HomeMy WebLinkAboutHomestead_Rogers (5) '
Slat FORM 5IHIR_t f+Nl TREASURER FORM TS-IA
.VnunEn BY SLATE BMRpnr MYq:LTS.an• PRFXIOBED BY nit DEPARTMENT OF LOA' L novawrKT FIANCE M H.I-1;-!.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Nso more beneficial,there is more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all;therefore.
HEA 1344-21106 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.1}lis information will be Lep 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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address •
Rogers, Mary J
EOIIIO
PRINCETON IN 47670
1372
Mary J Rogers
906E Ohio St State Parcel Number Legal Description
PRINCETON IN 47670-3065
26-12-17-103-004.244-028 SOUTH PARK SUBDIVISION 11
lI r r t lI �� t��r 1 n 11 r II ll I t 111 ll r 11 er n
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Melky 7\--P-I,0 6 ROC- ERs
'Ong Address(number and street,city,state,and ZIP code) eme as property address
Q o (o 6- o /-b'o 5-r PR i o e s ro to rM. ) 7 & '7 o
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
_ _ __ sane
PART 3:CERTIFICATION
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
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slsta Fortn 5173 (R614-03)
RmvibeE by Me Departmrrt d Lxal GmrommeM FinaMe
INSTRUCTIONS: See iew�rss aid� bl�np iufructiont
FORM YEAR
HC10
��e) � certiry ihat on e1�1�Idhay ot March, 20
1(VJe) occupied as our p n i lace of residen e following descnbed real property for which a Homeste�F�op��`Cfc�dit is hereby daimed:
❑ I(We) owned ❑ Are buying under contract �/
' Have a benefidal interest in the enGty that is liable for the pmperty taxes on the property and ihat owns the,p�'perty ri4' _�u'ying under a contraU.
I( byv�q on conirad, Fce Simple ownefs name
Remrdefs oRtte where contract is recorded
>i'i�(�' �!'�yj �i[- .j�rr'^��8.i1.'R %�°�i"�����Vt�"Y�j
y�`]t-<r�Sfi�.Z'X?trly'z':uRT�*^1='Yl: -�'0Y�2141Y�i}.b'w�}l�.
LOU(Ity TpYI15hlP
It any poAion a/ lhe residential sWCture or Me land na axceeding one (1 � aae that
or Ihe properry uW¢ed to praduce income.
Co�nty
I hereby certify the above statemenls are We, corred and complete.
�;
Remrd number
7ating aisirict (riry, mwn, rownsniP)
Page
Is the pmperry in question:
❑ Realproperty ❑ MoWeHwnoll.C.6f.7-n
iunds that sWCWre is used b produce income, describa Ne use anC por[bn
County
3iqnaNre ot claimant
1 n
rG
,-.� C/ ?
20 _ Pay 20 _
Lesserd 1/2 Homestead
V9uaLOn or f35.000
E
Signature of Audilw /�\/\ ,� � Date