HomeMy WebLinkAboutHomestead_McCrary (3) STATE FORM 53569(11711-09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6.1.1='`5.1
RIP 0 N() Artj L l * I T e'OP !' Y OI W\I IS
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
'Pauses 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.
AR.. : PRO 'R Y IKKOMMOTS1
Tax paver Name Property'Address State Parcel Number Legal Description:
1701 Blvd PI
Valeenia A McCray 26-12-18-302-001.283-028 / 019-01283-00 BROADLEIGH PARK
Princeton IN 47670 73/74/125/126
Complete and return to:
. GIBSON COUNTY AUDITOR, 101 N MAIN:PRINCETON IN 47670
PART g31Q Sflf INFORMATION
Owner 1 First
Middle Last
/C A. • d�ya u( -
r..
'/
Mating AddressAamba and street oty,stare and ZIP aide) I, /Same as property address
/70/ c/ejarc/ %c € ‘4(Same
First Last
•
Madng Address(number and street city,state and ZIP code) $ante as property address
Social Seemly Number(last 5 digits) Drivers License State ID Number(last 5 digits) state Other(please specify in Pad 4 below)
PAR t1
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to receive the
homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or
she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
v ( )
lit E$f TION
• •
e�=•�
�"'� CLAIM FOR HOMESTEAD PROPERTY TAX
i��� CREDIT/STANDARD DEDUCTION
��;� State Form 5473 (R2 / 5-92)
uu
INSTRUCTIONS: See reverse side /or liling instructions.
FORM YEAR
HC70
� R � R�
�" e) I 1 1� . - - � certify ihat on ihe 1 st day of arch, 19_
� occupied.a r principal p aTc�'aiT� e�Yhe follo mg described real pr erty for which a Homestead P erty Tau Cr it i reby d�m
I(We) owned ❑- Are buying under contract
G3tr?: C^;Iti-v ;s.niTn� �
❑ Have a beneficial interest in the entity ihai is liable for the pmpeny taxes on the property and thai owns ihe propeny or is buying under a contracL.
- � - - CONTRACTRECORDED � � • - � . ' .
It Wyinq on coniract. Fee Simple owner's name -� - . .
Recorder's oHice where conVad is recortletl ReCOrd number Page
Tawnship
Partel number Legal desc,r�gtion
0/9=o��3-Oa I.�road I
It any ponion of the residential stmcture or the IarW not exceetlin9 one (7)
of the pmperty utilized m protluce income.
Tazing disiqct (dry. town, mwnship). . _
immediatey surrounds thai Struclure i� used
income, describe the u5e and portion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD - NON•RESIDENTIAL-. .
, VAWE VALUE VALUE VAWE
Land not exceeding t(one) acre immediatey �
surrounding residential improvemenis. (�) � -
Oiherland (p) .
Tmal land Qine 7 plus line 2� (3)
Dwelling (4) ,
Residential improvements ,
Garage (5� .
Other improvements (6) �
Total improvemenis (line 4 fh�ough line � (7)
Total value (line 3 p�s line � (g) I
I hereby certify ihe above is true, corrett, and Signamre ot Assesmr Date signed
complete. -
��'ying action - Signature of Autlitor Date signetl
�
19_Pay19_
Lesser of 1I2 Homestead
Valuation or 52.000
of
STANDARD
5
A
Date si ned
�d3 -S7