Homestead_Morris (5) STATE FORM 53569(RIB-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL OOVERNMENT FINANCE 106-I.1"-S.I
'1
Y,IMPORTANT NOTICE,T'OMOMESTEAD 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
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.•L:, 9 s _ - . ,PARTI PROPERTY'INFORMATION ,:;.1:::`,;,.:4:i. 11 1•Aar .-.—'
Tatav
per Name__ _..-- - .Practrt' '.dd t ess- -- _
— ---State Parcel Number keel Descrin(igni
Rodney L/Mary L Morris 728 E CHRISTIAN ST 26-12-07-404-002.362-028 PT E SE 7-2-10.36 AC
PRINCETON EN 47670
Complete and return to: i®Hl H]lEE101111ll➢H1I0DDOH0EIMIEINIM
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
s , PART 2: TAXPAYER U4FORMATION -! - r .xu'.
1 First Middle Last
One11Vll,, Lee ,o rrr�s .
Mai wig MEress(rt leer and street,city,state and ZIP code)
.........111777 r -,-Same as property atlaress
7 g Eck din ;Gn .5-ft..
Qro J,oil ise OrTl3
Mailv code)Address(number and street.city.state and ZIP tle) Same as property address
iy ty., F :rJ •
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
6
_ � 1,� _ �
a' ^—'�y
e.� � CLAIM FOR HOMESTEAD PROPERTY TAX
�'�� CREDIT/STANDARD DEDUCTION
��� � Stare Porm 5<73 (R2l 5-92)
��,.,. �
/NSTRUCiIONS: See reverSB Side (or filing instrucrions.
•• �
� mj� I ( I!� i
' ��_►',11�
I(We) certil 5!bdery rch. 799�
I(We) occupied as our principal pl c of residence ihe following described real property for �c Ia Ho(m�e�stead Prope G�e�� S hereby ciaimed:
�(We) owned ❑ Are buying under wniract �C,Q ��lQ -`l�
ave a bene!icial interesi in ihe entity ihat is liable tor the pwperiy taxe5 on ihe property and that owns the property or is buying under a contract.
CONTRACTRECORDED �
II buying on contracL Fee Simple owner's name
Recortler's oHlce where wntract is recortled Record number Page '
County
If any
ol ihe
Townshlp
legal tlescription
of the resitlential stmcwre or the land not exceztling
y utilized to produre income.
PROPERTY DESCRIPTION
I Tasing tlisvia (city. (own. ;otvnship)
� ��/ -�-/� � ,3��C_
(� 1 acre thai immedlately surmunds that stmcmre is usetl to protluce income, describe ihe use and ponion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Coumy Township Counry Township
I hereby certity the above statements are true. correct and complete. S�gna�ure oi ciaimam I
�ess (numbe� and street. city. state. ZlPCOde) I
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD � NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land no� exceeding 1(one) acre immediately I, 1 I I
surrounding residential improvements.
Otherland (p)
Total land (line 1 plus line 2� I(3) I
Dwelling I (a) I
Residemial improvements
Garage (5) I
Other improvements (6)
Total improvemenis (line 4 through line � (�)
Total value (line 3 p�s line � (g) I
I hereby certify the above is Irue. correci. and I Signawre of Assessor I Da;e signed
complete.
Verifying action - Signature ot Auditor Da;e signed
STANDARD DEDUCTION ALLOWANCE
79_Pay19_ I
Lesser of 7/2 Homestead
Valuation or 52.000 S
Signawre ol Audito� Date si �atl
.�-- -9y