HomeMy WebLinkAboutHomestead_Sander STATE FORM 53569(IQ/410) TRFA}0LER FORM TS-IA
"APPROVED BY STATE BOARD OF ACCOUNTS.20G4 PROMISED BY THE DEPARTMENT OF LOCALCOVER%MENT FMANCEK6.t-rra.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS'
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
• Princeton, IN 47670, more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
• "vi F I�; P bee1344-2009 and p provide taxpayers identifying wiro yingiYin the homestead t on ce standard to llow county to verify that they Bet eligible monitor homestead
the
benefit and to provide requires taxpaye identifying ie the necessary to allow county gmsmmem to better monitor homestead
I filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
yam- ./ local Government Finance will use this information to create tools that will help county'officials eliminate homestead fraud.
• PART 1: PROPERTY INFORMATION •
APR�l 5.7011 Taxpayer Name - Locatiop Address
•
' C,3. Sander, Keith NMaria L �
/ 14/MARTIN LANE
t3188oN COUNTY.AUD TOR /PRINCETON IN 47670
600 •IIIfEfill) E11 1111 0fi101111 v11111111flllEGltfill 111 KeithASander
1630 Martin Lane
PRINCETON IN 47670-3303
1'1'11'1111111111111111111111 111111111111111'111"111"'1'111111 State Parcel Number Legal Description
26-12-06-203-004.121-028✓SWALLOWFIELD#2 LOT 12 PT SW NE 6 2
-_;__._-, 10 .1110 AC
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.
r - PART 2:TAXPAYER INFORMATION
a I First Middle Last
I)de.7 .
Mailing A ss(number ands city,state,and ZIP code) • ❑ Same as property address
/7o � 710r-/-o 1,-;411 'Pi-d2e -7/on- /A/ 4,7 7 O ,
.
• •
Spouse First ��N✓� Middle 4N E Last
�Aric�
Mailing Address(Numbei and street,city,state.artdZIP``�- 5 EiSameas property address— - —.
if 7011 laid a Anc.e.,, rtyu.c t c V-2470
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 - es and substantial financial penalties. _ ,
Owner 1 Si=•Mire Date
CLAIM FOR HOMESTEAD PROPERTYTAX
CREDIT/STANDARD DEDUCTION
Stete Form Sa73 (R6 / a-03)
Prescribetl by Ne Departrnefrt of Local Govemment Fnance
INSTRUCTIONS: See rererse side /or filing insbucGons.
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►
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1 e �� 1��-1+.s�/1 � � �� �
� �e) l�l��Ali� certi
(W ) occu�ied as our principal piace o( residence the following described real property for which a Homestead
❑ I(VJe) owned ❑ Are buying under contract
, Have a benefidal interest in ihe entity that is liable (or the property taxes on Ihe property and that owns the
I( 6uying on coniraa, Fce Simple owners name
Retorders olfice where conVacl is recorded
Counry
Tamslup
' ^ ra� �
If any portion ol ihe resitlential sWCture w the Wnd not exceeding o (1) arle
of the property ulilized N produce income.
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FORM 1'EAR
HC10
fy that,qr� th�1;( �ynC arch. 20_
Prop��r4y T (,�re �rt�ls��ereby daimed:
prope� o is�tiGqirfg�under a wnVact.
Rewrd number � Page
Tating dislritt (Gty, fown, lownship)
Is ihe pmperty in QuesGon:
�, ❑ Roal proDerty ❑ Mobile Mwno (I.C. 67.7-�) .
iatety surrountls that swUUre is used to pratluce income, describe Ne use antl portlon
20_Pay20_
Lesser of 1i2 Homestead
vewanon or 535.000
S
5'gnaWreotAUditw Datesi d
n�„ u,.., _ �_