Homestead_Holder STATE FORM MOON/S-I0) TREASIA IP FORM TS-IA
w APPROVED BY STATE BOARD OF ACCOUNTS.2089 PRESCRIBED BY DIEOFPARTMEWI OF LOAM.CAVFA\MENT FINANCE IC 6-1.1-222.1
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
FTbenefit and to provide additional identifying information necessary to allow county government to better monitor homestead
1 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.
JUN 22 2011 PART 1: PROPERTY INFORMATION
- Taxpayer Name Location Address
C. .1`Ant.,- Holder, Gerald W/Janet E
GIBSON COUNTY AUDITOR 5E3wwARNOCKST
PRINCETON IN 47670
304 1
•
Gerald W/Janet E Holder II I 11ii III III I i/II0milli hII1IIIlcli1I911:1111�IDr11111 IDssss111011 till
1030 N Embree ST
Princeton IN 47670-8320
'1"I'll lll1'1III1IIIII1I"IIIII'Il 'IIII'IlIlIlllllIlIll'II'Ill State Parcel Number Legal Description
26-11-01-403-003.008-028✓PARKVIEW TRACT 4 1-2,11 1.3664 AC
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.
r • PART 2:TAXPAYER INFORMATION
0'. I First Middle Last
Mailing Address(number and street,city,state,and ZIP code) {� Same as property address
) U n ✓ i • (- inbr'e� • 1 C1VleP n1 IA/ "7(A -7o
.
' Spouse - First Middle I '- Last
'�CtVI P_A- E , 1—at91 C�2r
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
PART 4: ADDITIONAL INFORMATION .
ei
�
d��•, CLAIM FOR HOMESTEAD PROPERTY TAX
::�"" �; � CREDIT/STANDARD DEDUCTION
� • ' State Form 5473 (R2/1-90)
INSTRUCTIONS; See reverse side �or liling �nstructions.
�.' CERTIFICATION STATEMENT
�.�..�> r;l�� � 0
G/.�9/9U a�9-J3oog 2.7oAL
FORM YEAR
HC10 O f
E
,.. c C/
aNe) 4 A rY �� � L�_certify that on the 1 st day of March , 19 /
�vJe) occupied as our principa lace of residence the f lowing described real property for which a Homestead
�operty Tax Credit is hereby claimed: �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.
i,
If buying on contract,
Recorder's office where
If any portion of the
ture is.u�ed to prod
recorded
CONTRACT RECORDED
PROPERTY DESCRIPTION
'Township
�
,
;Legal Descripiion
Record Number
town,
�
structure or the land not exceeding one (1) acre that immediately surrounds thai struc-
� describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
'�"�'��AUDI�EO�S
Land noi exceeding 1(one) acre imme�
surrounding resideniial improvements
Other land
Total land - line (7) plus line (2) �
TRUETAXVALUE ASSESSEDVALUE HOMESTEADVALUE
��)
(2)
Residential improvements Dwelling (4)
Garage (5)
Other improvements . (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (.7) (8)
I hereby certify the above is true,
correct, and complete
^' 1989 Pay 1990
Lesser of 7/2 Homesiead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 1/2 Homestead
! i Valuation or �2,000
�
NON-RESIDENTIAL '-
VALUE
1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homesiead
Valuation or $1,500 Valuation or $1,500
%�.