Homestead_Steckler (10) I ST.nr Hit4 5t aJ flit Yq TR:ASLRER!OMITS-Is
MnhJEf1D1'2ATE%nenM 9110 NK"•n PRESCRIBED in nth DirART'IETOF LOCAL CA'TAnGW,KUcnr.Lt-r-si
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD.PROPERTY OWNERS .
101 N. Main Street Individuals and married couples ate limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton. IN 47670 more beneficial.dery is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
10 benefit 1344-2009 requires taspa■en who receive the homestead sundarJ deduction to terify that they are eligible to teethe the
benefit and to provide additional identifying irharnat.m necessary to allow county government to better monitor homesead
filings.This information will be kept confdential and can only be accessed by authorized county officials.The Depanmeri of
Local Government Finance will use this information to crate tool;that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION '
Taxpayer Name Location Address
• . Steckler, Phillip M/Jessica L
- . 431E 1025 S
HAUBSTADT IN 47639
.8350
Phillip M Steckler 11.101111 111111111111.1 ill m ill 11. l 11i n in 1 11 III 110111111 Oil 1111
431E 1025 S
HAUBSTADT IN 47639-8044
'I'IIIllltlIIIIIIII'II I'IIIII'IIIIIIIIIIIIII111'I'I'III'IIIII'I' State Parcel Number TT L- • •a :_•tion
26-19-31-400-002.475-024 T E 31 3r a .8; zi 0-9 -
MAY 092012
GIBSON COUNTY AUDITOR
0
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.
_ _ PART 2:TAXPAYER INFORMATION
er I V First Middle - - -- Last
Ph; flip Ma-I-then,() sje 9 loge
Mailing Address(number and street,city,state-and ZIP code) tg Same as property address .
LI31 E 1025 3 . I4- abs IL a5 .mod 4/7& 3 ?
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 1.1i Same as propem 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 I Signature Date
`J
•
'•'�.INDfAFfA SALES DISCLOSURF. FORM SDF ID: A26201020000412 Pa e 2
J:PREF?ARER .� ' � - � . . � . - � •--r , � .
SAMANTHA CUTSWGER CLOSER
PapareroffAe5afa0itt7nsurcForm Tltfe
226 W BROADWAY BROADWAY TCfLE, INC
dres (Num6crand5lrcet)
E. SELLER S GILINTOR S ' - � ' � � � - �
JMMAIX LLC
Srllar 1� h'mne us appmrs on mmn�nnce documen� SellerT � hbme as nypmrs on tanvcynnre dotumml
102 S VONNA LANE
AJdrt:u (Numheru�dSticetJ AdJrcsz (hbenber unJ StreeQ
HAUBSTADTIN 47639
TNe hone:JUmber F.�mail
Under penal[ies o( perjury, I hereby certify tha[ [his Sales Disclosure, to the besl of my knowledge and belief, is true, correc[
and comple[e as required bp law, and is prepared in accordance «�th IC 6-11-5.5, "Real Proper[y Sales Disclosure Ac[".
Sipna:ure aJShcer SignaNrx o/Shcer
JMMACK LlC 5/24/2010
PrintedA'ameo Se4er Si nDaeelN.4 Dop Pnn[edl:ameo Scller Si nDare v.4 DD/YYn
F.BUYERS GRANTEES -APPhICATIONFORPROPERTYTAKDEDUCTIONS-IDENTIFYALL�-ITEMSTHATAPPLY� -
57ECKLER, PHILLIP M STECKLER, JESSICA L
Ryxr I- Name as appevrs am m�vtyance document 9uyer2 - Name as appears on romre}vnm docummt
206 W GIBSON 5T 206 W GIBSON ST
dddrcss(Num6erandilrn[) Address(A'umberandShee�)
HAUBSTADTIN 47639 HAUBSTADTIN 47639
ie/e honeNUmter bmarl
i ��E $ALFS DISCLOSURE FORM MAY BE USED TO APPLY FOIi CERTAIY DEOUCTIO\5 FOR TNIS PROPERTI'. IDE\TIFp ALL OF iHOSE THAT dPPLI'.
YES LONDIT108 yE5 LONDITIO\
'�I 1. bVill ihis property be the buyer's primary� ��!� 3. Homestead
residence? Provide compie[e address of primary � 4. Solar Energy Heating/Cooling System
residence, including coun[}�: �
431 E 1025 S 5. Wind Power Device
Addrrss(A'nm5erondS(rcrt) r 6. Hydroclectric Power Device
HAUBSTADT IN 47639 GIBSON COUNN � j 7. Gcothcrmal C• ncrgy Heating/Cooling Devire
liry�, Smre 2/PCnde Launp•
❑ 2. Does the buyer hace a homestead in Indiana to be � $� �s [his properry a residential rental property?
vatated for this residence? If yes, provide 9. Wouid you like to receive tax sfatements for this
� complete address of residence being vaca[ed, properry via e-mail? (Provrde contact information
induding county: below. P(easesee instructrons%r more inforrnation.
� Not availa6le in all counties)
Addreu (A'mn6rr und5tree[)
��-I 9:31-yo6 -06�. ti �5 _oa
Cint Smm ZIP Codr Counry
Rimap• pmperry' owner ronmct name E-mail
Under penalties o(perjury, 1 hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is t�ve, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Nore:
Spouse information, Social Security and Driver's Lirense/O[her numbers are not necessary if no Homestead Deduction is
being filed.)
Signamre of Ru�¢rl Slgnamrc n(9y�cri/Spousc
STECKLER, PHIILIP M 5/24/2010 STECKLER, ]ESSICA L
Num6er l.icen>e/ID/OtherNumGer
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