HomeMy WebLinkAboutHomestead_Strickland (2) STATE FORM 53569(RI/S-10) TREASURER FORM TS-IA
APPKDV'ED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-222-8.1
- IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
duction 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.
Mitt1.40 r'S:..-; PARTI PROPERTY INFORMATION ' e
Taxpayer Name J'ronerty.%ddre,E State Parcel Number J real Description;
Ansyn P Strickland 600 S LINCOLN 26-19-19-10I-000.388-026 SMITH ENLG 18
FT.BRANCH IN 47648
Col::prete and return to: _ IPI11Imfl1Cfh1JQfUJ 01lCII[IIIlllll1111EI ME111JQIIfl
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2: TAXPAYER INFORMATION
Owner 1 Forst Middle Last
nS II r • Pe,v! Sri(kictct.,d
Matting Address(raanber and street.city,state and ZJV code)
I Same as property address
(0OOS , L;,AcoInSt F4, 8nnctitJ47 LI7Gcot-
Spouse First Middle Last
50nny Jo % F5e1cl
Marling Address(number and street,city,state and ZIP code) Sartre as property address
(9 00 5: L: a co In St,, F•1 g res1 ctn , TA/ Ll76 Y?
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 I Signature Date
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III //
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�'�
D.PREPARER ...__, _ ..... _ ... ... . ......•.�_� ... ... _ . _ .
CHRISTOPHER E. CARL SETTLEMENT AGENT/ATTORNEY
Preparerofthe5alerDlsdoruieFwm Title
420 MAIN STREET. SUITE '1307 EXPERT TITLE SERVICES
AAdrert(1lum6erandSheeQ Company
EVANSVILLE. IVDIANA 47708
UNITED STATES BANKRUPTCY TRUSTEE
SAlrr 1� Nomrarnpyrors om m�reynnre dotument
411rr 2� A'ame ar appmrsan ronreyancedoavment
Addras(!lumberonESnretJ � Add.ar(A'umberand5trter)
CI y, SmlS and7lPCoAe
Qry, Smm, and Zr➢[ade
F-GIJ/�
Under penaltles of perjury, I hereby certify that [his Sales Disclosure, to the best of my knowledge and bellef, Is true, correc[
�d �omple[e as required by law, and is prepared in accordance with IC 64.1•5.5, "Real Property Sales Disclosure Act".
CATION F04 PROPERT-Y�TAX
Byer ] - Name as apymrs
FT. BRANCH. ��'DIANA 47648
Clry, State, ondZlYCOde
Tllf SALES DISCLOSUPE FOflM AL1Y BE USED TO APPLY FOR CERTAI\ DEDUCft0Y5 fOR
� 1. Will this property be the buyer's primary `
residence? Pirovide complete address of primary
re5idettce, including mtmty:
600 SOUTH LINCOLN STREET
AdArers (h'umtrerandSb<e�)
FT. BRANCH. INDIANA 47648 GIBSON
CIry,SmteZIPCaAe Couny
❑ ❑ 2. Does Uie buyer have a homestead in Indiana to be
vacated for this residence? Ifyes, provide
compiete address o(residence being vacated,
including county:
305 SOUTH M11AIN STREET
Address (Numbrrand5rrrd)
FT. 6RANCH INDIANA 47648 GIBSON
Clry, 5ma 11PCodr [ounry
5(qnaNreofSd(e�
THAT
6uyer 2� A'ame at appearsam m�vq�anre doaumm[
Addrm (A'umCerond SReel)
ary,
ALL UF TH 056 THAT APP LY.
❑ 3. Homestead
S. Wind Power Device
System
❑ Q 6. Hydroelech•ic Power Device
❑ ❑✓ 7. Geothermal Euergy Heating/Cooling Device
� �✓ 8. Is this property a residential renWl property?
❑ J❑ 9. Would you like to receive [ax s[atements for [his
prope�ty via e-mail? (Provide conlncf in%a'rnation
below. Plense see instructians fm� more in%rnvation.
Nat nvnl/nble in all counti
o3G /9 /9 /o� �. 03 -�a/
ANSYN P. STRICKLAND
Under penalties of perJury, I hereby cerUfy tl�at this Sales Disclosure, to the best of my knowledge and belief, Is true, correc[
and complete as required by law, and is prepareA in accordance with IC 6-1.1-55, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary if no Hmnestead Deduction is
being �led.)
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ANSVN P STRIC'KI ANn 319fi/9010
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License/fD/OlherNwnber �
Slgnamre a/B y�er2/Spoure
Pdntedtegalh'ameo/BUyu7/Spouse S(qt1Ua!!(HA/OD/1YY1]
LaslSdigitroJBUyer2/SpouseDriver's Stafe LastSOjgiGSO�SaiaiSerunry
Number Licenre/fD/Othe�Num6er