Homestead_Ralston STATE FORM 53569(R3/8-10) TREASURER FORM IS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 1061.1--22-t.i.
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
"talo1^duction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
n
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.
` „ ,,,�,.g -g4x; s- 5., :+WL :. -.,PARTI: PROPERTYINFORMATION • :a '" p ;•• - t •
Tasoaver Name Properly Address State Parcel Number Leeal Description;
Roy A/Reina Ralston 905 S RACE ST 26-12-18-201-002.257-028 SS ADD 232
PRINCETON IN 47670
Complete and return to: MI11Eliili'sul3GuEE iMil uiii 111 iwMU MI iialiiiiliiin
-
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
.; `rPrix1'i;. . he :PART 2: TAXPAYER INFORMATION ''',` r .rn;a . Sts ':
Owner I Feat Addle last
c{qi\!- —.C.--frOL1 '(Z- kCNl -QAU ?A ri=m cv&V
Nailing Address(number and steel qty,state and ZIP code)
1 •I ama as property address
G 0c S cQ- Q w-Q CTb1.2 v� ,
Spouse Furst Middle Last
ck.`e-k 11/4->C1/4_, - CKL t°) L T-J—ct_ i 'RP\-L-S Li
Mailing Address(number and street.city,state and ZIP code) I a as property address
0) 05 S (\ee.a v ,_, 0 Q`o c .--- ' L-{ n V7 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 Data
i
0 NOV 9 2;0112 -
GIBSON COUNTY AUDITOR
�•^•TM CLAIM FOR HOMESTEAD PROPERTY TAX
drp �` CREDIT/STANDARD DEDUCTION
;:�
.� . -y =
:� State Form 5473 (R2/1-90)
''°�° � INSTRUCTIONS: See reverse side lor liling instructions.
RTIFICATION STATEMENT
� �
I ' i •? � ;w �� ,� �1r..'�
i i :,!
' FEB 2 4 1992
I(We)\ Y�k l.l •'d �Q�.� certify tliat on th�yipn��MT��� �
'(We) occupi d as our principal place of residence the following described real propert��tWliiL"t5'a Homestead
Property Tax Credit is hereby claimed: �� owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying if under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded � Record Number Page
PROPERTY DESCRIPTION
T
town, township)
Parcei Numb Legal Description �
0l9 -oa�57 • a3�
Ii any portion of the residentiaPstructure or the land not exceeding one (7 ) acre that immediately surrounds that struc-
ture is used to.produce income describe the use and por[ion 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
VALUE
land not exceeding 7(one) acre immediatety
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
Resideniial improvements Dwelling - (4)� - - - - -
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
wrrect, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 7 990
Lesser of 1/2 Homestead
Valuation or $2,500
of
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7 991 1991 Pay 1992 19 — Pay 19 —
Lesser of t/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or 51,500 Valuation or $1,500