HomeMy WebLinkAboutHomestead_Boner STATE FORM 53569 ours-, 09)- - - TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1.22-.1
f 4 P O O p AM NO IC« 1KW GTOI 7 LU • e O ' EiR Y OO WNW
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 1344-2099 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.
•ARTI: R0 •RTY INFO•M - 0 .
Tasmarer Name Properly Address ISlate Parcel Number Legal Description:
James/Laveda Boner 101 I S Gibson ('!�26-12-18-201-003.122-028 / 019-03122-00 SS ADD 92/93 PT
Princeton IN 47670 �/
Complete and return to: -
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
• noir 28 VAT/P6012 IN FORM AT ION • •
Owner I First Middle Last
.J a- w. es J L ►1C� e e o » e_ r
Mating Address(number and street say,state and ZIP code)
Same as property address
Last
•
L- 0t U c_Dto,... p e.cat v` Q o
Mating Address(number and street.ay.state and ZIP code) . I/Same as property address
-
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 1 Signature Date
Pia ADDITIONAL OggalaillaTION
•
•
S
FOpAI XC 10 1979 � To & Filed in Dupliute
NescriDeO By State eoam o� ra. cammissioners . O�t/T.FAC T '
CLAIM FOR HOMESTEAD PROPEATY TAX CRE01T FOR YEAR 19 ��
i � o�-�
_� �We�
March, I, (We) occupied
which a Homestead Property Tax
I, (We) ❑ owned
�e buying under contract
❑ have a beneficial intgrest in the taxpayer
Property Description
certify that on the 1st day of
ce of residence the following described real property for
being claimed:
O� 9- 0 3�aa _ o o✓
Taxing District (City, Town, Township): �
Parcel Number
Ccil.d�� C[a
If buying Ofl contract: Owners name ��� simvie ownei� �
nty ��-�-��- Township
or legal descri tion shown on tax statefnent:
,��lld�.- r1.2 f 9j S/„
Contract recorded in Recorders Office - Record No. z Page So(s
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.
�
SVlQf AOdr¢55
County
�
Township
and Zip CoCe
' 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 resitlential improvements
Other Land
Total Land
Residential Improvements � T � � �
� w ling
arage
qpR 221gg1 Tota�
Other Improvements \� {� ��
T�Improvements - LinedA7��5�MapS��d.�C
I,� �eby certify the abov�-jis tn'�J@b�t. n complete.
Signa:ure
True Cash
Value
� i ) /S��
(2) '
�3) /.S"��
(4)
(5)
(6)
c>>
(8)
- ACTION BY AUDITOR -
Assessed
Valuation
S3�
Homestead
Valuation
S3o
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Date: