HomeMy WebLinkAboutHomestead_Patterson STATE FORM 53569(8315-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC61.1 22-8.1
'- aj 1 ` [MPORTANT.NOT,ICE 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
s, adard 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.
r ,.r,:; d - ?. PARTi PROPERTI INFORMATION- , - 1
Taxpayer Name Property Address State Parcel Number - Letal Description:
Jerry.1/Linda Z Patterson 603 S MAIN ST 26-I 2-07-305-002.099-0�SOIJ�ni\NARK ADD 7 PT
PRINCETON IN 47670 BIN
Complete and return to: llpllIEDIIMI�mnU®DIIHIriIOIDJU�iI IBIN
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 _ _ - tW
- • : •: . - ' •• ...PART^T-�TaXPAYER INFORMATION,_ , ^. _ : ; ,
Owner 1/ First Middle n Last
k.INt/a Z • - 6 /Iersoh
Mailing Address(number and street,city,state and ZIP code)
L`/I Same as property address
(p o3 S. 1 fat Y1 S-t. IPrinci -t-on 1CA) 47107 o
. :
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
' •' L_. :PART4:AUDITIONALINFORMIATION
• FILED
JAN 2 9 2013
6113S0N COUNTY AUDITOR
d�; ,'�CLAIM FOR HOMESTEAD PROPERTY-TAX` _ FoRM YEAR
_'� ` CREDIT/STANDARD DEDUCTION . ., Hcio �
P � i 2
:� State Form 5473 (R2/1-90) �-l��
�' '°�° � INSTRUCTIDNS: See reverse side for filing instructions.
CERTI ATION STATEMENT ' ✓ � � �
I(
claimed: I(We) owned ❑. Are buying under contract
�� Have a beneficial interest in the entity that is liable for tFie property taxes o��� t owns the
property or is buying it under a contract.
e
CONTRACT RECORDED �
on contract. Fee Simple Owner's Name _ '
Recorder's office where coniract is recorded
County
Legal Description
C
Ii any portion of the resideniial structure or the Yananot exceeding one (1 pacre that immediately surrounds'that struc-:
ture is used to produce income describe the use and portion of the property utilized to produce income.
� - PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
�� ASSESSOR USE ONLY TRUE TAX VALUE _ ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALl1E
Land not exceeding 1(one) acre immediately
surrounding residential improvements (�)
Other land (2)
Total land - line (1) plus line (2) (3)
Residentiai improvemenis Dwelling � (4) - � � - - � - - - -- � - -
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through line (6) (7)
To[al value - line (3) plus line (7) (8)
I hereby certify the above is irue, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 7 991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead � Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or �1,500
Signature A itor te ne
Q nn n� _ ►, o n n - �9d