HomeMy WebLinkAboutHomestead_Janes STATE FORM 53569(P3/5-lu) TREASURER FORM TS-IA
APPROVED C''STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS - • (
_ Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
4 duction becomes 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 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.
PARTI: PROPERTY INFORMATION • - `r'. r „ ey. °_
Towner Name Property Address State Parcel Number Leval Description: a
William L/Bonnie R lanes 308 FOURTH AVE 26-11-12-101-000.880-028 TOWER HGTS 132
PRINCETON IN 47670 •
Complete and return to: Innu Inllln TRnpm �nrgrll3t) rmlmgm narre3rin7er:
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GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
• PART 2:TAXPAYER INFORMATION -
Ownn�er�1 First ��/—'j//J�s� ��I � Middle (\/TI',/J ter -- Last
Ma tog Address(number and sveel.city.SiLte and ZIP ) l y,same as property address '/ ,} �7
3 o S /1 .- �, -1, , J , �?„. ze'2 �O / 0
_
Spouse 14, (0? First Cpl Middle Last
)
Mailing Address(number and street,city,state and ZIP code) I I Same as property address
0/ 4 � �y l m
4 - i a.— 1 ( (r�� rte"', -
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
!• NOV 7 2012
GIBSON C O L J N T Y A I T O R
?� ���°s, CLAIM FOR HOMESTEAD PROPERTY TAX -_ -�
CREDIT/STANDARD DEDUCTION
3� �� Sute Form 5473 (R2 / S92)
,.�. . .
INSTRUCTIONS: See reveise side /or liling instructions.
FORM YEAR.
HC10
_ - a--�
I(We) �l��fY�. �/1 ��Jv /vn,�..0 `� V � certify.t on the 1st day � arch,
�e) occupied as our principal place of residence ihe following described real prop rty for which a Homestead a .i0.����
IJ I(We) owned ❑ Are buying under contract - r`_.; ON COt;�(�i Y^ I!D!TOR
❑ Have a beneficial interest in the entity thai is liable for the property tazes on ihe pmpeny and ihat owns the property or is buying.under a coniraci.
' � � � � � � - CONTRACT RECORDED . � . - . �
If buying on contrac6 Fee Simple owners name � � .. � '
Recorder's oHice where mniract is recortletl Record number � Page
County
Parcel
tl any portion oi the resW
of the pmperry utilized to
Township
legaldescr
or [he IaMI nol e�
e.
PROPERTV DESCRIPTION
Tasing tlistritt (
one (1) acre that immetli tety s r untl:
produce income, describe ihe use and portion
ASSESSOH USE ONLY - . TRUETAX ASSESSED HOMESTEAD �NON-RESIDENTIAL
. . VAWE� VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�) �
Otherland (2)
Total land (line 1 plus line Z� (3) .
Dwelling (4) - �
Resiiieniial improvements
Garage (5) '
Other improvemenis � (6)
Total improvements (line 4 through lina � (7) -
7otal value (line 3 p6s line 7� � (g)
1 hereby certify ihe above is Uue, torreCt, and Signature ot Assessor Dare signed
complete.
Verifying aaion - Signature of Auditor � Date signetl
�
STANDARD
19_Pay19_
Lesser of 1/2 Homesiead
Valuation or 52.000 5
ot