HomeMy WebLinkAboutHomestead_Turpin STATE FORA!S3569{R3/8-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1-22-8.1
d: ' - llVPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS it �;w •. s 4t
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
A_auses 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. vvv
Fa :- „-,air. i". - PARTI: PROPERTY INFORMATION :-=-v f4 .., ,, a--
Tasoaver Name fronem Address State Parcel Number Leeal Description:
Alice M Turpin
204 S WALTERS ST 26-19-18-303-000.378-026 WALTERS ADD 342PT
FT BRANCH IN 47648 .
Complete and return to: iu111i1111uiiI1ECC91 1111i111010uu1V"11BIMINU
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
"A'... t . .. A ... PART 2: TAXPAYER INFORMATION - - ue iit ._U n'air,
Owner I First Middle Last
; Ai\ � ohe.11e-' 1! IUr I n
Mailing Andres>(number and sweet,city,state and ZIP code) (/name as property address P
/Jy'/oq 1Wal�ers a 8 ���;h, �Qm1 �I ��
_
Spouse Fest Middle last
/ .1�
Mailing Address(number are Meet,city,state and ZIP code)
Same as progeny edNBSS j..
Social Security Nun ber(last 5 digits) Driver's License/State ID Number(last 5 digits) sae Other(please specify in Pan 4 Delow)
r a.._5.:-: If....._ 4.:x s .`: „t! PART 3: CERTIFICATION ; r.:' ?"'. Y'-: 4: , ,x41... ar se. _;
' Each undersigned certifies, under penalty of perjury,that the above and foregoing information is true and correct and that he or sne 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 fina is penalties.
Owner t ipnatwe Date
� ;
•
NQV 2 9012
cm
GIBSON COUNTY AUDITOR
I\DIA\A SALES DISCLOSURE FORM SDF ID SDO ID 773359 Page 2
'D. PREPr1RCR - � . -: _ . �
IP�tli Kolb Closirg Manager
Preyarer o/thr5c(sOiulosvre Form Title
226 W. Broadway
Addras (NvmLer ond SVeetJ
Princeton, IN 47670.
[i7. Smre, andTlP [ode
Brentla S Krieg
Seller ]� Name as appenrs on mrrcqance Javmc�t
1699 E 600 S
Addrns (Number cnd SM<rJ
Fort Branch, IN 47648-
Ciry.Smtt aneZlP fade .
Broadvray Title Inc.
Campany
.frller 2- Nume as uppeors w convewnce dovument
7699 E 600 S
AEdrtss (A'umber md Sccet)
Fort Branch,IN 47648-
Under penalties of perjury, I hereby cer[ify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
an�d� {co�,tpleted as reqpuired�b�y law, and is prepared in accordance with IC 6-1.1- 5, "Reya�l Property Sales Disclosure Act".
X� /�ll�� /.ct/ il . .Yn.i9� � �--�.-- ��) 71�F-�-�
Alice M Turpin
Buyer 1- A'ame ru oppearson vanveyvna dacvmen: Buyer 2� Name vsnppears an mmeyrtnce daavmen[
300 E SinGair 51., Apt i6
dddress/,5'umbe�and5veetJ AEdrm/.VUmbermMSneeQ
Fort Branch, IN 47648-
CiNSmn.��n�
N
Tde M1oueNVn.� Emoil Ttle honeNVrnber E-moil
11E SdLEi DISCLQSURE iOR.N MAY BE USED TO dPPLY FOR CERTdIN DEDURIOYS FOR TNIS PROPERIY. IDEhTiF1' ALL OF THOSE THAT APPLY.
x❑ � 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
204 5. WALTERS ST.
AAdress (NUm.6er and SueetJ
Fort Branch, IN 47648 GIBSON
Cim, Sm;e ZIP CoCe Counry
�� 2. Does Ihe buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
mmplete address of residence being vacated,
including county:
�
❑
❑
❑
❑
❑
❑
�
�
�
�
�
�
a
3. Homestead
4. Solar Energy Heating/Cooling System
5. 4Vind Power Device
6. Hydraelectric Po�ver Device
7. Geothermal Energy Heatlng/Cooling Device
8. Is this property a residentiai renul property?
9. 6Vould you like [o receive tax swtements for this
properry via e-mail? (Provide contact informotion
below. Plense see instructions for more information.
Not ovailable in all counties.)
Add�cr(h'um6erand5:rrei) � � /
0?�-/9/e�-.�o3-�ia6.37�- G��•�
Ciry. Srure ZIP Lode Caunry
PnmarvPmpoq' o�mer canmr[ nume Bmai!
Under penal[ies o(perjury, 1 here� certify that [ s Sales Disdosure, to Ihe 6est otmy knowledge and belief, is [rue, correct
and comple[e as required by law, aud is prepar d in accordance with IC 6•1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Secwily;5n� Drive�s L��nse/Other numbers are not necessary if no Homestead Deduction is
Last
Number
IN
Sm[e
Secunry Number
$19t1Q2K Of Blry'e/ ��$fMUSP
Pnn:ed I.egal,Vame o(Buver?/Spause
LostSdigiLSOjBuper2/SpouseDrieer's Stc[e
�\'umber Litense/ID/Orherllwn6er
S19n Dale UUI/DO/llll'�
Last 5 D(,�i[s o�5ocia15ecunry