HomeMy WebLinkAboutHomestead_Nash STATE FORM 53569(EMS-10) - TREASURER FORM TS-1A
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1 22-8.1
IMPORTANT NOTICE TO'HOMESTEAD PROPERTY;;OWNERS
to . .
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
a°duction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
II/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 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.
x"°' 1"•-t pART1 'TPROPERTY:INFORMATION' ��f
n. . '�•. • .l re�> •i ' w•...N ,.
Tasoarer Name Property Addrest State Parcel Number Leal Description: •
Steve E/Teresa Y Nash 818 E EMERSON ST 26-12-08-103-001.313-028 S&R ADD 9 PT/I2 PT
PRINCETON IN 47670
Complete and return to: IIIPJIIp111713II�I11I1Ri8 1i0411IIIIpI18I'I,IIIIgnpl'gI0@I n�InpnA
I urrll ii 1WU B iu!rlmll' �i EBTiI IIJ�iPII liu
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
• PART 2:TAXPAYER INFORMATION "`n.:
Omer 1 Fast Middle � Last
Address(number and street sty,state and ZIP cede)
Same as properly address
Spouse First Middle Last
43 Si ciAek. th-57 eZ DGt 'cR.c-es
uq Address( and street,city,state and ZIP aide) Same as propeny address
Social Seemly Number(last 5 digits) Driver's License/State ID Number(last 5 digits) state Other(please specify in Part a below)
• FT..O .1- 3CCERTIFIGATION,:LK ' 'S::.,' s tY.ti"-•. ,.-� ..
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 Signalise Date
'
FILED
• NOV 8 2012
r 6A
GIBSON COUNTY AUDITOR
IUNAI 111, tU IJ.J - . � �� �.. � ; . J'.
FcsuioeG By 9aie Boa�tl ol Ia. Commissioners �^
(_I
� CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19
.' SEE BACK FOR FILING INSTRUCTIONS �j9 - 013 i3-DO✓
�'�e) ��r � � fl� ��—. �-�—\ certi(y that on the 1st day ot
�.._rch, 19_�'., I, (We) occupied as our prin i al place of residence the (ollowing described real property fo�
which a Homestead Property Tax Credit is hereby being claimed:
(We) ❑ owned
❑ are buying under coniract -
❑ have a beneficial interest in the taxpayer
Property Description i
Taxing District (City, Town, Township):
Parcel Number '
���
If buying Ofl contract: Owners name ��ee simo�e ownwl
njy
Township
or leg I description shown on tax statement
O �
MAR'27 IJAJ Contract recorded in Recorders Office - Record N
If a poriiorLOf the residential strucWre or the land, not exceeding one (1) acre that immediately surrounds that
slr �e �6ce income, describe the use and portion of the property utilized to produce income
AUDITOR
Any other counties in which individual owns or is buying real property: County Township
�Preby certity the above statement is true, correct and complete.
�,-t�. £-- � �
•AgruWro , Street naaress � Ciry. 5�aie ane zln eoae
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a bene(icial interest in the taxpayer.
- � - FOR ASSESSOR'S USE ONLY -
d
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements
Dwelling
Garage
Total
(�1
(2)
(3)
(4)
(5)
1s)
True Cash
Value
Other Improvements (�)
Tot�iprovemenls - Line (6) plus (7) equals (8) (8)
I hereoy certify-the above is true. correct, and complete.
Signalure oi Assessor �
- ACTION BY AUDITOR -
Aporoved: W����L�N rn �— _____
Assessed
Valualion
Oair
Homestead
Valuation
3-a �-��
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