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HomeMy WebLinkAboutHomestead_Rexing STATE FORM 53569(83/3-10) TREASURER FORM TS-IA APPROVED ale-STATE BOARD OF ACCOUNTS.2039 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-1.1-22-5.I IMPORTANT NOTICE TO HOMESTEAD PROPERTY GOWPEERS ; Individuals and married couples are limited to one homestead standard deduction. As the receipt of this 1^duction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud 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. • :- * ': ?ARM PROPERTY INFORMATIO ^•:vj ;, - .a " r Turnover Name Property Address State Parcel Number ic-al Description: Brian Rexing 1405 S DARWIN AVE 26-11-13-204-001607-028 MCKAW SUM 100/101 PT PRINCETON IN 47670 • Complete and return to: IufIUMI►_1 UDH!Im@tluJ ME11 .1011JI!DOfl9iM GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 (' r,-', ' . PART 2: TAXPAYER-INFORMATION -, xw a <e = a r I ':-, ,?.,ti ' ,'fir, � ,.F; _ Owner 1 Fast Middle Last Mailing Address(number and street,city,state and ZIP code) . e as property address 1 'IOC rOAe i l.) A\J ? Jeer r _i; 41 743 © Spouse • First - Middle Last Mailing Address(number and street.city,state and ZIP cede) I I Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number(last 5 digits) Stale Other(please specify in Pan 4 below) 7�)ymcRrgi y� Irani el • v :-,',+.!. 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 Signature Date - FIL D - NOV "5 G1$SUN uOJhITY AUC1?OQ CLAIM FOR HOMESTEAD PROPERTY TAX °�' " CREDIT/STANDARD DEDUCTION t.•a � Slate Fortn 5473 (RS / 10-0i ) Presaibed by Ihe DepartrtreM of Lacal Gavemment Finance INSTRUCTIONS: See reverse side lor filing insfructions. FORM HC10 11 � �/ I(We) � certify tha n the tst day I(We) occupi as our principal place of reside ce the following des �b d real property for which a Homeslead P^ rty T�c Cr t ❑ I(We) owned ❑ Me buyirg under contract � �a�B�n'a ^nrn .Hava a benefidal interest in the entity ihat is liable for the property taxes on Ihe property and ihat owns the property w is buying If h�ry4g on contrap, Fee SGnqe ownefs name Recorders o16re where contraa is recorded Couny Tamship �identiel aWChire or Uid IanC AW'exceedir�p pne (1 tn produce irwome. ��(.GI�R.��\ Record numDer iacing aisuicl (dry, rown. township) YEAR 20_ Page Is MB P�PertY in question: ❑ Real Droperty ❑ Mobib Nomo (I.C. & f. f-� . �unds thet sW Gure is used to produce (nmme, desaiDe Me use end portbn