Homestead_Martin (5) STATE FORM 53569(R3B-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 10;.1.1--2_2-8.1
R - ° IMPORTANT NOTICE TO HOMESTEAD PROPERTY,OWNERS
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
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.
Tint : "` .- ._ • 'PART': PROPERTY-INFORMATION . ;4,- ' yr= ç9 . :sc.- :: ; s•
Taxpayer Name Property Address Slate Parcel Number Leoal Description:
Eric D Martin 210 S SPRING ST 26-11-12-402-002.876-028 SUNSET TERRACE 3
PRINCETON IN 47670
Complete and return to: IllnligilII?NIEIIIA11[1111,� [Illlllf7(@IfIIII�PUI1110.1m
Y � Itl rIH YYY Jr. Wrrtl 4JY0YY
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
.1: PART 2:TAXPAYER INFORMATION .Nt - a L ' '4-
Owner I First Middle n n. Last
Er1L The Way p � M arfC •11
Mailing Address(number and street,city,state and ZIP cede)
dame as property address
arose 11 ''A rst , \ - Middle Last
Y Oir Cr-- 1 ,aV■I n os fit n
Mailing Address(number and street,city,state and ZIP code) j, e me as property address
.�..c_ _ _ ,- _ � �•Y�eu. .. -•. .. �ii.�>_.rT pave+. • .-.aY-., 3
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
. . .
• J/��w
•
V
'"" rt��a
?* � CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
` � State Fortn 5473 (RS / 70-01)
��° Prescribed by the Department of Local Gavemment Finance
INSTRUCTIONS: See reverse side for /iling insWCtions.
,_
STAiEMENT
FORM
HC10
YEAR '
-�
I(VJe) �/�(�����( (�(�(�(/Yj certify thBCo�th�1� d§JIY�Marth, 20_
I(We) occupied as our principal place of residence the following descnbed real property for which a Homestead Property Tac C� t is hereby �med:
❑ I(We) owned ❑ Are buying under contract �
�4ave a benefidal interest in the entity ihat is liable for the property taxes on the pmperty and Ihai owns 'a ert�y ��S�,Eiying,�h''.l��c tracf.
U'
��. T.'-: :°o�.,Y.�.� `` . �C � , s�=�� S., s �.; .';!� ,i':"�CONTRACT'RECORDED"�;�.- � � '
i - t'�
It buying on contraa, Fee Simple owners name
Remrders ofice where contracl is recordetl Rewrd number Page
County
If any portion c
of the properry
+ � . � ,. . .i.�-. .
ITavnship Taing districl (ury, fowq township)
Le I, escription Is the property in question:
6`� ❑ Real property ❑ b7obJe Homo Q.C. 67.1-7)
idenlial sWUure or che land not exceeding one (1) acre Ihat imme0iatety surrounds Nat sWCture is usetl lo Droduce income, describe the use and portion
to produte intome.
20_Pay20_
Lesser of 1/2 Homestead
Valualion or 56,000
SgnaWre otlwditor