HomeMy WebLinkAboutHomestead_Berry (5) STATE FORM 53569(0/8.10) ° TREASURER FORM TS-IA
APPROVED BY STATE HOOD or A6Y'OUYTS.TOOT PRESCRIBE BY TILEOEPARTME\T OF LOCAL GOVERNMENT MA'SCE IC 61.13343
9.
"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 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
- 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 l: PROPERTY INFORMATION
Taxpayer Name Location Address
. Berry, Rose Etal .
' . 816N Race ST
- Princeton IN 47670
738 `
William Berry Etal
M I II.I�III_-III II I -II�II_III DIII�I�III DI�II�II:II �IDII VIII I�I�Dll�ll.idll ID II
C/O Ada M Berry
816NRaceST ° - .
_ Princeton IN 47670-1664 - `
'ill'Itiltilllrl1Ill11lt11I1illll'iitr1ItliiI1IIJ�I111111Jtiril State Parcel Number Legal Description -
-_— ' — .. i $G-1 201-000.161-028/'WARNOCKI7 PT —
APR 14 2011
This form MUST b>laititu?ffil a aunty Auditor's office. .
Please do NOT send this form back with your tax payment to the county treasurer.,-
• PART 2:TAXPAYER INFOR:i\IATION
9. 1 First Middle ,, Last
Mailing Address(number and street,city,state,and ZIP code) ® Same as property Ass
Spouse First Middle Last
,'r , _ „.- c
Mailing Address(Number and street,city,state,and Zil indej - -- - - - —D,Same-as pmpe ty address- _
o , 9 b 7 3 r - .
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
'
FOf1M HL t0 t979 To Be Filea in Duplica�e
Preunbed By S�ate Baa�G oi Tax Cammissioners '
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19�� �
1�`,,��Q�� SEE BACK FOR FILING INSTRUCTIONS or9- oo���•OO
W
�� - �..¢.ti.u,,�- ��,( W. D. lD-`1- 99
�(We) � certify that on the 1st day of
��arch, 19��, I, (We) occupied as our princi I place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑�have a beneficial inte;est in the taxpayer
.
Property Description
Taxing District (City, Town, Township): �
Parcel Number
ty � ��-�J Township
or legal description shown on tax statement:
%�1�� /�� _
If buying Ofl contract: Owners name ��� slmD�e owneq '
Contract recorded in Recorders Office - Record No
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income. describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
.
County Township
ana Zip Coae
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest-in, the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land � � � � �
Residential Improv ent
.�U?V ? 2 1979
True Cash
Value
(�) �0-a
(�l — 0 �
(3) ��
Dwelling �4� �$�
(5) � =�C�
Garage
Total �6� ��
Other Improveme�
To� � Improvements - � ( ) plus (8)
��oy certify the a ove is true����2Rand cor�plete.
Signamre ot Asuswr
(�) — o �
($) -�'��O
- ACTION BY AUDITOR -
Assessed
Valuation
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�%�'�/ii
/iai� ./� /
_ �_ .
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�o-�n-
oate
Homestead
Valuation
-�'r''�
_ �y .
Approved: ���«�-���� Date: � -�Z�7%