HomeMy WebLinkAboutHomestead_Akers (5) STATE FORM 53569(R315-10) TREASURER FORM TS-IA
APPROVED By STATE;BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-1.41-B.I
• IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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
:auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
s..aadard 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 ,� J
homestead fraud. w
PA a 1: PROPERTI'INFOR�tA ION
Tarnaser Name Property Address State Parcel Number Leal Description:
Maxine Akers Trust 411 1/2 W STATE ST 26-12-07-103-003.743-028 EVANS ENLG 2I PT/16PT
PRINCETON IN 47670 D'
Complete and return to: (®11BIB fl0]DID fDIQfDmftllO 1[MEDI I
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 LL W
. PART 2: TAXPAYER INFORMATION
Omer 1 First / Middle Last
AZ/se s
Mating Address(number and street,dry,state and ZIP code) . '
VI Mme as property address
First Middle Last
Maring Address(number and steel city,state and ZIP code) . Same as property address
Social Seamy Number(last 5 digits) Driver's License/State ID Nunter(last 5 digits) State Other(please specify in Part 4 below)
PART 3: CERTIFICATION '
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
(
. PART 41 ADDITIONAL INFORMATION
H+ E ,�
NOI?
1 C. .
GIBSON COUNTY AUD TOR
`� rt�� � CLAIM FOR HOMESTEAD PROPERTY TAX
'd '" CREDIT/STANDARD DEDUCTION
i'
S[ate Form Sa73 (R2 / 5-92) �
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INSTRUCTIONS: See reverse side lor�liling instructions.
'� . .. . � - . - -- .. 'r��iCERTIFlCATI
_ FORM
HC10
YEAR
�-�,�����o� JtF' U I �Q��
I(We) _ �Al �> certity thai on the 1 s1`fYaq of �March. 19_
I(We) occupied as our pnncipal place of residence the following described real property for which a Ho st ad Prope Ta�yG�edit is hereb daimed:
ul
� I(We) owned ❑ Are buying under contract G^ �[ti
�.� r+��,:`;( v ., ...
`Have a beneficial inierest in the entiry ihat is liable tor the property taxes on ihe property and that own5-the pioperty�orTs�buyfngTifA3er a contract.
- , . . :�. . . _. CONTHACTRECORDED� . ,. .: . ..�,:,- ` ._?�.. .� - . ..�",�:�.
If Duying on contraa, Fee Simple owner's name
Recorders oHice where contract is recortletl Record number Page
County
� Parcel n ber
u any ponion ot
otthe O�OPeRYi
TownSNp
Legaldes
sVUCture or [he land not
ice income.
PROPERTV DESCRIPiION ' - � - �--8���- -
Tasing distnd (�}', tmrn. township)
a� �„ �-�A � (pd-� �
one (1) aae Ihat immetliate rrounds ihat SlrucNre is used ro produce income,
the use and portion
ASSESSOR USE ONLY � � TRUETAX ASSESSED NOMESTEAD � NON-RESIDENTIAL`-
- VALUE VALUE VALUE � VALUE -�
Land not exceeding 1(one) acre immediately � - - -� �
sunounding residential improvements. (�) �
- _ : ,�
Other land � (2) � �
Total land (line 1 plus line 7� (3)
Dwelling (4) ' , � � -
Residential improvemenis . . .
Garage (5�
Other improvements (6) �
Total improvemenis (line 4 through line � (7)
Total value (line 3 pbs line � (g)
I hereby Certify ihe abOVe is Irue, COrrect, and Sgnature of Assessor (Date signed
complete.
Ventyirg action - Sgnature of Auditor Date sgned