HomeMy WebLinkAboutHomestead_Noe STATE FORM 5J569(R3B-10) TREASURER FORM TS-IA
APRROVED BY STATE BOARD OFACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF OrAI GOVERNMENT FINANCE IC6-1.I222-8.1
-e - IMPORTANT:NOT ICEcTO`HOMESTEAD"PROPER- -. - ERS `.'
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
s andard 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 e
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 -PROPERTY INFORMATION • • ' - ) '
Taxpayer Name Properly Address State Parcel Number Leal Description:
Jason R Noe 500 S HART ST 26-12-07-304-003.128-028 SOUTHWARK ADD 1. P
PRINCETON IN 47670 1 m 1� (, 7
Complete and return to: I®11MHO E1111EM II Uhf ll llffil j II O1]®
GIBSON COUNTY AUDITOR. 101 N MAIN PRINCETON IN 47670
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:, . PaRT.T.;T.aXPaYERINFOILT1AT10\,
Owner 1 V q .^� First RO Vol- Middle NOe Last
Matting Address(nurrter and street.oty,s le and ZIP code) I C Sang as property address
5U8 5 1{qr fit Princeton, ( 0 7(010
-- _
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. 5 t0¶3 t 0
Owner 1 Signature Dare
"PART 4:ADDI PIONAL-'•rOF6P_TIO,\ =°,
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1
J mi.
• DEC 31'?012
GIBSON COUNTY AUDITOR
CLAIM FOR HOAAESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
State Farm 5473 (R6 / I-03)
PrnMbeE by tlro DePertmerrt d Lasl Govemrtwnt Finarwe
INSTRUCTiONS: See ie�eraa aldo
+�./���� `i certi(y �hat on ihe 1sl day of March, 20_
I(We ccupied as r principal place oi residence Ihe following described real prope for which a Homestead Property T�c Credit is hereby daimed:
I(We) owned ❑!ve buying under contract
Have a benefidal interest in ihe enGty that is liabie for the property taxes on ihe property and that owns lhe property or is buying under a wntraG.
FORM
HC10
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I( buyirg on conVact. Fee Simpie ownefs name
RecoNers otfice where contraa is remraed
3.�.`=x���i2,�����'�¢��
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County Twmship
portion ol Ne resiEentlal sW clure w Ne land nd exceeding one (1 j aae
ProPenY utiaed tu produce i�ome.
County
I here
Twvnship
(number and SVeet city, sfate, Z/Pcode)
corred
Record number � Page
Tating
I Is Ne pmperty in Gon:
Real property ❑ Mabila Homo (I.C. 67.7-n
wrrounds ihat structure is used lo produce income. describe Ne use antl portion
01 claimant
t ��- 5�„-��i�:.a�txir�' : �S+', ;� `' 7RUETAX �� �ASSESSED�VALUE �`'HOMESTEAD�� ' �$
�• � �' kASBESSOR�USE ONLY�- %�� � � .�h r� � � �NON=RESIDENTI,4L v
3� �.���"3- .t<�.�33."�.�'a �`�� tF.Y-'..1� ';VALUE�t,�� "�AT 100%OFTN� ¢ +??-:VALUE�''� �s.���?S� VALUE`g''� � `�i}�"�
�.-� ns �s....r�..��;..�_ t'€±
Land not exceeding 7(one) aae immediatety . :� ��#-„�i.3'4z���"�-�+k �
suvoundin residen6alim rovements. (�) � � '���� °E`"Y '�'F �''
9 D � � �,.. '�..`.,_y' �;� �=°'*�-�i :-`�
"' �s �;
Other land � �z� ��������h� .
r e Y.3f
Total land (line 1 plus line 2) (3�
Dwelling (4) ��`^�zc#+ S_ �-�'� ��
�':.�E. �� ��ki����
�ResidendallmprovementaorMnuaOy � ,�� _,
Asmsved MobOe / ManufacWred Home Garage (5) ''�� �= '•r� t � w .s
���������
�:..."''-�.��3?�?E�'F=Er
Other improvements (6) ��a������
t-=. -3.. fi.: S �
Tdal improvemenis (line 4 fhrough line 6) (�)
Rtal value (line 3 phs line � (g�
I hereby certify ihe above is We, corred, and Signature otnssessor Date signed
complele.
Verifyinq action - SynaNre oflwAimr Date syned
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