Homestead_Greer (8) c
STATE 1ORA1535 (Pi 18-10)
64 TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.Sd PRESCRIBID BY THEDFPARTMENT OF LOCALOOVERNMEYT FINANCE IC 6-1.1-224.1
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
ak-
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
TT . al Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
0-i �'� C'1J , PART 1: 1'ROPERT)' INFORA 1AT10N
— 1 P Taxpayer Name Location Address
APR 15 2011 Greer, Michelle
323 E Oak
C.J.n ,
_ Princeton IN 476 70
755 GIBBON COUNTY AUDITOR II I�II _ ism� II I11III1III I u in1111 II WIII limn le
1
IMichelle
Greer
323 E Oak
Princeton IN 47670-1611
_ - Ill State Parcel Number Legal Description
-h IIII II - - -lIt lII I_IIIIF I-I-1 iIdlI- F
__
/
26-12-07-201-003.541-028 /OLD PLAN 139 PT
/ •
r"
This form MUST be returned to County Auditor'e4. -
Please do.NOT send this form back with your tax payment'+ . ,cr .surer.
PART 2: TAXPAYER INFORM ATION
First Middle \.,./ Last
Mailing Address(number and street.city.state,and ZIP code) ❑ Same as property address .
. 2 3 e 0 • <i',,c:L,--o,J I N 4-I n O
Spouse v First `— Middle Last
— Mailing Address(Number and street,city,st te,iii ZIP code) 1.- . Same as piopcnyaddresi--_— _- __r_ ._ _
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) . - Other(please specify in Part 4 below)
MI H I I ' I I Stele .
• 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 maybe liable for back taxes and substantial financial penalties. - - ,
Owner I Signature l/ 1r"1 s �( � �/r p Datee
� n , J�
CLAIM FOR HOMESTEAD PRORERTY".TAX ,: - ' FoRM YEAR
` CREDIT/STANDARD DEDUCTION � • � �J � HCto �
`t y, St:i1e Funn Sa73 (R6 / 403) ' " ' '
Presai6etl by ine Department of Local Govemmenl Finanoi�� "' � '" � '
INSTRUCiIUNS' See �evcrsr. side Ini /ilinry irshu�ilinns `' ' � � - � ' � �
?-�d.?`r;._,.,z'*::c:�i'�.f*.:��.n."',._.,.-.�3 _k.`...:* �:rCER77FICATION:STAIEMENT: �yT� .•.:.. :: �� 4�-i
I(VJe) � �`� ���� certify that on the� spt ay 1of Maroh 20
I(4Vej occupied as our principal place ot residence the following desuibed real pmpeAy for which a Homestead Property Ta:FCr�it451�r�imed:
❑ I (VJe) owned ❑ . Are buying under contract � � � � - � `� /�y�
�. Have a benefidal interest in fhe enfity that is liable for the property taxes on Ihe pmperty and fhat�owns ihe property or idbilvNRTLr7CCrfi�,bnUact.
" C/ V
:.,;_-.�ax-T+•.�"v.�`^s�-`��/,kr.'?`-._1��a?�.,'ra;-$ �.�,�,e-' ,`-�,.``,�:.::"�kh.��':.CONTRACT'RECORDEDi��; : �.-�.-��;:.,�: � - .>:.'�'�. _. .
�� - _ ^ .._ . . . . " . : ...
If huying on conuad, Fae Simplo owner's name
Recorders ofice where conlract is remrCed
Counry
Tav�,slrip
If sny portim of Ne reshenual swcWro a Uie Wnd rwt azceedifg one (�) acre
af Ue properry uGlized :o protluce inwma.
.=-': "�.;_:.",...'-.-�'.''L�'-r3�::"'}r.,,-�;;.-":,�`iPROP.ERTY0WNE0
County � . Twvnship
I hereby certi(y the above statements are�true, coved and complete.
�idress (nvmbe� arM streef. cif}; stafe, Zl�coda)-� �
Rewrd number I Page
.--Y� . . - ' �
Taring
� I Is �he Oroperry in ques�ion_
❑ Real DroOe�Y ❑ M1labile Homo (I.C. 67.1-�)
wrraunds that sWUUre is used �0 0/�� incwne, desvibe Ne use and portion
County
o(
� �'n-`'� � �' �'?�k-�`�'"�s --9r�.:-i'�T„�'t�p�TRUETAX ; � ASSESSED�`VALUEurHOMESTEADK'; r"�yNON-RESIDENTIALt��r �`��
�s��'.,����yAS$ESSOR.USE ONLY �.g� t .z-�. ,�,VALUE :.AT 100°��OFTTV '4�`i`.VALUES� - � �:�yS� F' VALUE �-�� d{ .
!a..,"xCni. �;Ef���"`t�' _ �:�..� .k: i �.�c�.. _�.. .,L. , ,'.! .�iv_Ti..-,.. . em �;.� r a� c �--"r. ... F.+«-.c- �s'_
Land not exceeding i(one) acre immediately. � � ,.�-,��°���� �� �`.�a�'�'�1 ��" ,'�' s e
surrounding residential improvements. ( � � �: ,�-���; �+�. ;�-�4,�:
Otherland . , (Z� -t+��-�-��`�9��
� :- � ..}..a:- �?.�
Tdal land Qine 7 plus line 2) - ' (g) �.
� x . „} �rr . r„ ..
- � Dwelling (4) � . �,�g ��:J�c�-�"r�� '...}�� ���-5
Resitlential improvements or Annuaity ..
l�ssessed Mobile I Manufactured Home Garege (5) r;� 'x `4-.'�-��.1;� �'�."' ,� ���?'
i�` ;n:::t.° �.�" _-:a(�'-<.�
n _•7 ,�, .: -
Oiher improvements (6) . 5__, y�,,,�„ ,�� ?
:,-�< .
Total improvements (line 4 fhrough line 6) (��
Tttal value (line 3 phs line n (g)
I hereby ter6fy �he above is We, torred, and SignaNre of Assessor Date sgned
complete.
Veritying action - Signature af Puditor Date signed