Homestead_Hopkins STATE FORM 53569(8118-09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS,:009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1
IIMP 0 ' Mil ; WlJ1 C tJU llilicardL45buriap ' '.OP a' y 0 °V °
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
Sauses higher tax bills for all; therefore, HEA 1344-2099 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.
ARTk' 'ROP •Rr Y' 1\ ORMATiION
Taspner Name Property Address State Parcel Number Legal Description:
1427 Jefferson AVE
Aaron Hopkins 26-11-12-203-001406-028 PT SW NE 12-2-11 .12 AC BMA 6
Princeton IN 47670 PT
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
rt - - - - :'P ART&TAXPAVjI;aIN60RMATIO\ .,_ t .. .. .r "g" _ >?'::`,1,
Comer I First Middle Last
Aaron -o&Cf4_ P�1,hs
Mattsg Address(renter and street,city,state and ZIP code) i/�
v�1°as property address
/3 9 At grekek1 (Ye - ?ri fl N eeion// f c176 70
____
ap ose First Middle Last
Mang Address(renter and steel,city,state and ZIP code) i same as property address
Social Security Number(last 5 digits) Driveds License State ID Number(last 5 digits) sae Other(please specdy in Part 4 below)
--
;rC +, ; wawa emb IFICA ION z -a s } :r:
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 -r•
she may be liable for back taxes and substantial financial penalties.
Owner I Signature Siyu4ue ' / Date
-_ .
•
CLAIM FOR HOMESTEAD PROPERTY TAX I'� FORM YEAR
CREDfT/STANDARD DEDUCTION 6� � Hcto
Slate Farm 5473 (R6 / 403) �
Reanibed M Ihe Departrnem d Lxel Govxnrt�eiri Fmarke
INSTRUCTiONS: See re�a�rca etdo Aorl84p i�'ms,
�F'�3-��'�_.'ir��''�'.��'-�"��,�.�'.€''��'�t� ��!�<CERTIFICATION�STAlEMENT.'r 1�' .'�'�.:a ._�,� :. _'�?=�.�tL.,�.'_�:�,":��..:g
J'. n' :Y
\
ti
��e) ce,rtiy�t o�th�-ist day o( March, 20
�
I(We) occupied as our principal place of re ence the foilowing described real property for which a Homestead Pro�jierty Ta�C.Tedit is hereby daimed:
"'o���l COUNTY qUDITOR
_ e) owned ❑ Are buying under contract
Have a beneficial inlerest in the entity that is liable for the pruperty taxes on Ihe property and ihat owns the property or is buying under a conVaU.
I( buying on conVacl. Fee Simple ownets name
Recortlers otfice where contraa is
Caunry
=o.�yo�-�
Tomship
If any poNOn o/ �he residantlal sWCWre w the Wnd no� axcecding one (1 � arre thal immetliatety
of Ihe properry utiiized to produce income.
��� �
.a 1[�?.1I.�
Rewrd number � Page
al Droparty ❑ Mobile Hwno (I.C. 61.7-�
is used b produce incame, desaiba Ma use and portlon
`�����t°RrA ESSOR U E ONLY� � �TRUETAX ��- ASBESSED VAUIE � HOMESTEAD `�,eNON�RESIDENTL4L �?
:_t��:� :_-8,.+c r�f�Fgys�,r ?s,_$�a��� � ��VALUE,1 `�.�.� �ATt100%,OFTN.� a $pL,VALUE,F',s.a� ��u,'�,�-4i.'`�V/iLUEli,+�-?
��
Land not exceeding 1(one) aae immediatety �Y�y,�'; �F.��F 9�:=�y�����
surrounding residential improvements. ��� �� � �.�;'�� �``�-,��15�.',�;�:
; �= ;s��..�e€ �
Otherland �z) ��+-�`?�'�` �,- fi�
�°x , � _;;
Tdal land (Gne 7 plus line 2) (g�
�t �r• e,r -�ya :_�
Dwelling (4) C�:61� � o��»'� � -�
�Residentiel 4nprovements w AnnuaCy. =�.�s,o.:9���,e: .��.�.x.��;`t�`.�'.t��.F
Meeaaed AbbBa / Manufac9ued F1ortb Garage �5� r�r�',r�'''�,�x�"�`t'.'°' ��q.s
�. ���in ��' � '��t �'
. __•" i :8���c:. �: F 4
Other improvements (g) �x'� `��t;' �..{'�'�x
�-•�1.c'-'}�.'S _ .�'.�x»
Tdal improvements (line 4 through line 6) (�)
Tdal value (Gne 3 plus line � (g�
I hereby certify the above is We, coved, and signamre orassessor �ate signeO
complete.
Vaifying action - Signature o(ALditnr Date signed
��'r�'�r� i -`�e=.''�"j�l��.��'`-��ev�,,."'�`z�:STANDARDDEDUCTION`ALLOWANCEfi:i,�,q�� �'Js,',���s-�.-�c�`,',3�.�,�,.L''-�`'7".�:.c�.s��':-c�,��
20_Pay20_
Le�ser ot 1/2 Homestead
vawaban ar 535.000
5
Signatura of Audilw � " Date signetl