HomeMy WebLinkAboutHomestead_Barker STATE FORM MOW/8-10) TREASLRFA FORM TS-IA
APmq•FDBY STATE BOARD OF ACCOUNTS..2039 MRESLRIDID BY TIRE DEPARTMnIOF IOCALCAYFANMENT EINAV61C 6-1.1-312.1
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 becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher lax bills for all;therefore,
�� HEA 1344-2009 requires taxpayers who secehr the homestead standard deduction to verify that they are eligible to receive the
L__ 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 ,
APR i 3 LVII Taxpayer Name Location Address
C.3. Barker,Barker, Prentice R
GIBSON (V�"V 1911 BOULEVARD PL
COUN7y gt1DITOR PRINCETON IN 47670 •
1372
PrenticeRBarker• IIIIII_�IIIDIM IIIIIII��IIII�II IIIIIILIII�IIIIIIIIIil1Jli 011_II_1CIIIIIIII
1911 Blvd PI - - ,
Princeton IN 47670-3443
'III"'lllll I IIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII State Parcel Number Legal Description ,
26-12-18-304-001.843-028 BROADLEIGH PARK 89 E1/2 90E1/2
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: 1'AXPAYER INFORMATION
Owner 1 First Middle - / Last
Pwe vt % c >p� o +° r� -s 0,r- Ke.-- •
Mailing Address(number and street.city.state,and ZIP code) n/� Same as property address
)9// eottlevav- cl P7 Pr ; iicP n Til 17670
Last
Mailing Address Orimbber and street city:sate,and Z(P cade).. .i , _ —;c-'_... - c.- --.... c- l+Same as property address _- -._ . .._ - _
Social Security Number(last 5 digits) Driver's License/State ID Number (last S digits) Other(please specify in Part 4 below)
I I I L I I I I I site ,
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 Sigoa Dail
c.
�.._•,> %
e.i °�a CLAIM FOR HOMESTEAD PROPERTY TAX
i��� CREDIT/STANDARD DEDUCTION
�;;� State Form Sa73 (R2/ 5-92)
•�`i.
INSTRUCTIONS: See reverse side for liling instructions.
FORM
HC10
YEAR
� l YJ 1�-�C.�J 1� 1�-.CJLiCYJL� certify that on ihe 1st day of March, 79_
as our principal place of residence the following described real property for which a Homestead Propeny Ta. Credit is hereby claimed:
� pNe) owned ❑ Are buying under contract
❑ Have a beneficial interest in the en;ity that is liable for the pwperty taxes on the pmperiy and that owns the property or is buying under a contract.
II buying on contraa. Fee Simple owner's name
contran
County
CONTRACT RECORDED
PROPERTY
Ta+ing
� Q n� ��5
number Page
PZ�cFl�bero I (9�^� _ n� Ilegaldescripiion .
J� !V J U
II any ponion ot the resitlential stmcwre or ihe land not e*ceeding one �� 1 acre that immedlatety surmunds that structure is usetl ro protluce v�wme, describe the use and potlion
ol the pwperiy u�ilizetl to produce income. -
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township Counrv
certify the above statements are Irue. correct and complete.
street. citv. state. Z7P
ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediately (, ' I I I
surrounding residential improvements.
Otherland (p)
Tolal lantl (line 1 plus line Z� (3) I
Dwelling I (a)
Residential improvements
Garage (5)
Other improvements (6) I
Total improvements (line 4 through line � (7) I I I
Total value (line 3 pbs line 7� (g) I
i hereby certify the above is true. correCt. and Signawre of Assessor ( Da;e signed
complete.
�yirg action - Signawre ot Autlitor I Date vgned
79_Pay19_
Lesser of il2 Homestead
Valuation or 52.000
�
�
ALLOWANCE
Date 'qpe� ° 3
i � i