Homestead_Maglis STATE FORM 535t (5318-10) TFASL'REZ FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS-MA PRESCRIBE BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 61.1-334.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS'
101 N. Main Street Individuals and mauled 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
T T T r T benefit and o p wide additional identif-ing info ma on necesary o allow county govemment to better monitor homestead
1H 1 J■rLJ FL.( L\ filings.Th s information will be kept confidential and can only be accessed by authorized coon ofhcials.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
MAY 4 2011 Taxpayer Name Location Address
Maglis, James M/Tracy G
v v\
1607 Brentwood
GIBSON COUNTY AUDITOR - Princeton IN 47670
605
James M Maglis I it ti 01 111 -11111.11101111111h� J111ii il�lllnl_ 11111111111111 ill
_ II
1607 Brentwood Dr
PRINCETON IN 47670-3317
1111111111111"11111111'111111111111111111"11111111111116111111 State Parcel Number -- Legal Description
26-12-06-302-000.708-028/NORTHBROOK HILLS 13
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.
PART 2: TAXPAYER INFORMATION
Owner I - First Middle Last
arAmes X11 d � �tttIiS
Mailing Address(number and street.city,state,and ZIP code) []]4e as property address
1601 •eaithilaA Wrivt f vjnccIn JT1V 17670
Spouse First Middle V /15 last
J
Maiing Address(Number ana stn:e city:slate,and-ZIP-Endo)^ —___ __ - _ ._.—LZaarne as properry anaress
1(Q07 ere.A/Olit ®v;vt Prig X1610
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 Date
CLAIM FOR HOMESTEAD PROPERTY TAX
'� " CREDIT/STANDARD DEDUCTION
t Nr / Sttte fam 5473 (RS / 70-01)
PresaiGed by the Departrnem of Local Govemment Finance
INSTRUCTIONS: See 2verse side /or (ling insfructions.
FORM
HC10
YEAR
' F -�
�(We) rGTy thal�or�the 1p'st da�y� of March, 20
I(We) occupied as our cipal place of residence the foliowi desaibed real p erty for which�a Homest�P-io `peGy.T�t is hereby daimed:
❑ I(We) owned ❑ Fve buying under conlract MA� � O
�Have a benefidal interest in the entity thal is liable for fhe property taues on the property and ihal oxms the proper�y0o0r�s buying under a contraG.
� ��
u. , �-� � � ii
�'�,.'���':�:��,�`,'"`�c9►�riuicraecor�eo�;=�:$��"'�. �-.�'�'���:���
I( b�ry'vg on contrad, Fee Simple ownefs name � "" �'�
Remrdels office where coirtrad is recorded Recard number Page
Tamslilp
���m��70$ -0b I�
Hany poM1lon W Ne razidenUal strucWre w the
of U�e propmty uhT¢ed tu produoe irimrt�e.
ane (1 � aae Nal
Ta�ing
Is the property in quesUon:
1 ❑ aea� vroOeM1Y ❑ n4obue Momo U.c. &f.1-� .
unds that sWqure is used to produce incpne. dea�ribe ihe uae a�W portbn
20 _ Pay 20 _
Lesser ot 12 Homestead
A Valuation or E6,0ft0
$
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