HomeMy WebLinkAboutHomestead_Miskell (13) STATE FORM 53569(R315-10) TREASURER FORM TS-IA
.APPROVER BY SEATO.BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1.22-5.1
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
uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
sa dard 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.
PARTI: PROPER V INFORMA ION
Taxpayer Name Property Address State Parcel Number Leal Description:
Brian M Miskell 418 N RACE 26-12-07-203-002A26-028 NS LOT 3 PT R2
PRINCETON IN 47670 pI p tltl pp fp1nn 888�
Complete and return to: 1110110 �QQ�Q�mmJ��QO�®®110�JlWm��Omuu
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670-
PART 2: TA%PAYER INFORMATION -
Ounce 1 First Middle Last
• 7') -1Q/
/Mailing Address(number and street,city,state and ZIP code)
as property address
S� First Middle Last
Marc Address(number and street,city,state and ZIP code) I Same as property address
wNumber Social Seity Number(last 5 digits) Drivels License/State ID Number(last 5 digits) are Other(please specify in Pen 4 below)
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 may be liable for back taxes and substantial financial penalties.
Owner 1 Signature ' Date
PART 4: ADDITIONAL INFORMATION
ILE T)
• MAY X02012
GIBSON COUNTY ion-oK
CLAIM FOR HOMESTEAD PROPERTY TAX FORM �
. STANDARD/SUPPLEMENTALDEDUCTION
State Fortn 5473 (R13 / 72-09) HC10
� / Resaibed by the Department af Local Gwemment Finaxe
INSTRUCTIONS: See reverse side Por filing insGuctions.
�
�(yye) ce' that w i a my ur) prindpal
place of residence w am (are) buying the following described real properry fa which a Homestead PropeRy Tax Shandard Deduction is ereby daimed
��er contracl on the date this application is filed, (date o/filing). I(We): S EP 2 3 �Q � �
,_, Own ❑ Am (are) buying under recorded conVact
� Am (are) entllled to occupy as a tenant-siockholder of a cooperative housing corporatlon C���
❑ Have a benefidal interest in the Wst or Ne right to occupy the property under the terms of a qualified personal reside •
❑ Am (are) the shareholder, pariner or member of �he en6ty that owns the property. GIBSON COUNTY AUDITOR
• •
Name daimant(�ega� ) �/CV%r�^'`
sodm semity
Sodal Seariry numhc of Ua�nanYs spouse (lastlrve Uigtls) Drive/s 6cense / Itlentificetlon / OUier number IssWrg Slate
or aain,anrs spouse (�asr r,ve d;gitsJ
• ••� � '
� If buyitg on contraG. Fee Simple owners name
Recorders ofGm where coniraa is recortled Rem'd number Page
..�• ' �
Coun 7mms�ip Tarirg . ' rown. township)
Pa I wmber Legal desQiPtion Is the pmperty in 9uesfion:
o��v 1 a.-E�7- a03 �� I(o-o a8 �a� w�r ❑ r��,�ny �ea monoa n� oc s-,.,.n
If any portion of the residen6al structure or Ihe lar�d not excaeding ona (1) aae ihat immediately wrtwnda that sWCtwe is used to P�� ��, desmbe the use and portion
of the yoperty ufi0zed fn produm Income.
�
-�• � � : � •
Counh Towrtship Caunry Tamstup
I hereby certify ihe above sta[emenis are We, correct and complete. ���re of aavnant . -
Addrass (number and (, ' state, arrd ZIP e) .
� c �, �erN r�v y���b
. . ... . ,
�- � „ ..
LanE not axceeding 1(orre) aere Immediatey (1) .� �'��"+��., t",4 9 ���:�.�s .;y;
surtoundln resldenUal im rovements.
� � ���'J
Otherland (2) �� -.,.�, �
Total land (line 1 plus lirre S) (3)
' 'ti":t �. . ..�'�'—�as�rY-,:- �ii
� ` `�1�r
Residentiallmprovemen6orAnnually ���Ing (4) �.. � �3 . �,. tiz?n:r,
Aumsed MobOe I Manufattured Home � z�',�� -t�,� �, ��� v z,.i�'�. ��'�
�9e �5) �: -ia-,i � ��.?.i. ,-_
6 -'`�p.,'::�%':`?%�dt.
Other Improvements ( ) �?,. �i�...e-., .
Totel improvemeMS (line 1 fhrough line 6j (7)
Total value (/ine 3 plia llne � (8)
I hereby eertify the above is We, cortect, �9^a�re o(ASSessor �� s5� (�^w• �Y•Y��
and complete.
Veifying aabn - Sigrewre of Auditor ��^� (^p^m• �Y ��
� • • � � • • •
20 _ pay 20 _ Lesser of 60% of the essessed velue of Ne homestead or $45,000
NoMithsfendtrg any otherprovisron, Ne sum oflhe deduUiwis provided in IC &f.7-72 to e moW7e fartre Mat is $
rat essassed as reel poperty w ro a menulactwad hwna Net is rat essessed es real propeAy may raf exceed
one-ha17 1/t1 W Ure ssed lue of N home or menWacbned home.
Sigrahne o1 Audita Dete si8ne th, daY. �
��—a� L/