HomeMy WebLinkAboutHomestead_Greene (4)I STATE FORM 53569(R3/8-10)STATE BOARD OF ACCOUNTS,2009
APPROVED 7REASL::ER FORM TS-IA BY PRESCRIBED BV THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE ICH-1.1-224.I
W MT;;4 t.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 • .
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.
''`,-° ,ax -.1.,.-,,,,,.,. " 'L • '•> •PARTI PROPERTYINFORMATION
Tasnaver Name property Addrest State Parcel Number J.eeal Description:
Larry Greene 836 S Hall 26-12-18-101-003.162-028 L E WOODS ADD 15 _--
Princeton IN 47670
__ Complete and_return to: _-IIDIOOII711MIDnA q`p,�R1P.1{119[fl(Btlleflfl110f,1 kp1pp� I1m11
le:eluu.r nuncna.1l lii lY,tleJ flu Lu ➢4u�mll.J GtlatlY '
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
,. •
.. PART 2: TAX PAYER INFORMATION-t5.+ " _ 4 ;l' ::a14411ni±.'' '- `9 ' `
Owner 1 First Middle Last
76/ Enti1/ _6,gI E �:eeci✓E
Mailing Address(fluter and street,city,state and ZIP code)
F34,? C / I Same as property address
O J4, S- //gam`1- Si avefrow _EA/ c‘74, 7 0
Middle Last
Mailing Address(camber and street,city,state and ZIP code)
17 Sane as property address
•
Social Seaxity Number Nast 5 digits) Drivers License/State ID Number(last 5 digits) Sum Other(please specify in Pan 4 below)
7,4 =;: T•_ _ PAf12L4ifBRT-IR`IC'i!T!QP4:Z 4 :`-fir- c-- ' ;'4`^` ii4-- $ _ :—
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
i : . :P
lill NOV 7 2012-
GIBSON COUNTY AUDITOR
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
smee Fo�m 5673 (R7 � sqs)
Prascribad by Ihe Deper6rien� d Laal GovemmeM Fe�an�
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FORM
HC10
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INSTRUCTIONS: See iaverse side /or filing instructions.
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� (We1 certiry that • —
I(We) ocapied as our prin plac8 oi residence Uie fo0owi`g desaibed real property tor which a Homestead Property Tm� C�jt i lhg2�y,�a�med:
�i M'e) owned ❑ nre buyviy under mntraa .1 U IV 1 LU /
a benefidal interest in the entity that is IiaWe tw the propeAy taxes on the poperty and fhat ovms the property or is
rc wyo-re an wno-ac�. Fee s�e �rera �s�,e
Caimry
H e`ry portion c
af Na property
mRad u remrdetl
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Is tl�e paperty in question:
❑ Real PoP�
Remrd number
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v IM IaM naa rg one (1) aue tlmt enmadafey wrtaunds Ih� W Wure ia used to pmtlice'vioome. Cescribe tha use end 7�n
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