apprors on ronveyanreCxummt
Address (NUm6er ond 5vee[J
Ciry. Slotq ond ZIPCade
Under penalties o(perjury, I hereby certify [hat [his Sales Disdosure, to [he bes[ o(my knowledge and belieG is true, correc[
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
n
Christopher T. Miller
Buyer 1- Name os anpears am m�vryvnte deammt
7870 S Andee Lane
Addre.cs (NUm6er ond 5[reefJ
Fort Branch, IN 47648
Ciry, Smre, and ZIPCOde
Signomre a(Shcer
Pnn�ed
T APPLY � �
Shawna L. Miller
Buyer 2� Nome as appmrs on mmeyance dommme
7870 S Andee Lane
Address (Num6er ond SveeeJ
Fort Branch, IN 47648
�,�S�ae a� �va
THE SALES UISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI\ DEDURIOYS i0R TMIS PNOPENTY. IDEtiTIFY ALL OF TNOSE THAT APPLY.
CO\DITIOY
� ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, induding counry:
500 S Main St
Address(h'umberand5vee[J n' �� � I
Fort Branch, IN 47548 � N
[iry, Sm[e ZIP [ode [ounry
❑ � 2. Does the buyer have a homestead to be vaca[ed for
[his residence? I(yes, provide complete address of
residence vaca[ing, induding county:
and5veetJ
�
❑
❑
❑
❑
�
�i
Ei
1 �y
1�
1�
3. Homestead
4. Solar Energy Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residential rental property?
�`�v -/���c?Go�- G�- 03�0- Ov?�
Under penalties of perjury, I hereby certify [ha[ [his Sales Disclosure, [o the best o( my knowledge and belief, is [rue, torrec[
an�y o plete s r�� uired by law, and is prepared in accordance with Iy 6�•1.1•5.5, "Real Properl}� Sales Disclosure Act".
/'��1',_., T. /yI.//._ I �Ylll�lMlL ,C-�'I�.i/Q.P�L
L
�