HomeMy WebLinkAboutHomestead_Bailey (6) STATE FORM 53569M/8-10) IRFASURFA FORM TS-IA
APPROVED BY STATE.BOARD OF ACCOUNTS.2009 PRESCRIBED BY TIE DEPARTME\I OF LOCALGOVFA'MENT FINANCE.IC 41.1-224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
"101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction'hecnmes
• Princeton, IN 47670 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
i� 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.
PART 1: PROPERTY INFORMATION
_ Taxpayer Name Location Address
_ Bailey, James M Jr -
424 E Emerson ST
Princeton IN 47670
775 -James M Bailey Jr 110101II)011101101 li II.110011101 IIIIImum 11I 01101 I 01li 11.0110ii i IU(H1
424 E Emerson
PRINCETON IN 47670-1808
I'i'1111'1111'IIII1111iillll'IliliilrillltFtllllllli'I"II'llllll State Parcel Number Legal Description
_ - F I t 2-07-203-001.165 028✓NS LOT 2 PT R7 _ -
APR 820111
This form MUStb F8t't '8'2County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
•Os..._. I F rst Middle Last
S
Arnes I ' lekAe1 - ; 1
Mailing Address(number and street.city.state.and ZIP code) g_Same as property addniss
•
•
Spouse First Middle - Last
Mailing Address(Number and strcx4 city,'smte,and ZIP cede)_ -- ._ -_---v----_ _ --_rl._eameas property:add tss - - . - —s
• Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) LJ Other(please specify in Part 4 below)
1 1 1 1 1 1 1 1 1 sue ,
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 Signature Date
�� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm 5473 (RB / 4Qi)
Presvibad by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side Ioi liling insfnalions.
FORM YEAR
HC10
�i. �, � �. . � � 1
�(We) � � �certify that on the 1st day of March, 20
I(We) occupied as our p cipal place of residence the followin d suibe real property for which a Homestead P.ropeAy Ta�c Credit ie hereby daimed:
�.LG��-�W'.'"�t��..."L .J
❑ I(VJe) owned ❑ Are buying under contract iyc�y C�.• �;`T y A,_"?'; r; i
� Have a benefidal interest in the entity thal is liable for fhe property taxes on Ihe property and that owns the property or is buying under a conVaU.
II buying om m�Vad, Fee Simple awnefs name
Recordefs olfice whera conVacl is recorded
Tnvnship
If eny portion of ihe residenllal aWCture w Ne IanA
ot Ihe property utiizeA to produce income.
Rewrd number � Page
Tating EisUict
Is ihe
l`7�T��/ ��..� I Ra praperty ❑ MobilaHOmo�1.C.6f.f-�
one (1) ave t immediatey surtounds Nat struCUre is used to produce income, describa Ne use and ponion