Homestead_McGowen STATE FORM 11360 CR3/&10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS 2079 PRESCRIBr BY THE DEBARMENT OF LOCAL OOVFR\MENT MACE IC 61.1-224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married 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
FILED 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.
PART 1: PROPERTY INFORMATION . • ,
APR 8 2011 Taxpayer Name Location Address
McGowen, Bonnie S
v w\ 6 906E State
GIBSON COUNTY AUDITOR
Princeton IN 47670
1029 1
Bonnie S McGowen I110111in [IIII 1111111 iifu l EliHum,mmmili ill:11111111111 flu 19111
906 E State
Princeton IN 47670-1940
��I'I�Illut�I�tI�I�LlllllllllrlllltlltlJlllllltlnlllllltll'I' State Parcel Number Legal Description
26-12-08-103-002.836-028/S 8 R ADD 23 PT
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
I First Middle Last
'S{ 0i✓A] I6 SUE McCowcAl
Mailing Address(number and street,city.state,and ZIP code) Same as property address
q06 F_Asf S%Afe �R (A)CCt0AI /AV (Atin 2-{- 7670
Spouse First Middle Last
Mailing Addits(Ntimbei aid-street,city,state,acid ZIP code)_- "— "--_—❑.Same as property address--
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) -
( I I I I I
sine
• PART 3: CERTIFICATION
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 maybe liable for back taxes and substantial financial penalties.
Owner I Signature Date
`� rt��° CLAIM FOR HOMESTEAD PROPERTY TAX
y� � CREDIT/STANDARD DEDUCTION
��! State Form 5a73 (R2 / S92)
�u�
INSTRUCTIONS: See reverse side lo� liling instructions.
FORM YEAR
HC10
. ` .• — - � . .:•. GERTIP2GATIOTI STATENENT- --„=, . =� �' ". � _ '�- .. . .
, .,
. . _ .._._ . . .:. r: :. . � .� •
I(We) ��—' �t a on .. y of�March, 19_
I(We) occupied as wr principal place of residence the following described real properry tor which a Ho �� a�r�� Tax Credit is hereby claimed:
CI I(We) owned ❑ Are buying under coniracl (� �'�9�9
��ave a benelicial inierest in the entity that is liable for ihe propeAy tanes on the property and that owns t��op�'rty or i,vbuying de contract.
�
' � \Zpc�
_ - : - - _ . - CONTRACT RECORDED �:. � -..: - .. . /. r .� ::✓"`� �. Ui'�Z� ��� �`_... }: - s-:;.�
If bryirg on conirad. Fee Simple owners name
ftetorder's oflice where Contratt i5 recortled
- �YtSVYCX1iUCDGM1Y11Vi'1 �
Counry � � Township �� Taxing distnq ( o_wn,wwnship�
) t7kJ f]�jZ) �"'vi�
Varcel rn ber Legal description
Di �- Ov�3 G -e e7
If any portion of [he residential struaure or �he land not ezceeding one (1) acre Ihat immediatety surrounds Ihat swcNre is used ro
of Ne property utilized ro produce income.
//' _ - . . ' , •
L � _
Record number � Pa9e
describe the use and ponion
ASSESSOR�USE ONLY , TRUETAX ASSESSED � HOMESTEAD NON-RESIDENTIAL.
� VALUE� VALUE� VALUE � VALUE.-��
Land not ezceeding 1(one) acre immediately .. � �_
surrounding residential improvements. (�) �� - �
Other land �2) ,' 4 yg ;�=E�� '��i., : .
Total land (line 1 plus line 2� (3) .
Dwelling (4) . � �
Residential improvemenis .
Garage (g) -
Other improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
1 hereby certify the above is trUe, correci, and Signature of Assessor Date signetl
complete.
Venfyirg aaion - Sgnature of Auditor Date sgned
19_Pay19_
cser of 1/2 Homestead
yalyation or 82,000
$
Sgnature of Autlitor /{' � I ume �/ �� �
� Q%�-
__-..,;, .