HomeMy WebLinkAboutHomestead_Bigham STATE FORM 53569(R3I5-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,22009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-8.I
y IMPORTANT NOTICE TO HOMESTEAD,PROPERTY,OWNERr n;
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
',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.
`; twt. - '^' 4 ar. .'7PARTITPROPERTYINFORMATION ,+
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Taxpayer Name Property Add rest' State Parcel Number Letal Description: p
Jeremy K Bigham 825 S RACE ST 26-12-18-201-003.362-028 SS ADD 235
PRINCETON IN 47670
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Co;np:e:e a,Id tc:::r::to: IVIIIIUII111111OV01111E111l0III111:06UE1IJI1111:I11VI01IIl
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
k ° I` ' 1 " " - ' PART 2: TAXPAYER INFORMATION-'':,, ti. '` - " 7 '-44. . '.;"'
Owner �� `�//1f. First � Middle Q % Wilni last
Mailing Address(number and sU9a1,city,state and ZIP code) . I
DSame as popery address
62S S . AC? ,z- ft 01 r . 4 , 7A y7� w
Spouse First Middle fast
Mailing Address(number and street,city,state and ZIP code)
Same as papery address
Social Seamy Number(last 5 digits) Drivers License/State ID Number(last 5 diglts) --� I date—'T outer(please specify in Part 4 below)
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 subst ial financial penalties.
Owner 1 Signature
DEC 21 2012
• L.J.Ir
AlleSON GOON Pr ALCIe TOR
.�
CLAIM FOR HOMESTEAD PROPERTY iAX FORnn veaR
CREDITISTANDARD DEDUCTION' �� HCto
-t , .. /:: Sl:+tc Fwm i17$ (R614-03) - . . , . •.
Presaibed by Ihe Department of local Govemm�N Financc ' - ' - �
lNSTRUC7IUNS: SBe reversc Side Io� Iilim�Snshucfirius: �� . - ' '
=':r�. .�.Ai,."� > 't ck..3:iu __ x,.�i:-''�. - _r�:CERTiFICATION STA7EMENT'; . � �_:• f �; .• ` :__ . . .
�Y�e) certiry thai on �a ar . —
�I(We ccupied our principal ce of residence following described real property for which a Homestead Propeqy J� C edit is hereby daimed:
e) owned ❑ Are buying under cont acl - �' � MA b 3 2p05
, Have a bene5cial interesl in the entity that is liable for the property taxes on lhe pwperty and Ihat owns ihe propei¢yg�is buying under a contract.
If buying on wntaa. Fee Simple owners name
Reeorders otfice where wniract is recorded
CounFj
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It any poniai c
otfhe properry
sUUdure or
ice iriwme..
Tamship
Rewrd number � Page
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one (1) aae that immeaiatety surtountls Ihat swUUre is used b produce income, desvibe Ue use and poNOn
e':K��x..�'-�a:-e W�.j.+_`ti��i`..:'..:.$.d.'�'.��n.'�a°_"=STANDARD.OEDUCTION�ALCOWANCE> >�G _=:`a.-.i°:�."..�.'�l`�'` s°.,fic'.""`"1"�+.3��.��+i�-_'�t
20 _ Pay 20 _
Lesser of 1/2 Homes;ead
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vawaUOn or 535.000 '
SgnaWre of AudRM ' � � Date si9ned