Homestead_Schmitt (15) STATE FORM 53569(R38-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-12-8.1
JMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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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
diauses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
s. Idard 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 •
1. 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
I _ - - ° - - - 7 homestead fraud.
P• ' d: PROPERTY INFORNA ION
Taxpayer Name Properly Address State Parcel Number Legal Description:
Bradley W Schmitt 1083 V SR 68 26-22-01-102-001.764-024 PTE W 1 4 11 2.00 AC
HAUBSTADT IN 47639
Complete and return to: I®II01III®O3f ftED�QIIOlI®IOOfllllil®D1 II 1111III11
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 IIIIW It1Il11WJ 111 II
PART 2:TAXPAYER INFORMATION -
Owner 1 First Middle / Last
,Arad/�y algae S-/!m i/�v^
Mang Address(number and street oy,state and ZIP code) /
c I /I Sane as property address
/t)13 a2 •S/ai4 /ed 600
First Middle Last
'46y ly/7n 51,41;
Marling Address(number and street cry,state and ZIP code) ✓ Sane as property address
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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 Signalise Date
., /:., - _ PART 4: ADDITIONAL INFORMATION _ . _., .
•
V
1\DIA\:� SALFS DISCLUSURF FORJI SDF ID 26-2009-1000651
ID. PRERARER. ' � , . � ..� , . . .._ . ., .Si:l. . . �..�. �.. ..
1 ' �`
Pa�e? �
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� CRISTAWALLACE T�lSt
Prc�rce.o.��he Salr. Dirt /mvrs Fnnn 3duthweatem I ndisna I..and Ti� Inc.
605 5. E. MARTIN LUTHER KING JR. BLVD.
Iidlmu LYUmC�r un✓Srrce�i
` !-�. ' � .:�: 'r. .. ... - .. _ . : � :. -� . .
E:'SELLER(S)/GRANI'OIt(S)� . .' . ._ . . , .� • . . . . . . _ . . _ .
KATHYJOISAACS
SrR�r -.vamr ur �pvri an.m�.nnn. r dun�mem Selhr. P'unrr a. q��xun on ran.�nvnre doevmenr
3718 COLlINGSWOOD DRIVE
Adlmsr (hLmhn anASr¢al A�L/m.e fT'umbrr cnJ S�mU
EVANSVILLE,IN 47725
( in�. 9oir, am/ L/Y ('.xh
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r i�ae�,,,..v,.,,�nr. E-,,,�u
Jnder penalties o(perjun�. I herebr ceriifr that �his Sales Disclosurr. to �he bes� ul' my knowdedee und belief, is true, correct and
�omplete as required by la�v, and is prepared in uceordancr ���ith IC 6-1.1-�.5, "Real Properh� Sales Disclosure.\ct".
I'��l JoT�aacs � ��.���, �i�
Si;narurc Sr/lrr Sr^unme 1 �rlllr
Kathy Jo Isaacs by Fmily Smith, AIF 10/21/09
BRADLEY W. SCHMITT / � � I ABBY L SCHMITT
B�n - A'ame u. p�rnc� nn ivmqnn � w umrnr H�n - A'nmr a� ry�prar<on
.Idf¢rz (.YUmMr,mJSrrcrr/ AJJirs.� h�'�mMraMS�rcn/
HAUBSTADT,IN 47639 HAUBSTADT,IN 47639
Trlrohune,VnmAn f-mud 'n E-muil
r I. \Vill this propem• 6r the buyc�s primarv residence? Provide c mplet
addre;s of priman• residence, includine counp�:
7083 W. STATE ROAD 68
AJAm.a M1tlnn�M�r cnJSrrcrO
HAUBSTADT, IN 47639 Gioson
Cim. Sorc. arc/ZIPCuir [;aunn
r?. Dors the buver have a homestead to be vacated for this rcsidencr? I(
}•es. proeide complete adAre:s ot residrnee racatine, includine counn�:
321 HOLIY HRL DRNE
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4.
IDE�TIP\':�LL OF TIIOSE TII,\T
in� S}•item
r i. R'ind Powcr Dc�•icc
r 6. Hydrocicaric Pow�cr Dericc
r 7. Geothemial Ener�• Iieaeine�Cewlin� Deeice
r S. k thic pmprny a rcsidrn[ial rrn[al pmpcm^
r 9. WoulA you likc to recirvc tac >tatrmcnu for this propeT• vi�
e-m�il? IPruriJr ronm<'� ln(ormntion belon'_ Pleusr sre lhe
nurnrciiuns f�r mure infnrmmian. \'w m�ai(oble rn al! ��ounrics.J
EVANSVILLE,IN47710 Vanoerburgn 7/ 1_�/� n/ /OJ"/j)/ j/_.CG
riLD CZY��u (�1 6h J. (!J / �
CintSropcanJLlPGrh Cnmrr P�ir.u'mpmµ���onxnnc nwnnume
JntlPr penulGes ot per�ur)', I herebc cerliH'tt1a1 t116 Sales UlSCbsure, lo t11e Oesl ol m1' knm�'le(lee antl DeIIM. iti Irne, correct antl completP a5
-equired b�� la���. and is prepured in accurdance ��'ith IC 6-I.1-S.i, "Rrul Properh� Snlrs Disclusure Act". (\o[e: Spouse Information, Social Securitr
md Dricer's License/o�her numbers are nul nrcrssurr if no Homes[ead Deduction is bein� filrA.)
R,�a�, ��� s���;;.� c� �� s�� ��F a�. �.���.,,� �� ���, f�,�ti,�;�
n�,a«.r �J e°,Y. , , �
Bradley W. Schmitt by Emily Smith, AIF10 Abfiy :r Schmitt by Fmily Smith, AIF 10/Z]Jb�
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