Homestead_Guzman-Diaz STATE FORM 535 /&la) O
Ary] TRFAACRfl FORM TS-IA
- APPROVED BY STATE BOARD OF ACCOUNTS.ffW PRESCRIBED BY THE DFPARTMFAT OF LOUT.GOS'FANMENT FINANCE IL6-1.1.124.1
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 hills 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.
PART 1: PROPERTY INFORMATION
. FILED
Taxpayer Name - Location Address
APR 8 2011 Guzman-Diaz, Fernando/Alice M
710 Mccarty RD `
GJ.f+ y
V\ p Princeton IN 47670•
404 GIBSON COUNTY AUDITOR Il ill,1Hrlll Ill tl Dill nil nil1Ell Hi/l nIIlIIl11:111nI II III IT DII.HID III
Fernando Guzman-Diaz
710 McCarty Rd
PRINCETON IN 47670-2857
lill1lili"I'IliiI'liiliIiItlt llllIllitllilllllilll'I'I1i1ll1"" State Parcel Number / Legal Description
26-11-13-204-000.645-028 /MCKAW SUM 50 PT/51
•
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
Ow.._. I First Middle Last
rerpaAcia �u7-MQ ti- 1) tgZ
Mailing Address(nt4ber and street ei state,and ZIP code) ICI Same as property address
`710 fYLC c_a,r't- E�'
rtnce-d-o'
Spouse First Middle /v� Last
AJ;ce Mar - Rtni'n - bia2—
'Mailing Address(Number and street,city,state,and 7.1 P code). _._ ' — ._.I�!(Same as propertyaddress — -_- — —
,
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 may be liable for back taxes and substantial financial penalties. - .
Owner I Signature a Date
ea ��' f CLAIM FOR HOMESTEAD PROPERTY TAX
i��r CREDIT/STANDARD DEDUCTION
State Form Sa73 (R2 / 5-92)
ti��%' •
u�e
INSTRUCTIONS: See reverse side lor liling ins(ructions.
0
� �
��. p Ib ��( !'It
NOV 2 7 1996
� � A!� � (ff6ertify.thatonth24S{8'aJ'olMarch, i9
� occupied as our principal place of resi e lhe following described real roperty for whi h estead Pmperty Taz Credit is hereby claimed:
(We) owned ❑ Are buying under contract ��� � -a'� �� . .
'��ave a beneticial interest in the eniiry that is liable for the property taxes on the property and ihat owns the property or is buying under a wntraci.
�� . - -� . CONTRACTRECORDED , _ ' � �
It buying on coniraa, Fee Simple owner's name � . � '. � � .
Recorders oHice where contract is recortletl Record number Paqe
County
° � PROPERTY DESCRIPTION -
Township ' ' - �xing tlistriU (dry, mwq township)
Parcel number Legal de5crip�ion
�L9 -�oc��(s=aa
If any pottion oi the residemial swtture or ihe lantl not exceeding one (1� aue that immediatety surwunds that structure is used to produce income, describe Ne use and portion
ot ihe pmperry utilizetl to produce income.
� ASSESSOR USE ONLY TRUE TAX � ASSESSED HOMESTEAD NON-RESIDENTIAL �
VALUE VALUE� VALUE VALUE
Land noi exceeding 7(one) acre immediately
surmunding residential improvemenis. (�) � �
Otherland (p)
Totalland Qine 1 plus line 2� (3)
Dwelling (4) .
Residential improvements � ,.
Garage (5) �
Other improvemenis (6) �
Total improvements (line 4 (hrough line � �7) _
Total value (line 3 p�s line 7� (g�
I hereby certity the above is true, correct, and Signamre o� nssessor oaie s�gned
complete.
���^rying aaion - Signature ot Auditor Date signetl