HomeMy WebLinkAboutHomestead_Harbison (9) STATE FORM 53569(RM-1o) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.I-22-8.1
.: ,,a r f" 0 '" AN `O, ICE110HOM •S 5 • •l1 ''0 ' ' ' I YOW , • ' S . '
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.
- PA'• d: P'OPER• V INFORMATION` '
Taxpayer Name Proper-Tv Address State Parcel Number Leval Description:
Lisa K Were 26-12707-103-001.588-028 W EMERSON ST 26-12-07-103-001.588-028 BROWNLEE ENLG 5 PT
PRINCETON IN 47670
Complete and return to: !BIB ILIIIDII11IIIII1E[IIIlIUIIJIIIDIIl[MTh h III11IIII11
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
Wib774 3 0 : u : e ► ' • .. •
Owner 1 First Middle La
Liao g l I-b us c (Rachison)
Mailing Address(number and street.city,state and ZIP code) I ✓J
ame as property address
Middle Last
Mailing Address(number and street.city.state and ZIP code) I I Same as property address
Social Security Wanber(last 5 digits) Drivers License/State ID Number(last 5 digits) state Other(please specify in Pan 4 below)
•
- . PAR &GER• I IGA- ION
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
( )
l
PARTADDITIONett I1JFCIRINPTiO.'� ; '"
i 1 -
JAN 31 2013
. -
GIBSON COU TY AUDITOR
�
..�•� E CLAIM FOR HOMESTEAD PROPERTY TAX �
a� ,4; CREDIT/STANDARD DEDUCTION
�... a
:� State Form 5473 (R2/1-90) '
�' '°�• ` INSTRUCTIONS: See reverse side (or �iling inst on
� �ERTIFICATION S A _
�A � - � .
occupied as our principal place of i
Property Tax Credit is hereby claimed:
—� -� �
_ FORM _ _
HC10
certify that on the 1 st day of March , 19
�.
e the foi ng described real property for which a Homestead
I(We) owned . � Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract. �.��, ��
Counry
CONTRACT�RECORDED
on contract. Fee Simple Owner's Name
's ofiice where contract is recorded
PROPERTY DESCRIPTION
Legal Descripiion
d
�
— u �u �-- r
If any portion of the residential structure or the land not exceeding one (7 ) acre that imm ately surrou
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
eby certify the above statements are irue. correct and Sig.n�ature •
�lete. '/n/S� � �j)�
ress (Street, number, city, state an�l ZIP code)
� 1J� �',�.,-,��a��. I�n,v,i,c.�� 2N �FZ�7d
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
1
that struc--
NON-RESIDENTIAL
VALUE
land not exceeding 1(one) acre immediately - ' ' �
surrounding resideniial improvements (�)
Oiher land (2)
Total land - line (t) plus line (2) (3)
� Residentiahimprovemenis Dwelling - � (4) - --- - � - - � � - - --- � � - � -
Garage (5)
Other improvemenis (6)
Total improvemenis - line (4) ihrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Aciion - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 7/2 Homestead
Valuation or $2,500
�
Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 7992 19—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead lesser of 7/2 Homestead
Valuation or �2,000 Valuation or �u1.500 Valuation or 51,500
a