HomeMy WebLinkAboutHomestead_Perry (15) STATE FORM 53569(R7/S-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-1.1 22.8.1
'_` 6 IMPORTANT NOTICE.TO HOMESTEAD.PROPERTY OWNERS 7
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
(induction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
•:auses 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.
M ?: PARTI PROPERTY'INFORMATION FAIM
Tasnaser Name frooem'Addresj State Parcel Number Leal Description:
Lana Lea Perry 1117 VIRGIL BLVD 26-12-18-103-002.156-028 MCKAW SUM 43
PRINCETON IN 47670 7 �! 1 f1t7f[1' pp p II '7 1' tI 7
Complete and return to: 1 110111ECC7GU11YJJi11II111BIW1 11111111/2 L:IIiIlI1�l11
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2:TAXPAYERINFORMATION'.'= � r i
Owner 1 First Middle Last
Qha �CCI ._/ 7arr�
Mailing Address(number and street,rely.state and ZIP code) 1 Same as property address
/111 1 irgi ( 3f114 -Pro ee -(-on , .Z Ai 4%7o
Spouse First Middle Last
•
Mailing Address(number and street.city,state and ZIP code) Same as property address
Social Seventy Number(last 5 digits) Drivers License/State ID Number(last 5 digits) gate Other(please specify in Part a below)
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
'p,,}y�'qa.. .,..y t `>..
6^ r •
OEC 81 2020122
GIBSON COUNTY AUDITOR
l.Ui1Pl rUI( IIU'C:JILJ-W I"I�UI'U(II Uv� �I'�ti iui'� ivv� ��
„ SEE BACv FOR FILIP�G It•lSTRUCTIOidS _
I,'•„+e) .(I�QiY�A— �..9N�'�- certify that on tlie lst day c j
�'�Zrch, 19�,"I, (N1°) occ ed as our princioal olace ot residen� t}�e .follv.uing descriir_d real E
nrvj�rty IOZ which._a F1a�rnstA.�3.Prop°sty Tax �edit is hereyy b�.ing clai�iu3: �
! � � "
Z, �) a,an�l ,. , .
� are-bu�inct un3er contract - ��
� hav2 a h=.1�°ficial interest, it�tar.payer O"/ �-�' O 2/ S�� �
FiOCey�l' Dascriotion_ in ' I1 �w�ty 'lb,;ur.lii i
'Pa.�ing District (City, Ta:�n, 7b��mslup): �OY-� �
i>escel il�ilr_s I or legal descriptio si�rnm on tax statair�t: (
�'Y� � (-�c� ��.,.� �f 3
I' bu_;�i� om m�tract: Own_=s rr�t� (fe� sur�le c,-n�s) f
Contract r�ordsi in P_°�rd_r's Office - P�card ib. Page
I` any wrtion o� �ne resid�ntial s�ructure or t]ie land, not e�ex�ing on� (1) acre tt�at
i�rc-siiately surrourr3s that structure is use�l to produce inca�, descrilp tlie use ar�3 rortioii of �
ti�e oro�sty utilized to o-�duce ir�otre .
r�ny o�.her �wities in which individu3l an'ns or is bvl�ing real prop°sty:
I
th� al�cp�� statorn�t is true, mrre�t arr3 crn�plete.
L
�un Ztr:.��sltio
� State
*Individual eit}n_r o•.•ns or is Lvying uner a mntract tltizt pmvic3es he is tn pay tii_
p��� y ta.ts on t1�_ reside��ce, or has a i�en�Eicial inteLest in� �
- FOR ASSESSOR `S USE OP�L.Y -
ify�i not e.vc°e�.sn9 1(ons) acre incrediately
sur*_-oun3ing residential im�rovFn�ts
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Pssid�-�tial Inpro��mns I�aelling
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Valus Valuation Valuati^:•`
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1� ' InnroveJrnnts - Line (G) plus (i).e:�uals �f3) ([l) _
j �ra'y{^� C°_'-`�Lj� i�l°_ d��0�^? 15 tLl1°_r COL22Ci.r c1IK� m�mlet°.
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