Homestead_Caniff (3) STATE FORM 53569(R3/8-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-1.1-22-8.1
IMPORTANT NOTICE TO HOMESTEAD.PROPERTY OWNERS
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 1344-2009 requires taxpayers who receive the homestead
Mt dard 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.
PARTI PROPER Y ,`FORMA ION -
Taxpayer Name Property Address State Parcel Number Legal Description:
Joshua Caniff' v-x4.11 i 1 -c-4 225 1V PINKNEY ST 26-12-07-304-000.092-028 HALLS ENLG 10 PT
PRINCETON IN 47670 pp gg
Complete and return to: IImhi00hI10[I111 lit mll®II1f11mDI7t17m�m�011mllll
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 111111 0J1W IN
_ t ': _ t N O.8 - ON . •
Owner 1 / First saddle Last
�aswa to Ilan ip,� ,,r(,h h i 4
Manna Address(minter and street,ay,state and ZIP code)
Same as property address
I5 - PinVh�.L.{ c\f rg2i' Prigc_ei r∎ t 1 Al 4 (07cO
IlIe�n First 1/L/f ^1 Middle 0_.0,1111\• }ref Last
IIM n� rI I I Io.A 1€. 1 \
sslaTa uu��Address(taunter and street city.state and ZIP code) 11/'1 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.
Owns d Signature
&- Date
PART 4:ADDIL-IONAL INFOR\IA'FION i
_ / /
• 7/
U
•
�, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
Slate Fwm 5473 (RB /4-03j
Prescnbed by the Department of Local Govemmenl Finance
WSTRUCTIONS: See reve�se side foi liling insfiucfions.
I(We) Ap
I lWeLoCCU ied as our prindpal piace o( residence the following described r��G}operty tor which a Homestead'Pr�e� �ac is hereby daimed:
/ � V
I(We) ed ❑ Are buying under coniract //�� . (/..�/
Have a benefidal interest in the en6ty that is liable for the property taxes on the property and fhal ovins.�e prope[ty or is:tiuying �r�contraU.
FORM
HC10
YEAR
x x u.� a� .�.r _
certify that on the 1s_ t day of March, 20_
• ��
II huying on conVact, Fee Simple owners name
conVaq is recwde7
County
Parcel
v � � — a_/�sc� �,
If anY GoNion of Ihe resiCenilal stn
of Ne properry util¢ed tn produce
ro..msnip
townshiP)
Record number � Page
_ I Legal description I Is the properry in Question:
❑ Real Droperty ❑ Mobile Homo (/.C. bf.1-�
or the land not exceedinp one (1) ave lhat immeAiatey wrmunds that sWGUre is used b produce income, desvibe Ne uu and portbn
�� ��
'"`�ra ���,F�;:�s���:,�:�"�°�_��,.:"STANDAR�:DEDUCTIONAL'[OWANCE.r�.,�'p�.�-�"`���`�rt��="��,�--�
20_Pay20_
Lesser of 1/2 Homestead g
vs�uanon orS35.000
Signature oilwditor � Date signed