HomeMy WebLinkAboutHomestead_Minnis (10) STATE FORM 53549(1C/a.09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC61.1-22-8.1
IMPORTANT NOTICE TO HOMESTEAD'PROPERTYQOWNERS
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
Sauses 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.
, ' PARTt PROPERTYINFORMA1ION
Taxpayer Name Proverb'Address State Parcel Number Legal Description:
Jeffrey L Minnis 703 Makem.son AVE 26-11-13-204-000.699-028v/ MCKAW SUM 83PT/84
Princeton IN 47670
Complete and return to:
i1111iiom011u0oummmu1®gym 111100 11 IMM®
GIBSON COUNTY AUDITOR 101 N MAIN PRINCETON IN 47670
Owner I First Middle Last
C A1/1 1/ir
Mailing Address(number and street city.state and ZIP code) Same as property address
203 ,rJa-c f1 ✓ V
Spouxe First Middle Last
Mailing Address(number and street.city.state and ZIP code) Same as property address
Social Seemly Number(last 5 digits) divers License State ID Nunber(last 5 digits) State Other(pease specify in Part 4 below)
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
• PART 4:ADDITIONAL INFORMATION
•
_' l L ED
APR 18201111
GIBSON COUNTY AUDITOR
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i CLAIM FOR HOMESTEAD PROPERTY TAX
ia�� CREDITISTANDARD DEDUCTION
' State Form 5473 (R2 / 5-92)
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� INSTRUCTIONS: See reveise side lor /iling instructions.
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I(We) l / 1(/YV f t� h.�'�
I(We) occupied as ou in place o r sidence the following described real�pmperty for which a Ho ste� �dR[�j y aimed
�'(We) owned ❑ Are buying under contraci
�ave a beneficial interesi in ihe eniiry that is Iiable for the property taxes on the property and that owns the property or is buyingvnder a coniract.
� � � � • CONTRACT RECORDED � - - -
If buyirg om m�vac4 Fee Simple owner's name�
Recordefs oHice where contraci is recorded Record number Page
PROPERTY
Township
number DD� � �� Legal description
e.
anion oi the residential stmcmre or the land not exceeding one (7) acre
Irooerty Nilized toproduce income.
� � PROPERTY OWNED BY
Counry Township
I hereby certify the above siatemenis are true, correct and complete.
�ss (number aM street ary. state. ZIP code)
i'
fown,
Ihal
3 /�y
is used to produce income, descn6e the use and portion
ASSESSOR USE ONLY - TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL, �
. VALUE VAIUE VALUE VALUE .
Land not exceeding 7(one) acre immediatefy -
surrounding residential impmvements. (� � � � �
Otherland (p) -
Total land (line 1 plus line 2� (3)
Dwelling (4) . .
Residential improvemenls
Garage (g) � . - �
Other improvements (6)
Total improvements (line 4 thiough line � (7)
�I value (line 3 p�s line � (g)
I hereby Certify the above is irue. CorreCi, and Signature of Assessor Daie signetl
complete.
Veritying action � Signature of Auditor � Date signed
STANDARD
79_Pay79_
Lesser of 1/2 Homestead
Valuation or 52,000
5
Signature of Audiror �� y%/� . � I Date s�ed ��_
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