Homestead_Schrodt (3) STATE FORM 53569(818-10) TREASURER FORM TS-IA
APPROVED BLS-TAILBOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.I-22-S.I
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this -
deduction 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
ndard 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..
� -, y PARTIPROPERTIki\FORx/vTIO\. x;.'
Taxpayer Name Propern Address State Parcel Number Least Description:
Steven Schrodt 205 FIRST ST 26-11-12-104-002.803-028 TOWER HGTS 31
PRINCETON/IN 47670
Complete and return to: IImIIDII VIIVuVUVIIMEUI030IOHII]IDOI1,000II OVVIVO
GIBSON COUNTY AUDITOR. 101 N MAIN PRINCETON IN 47670
t PART 2:T-4.XPAYER INFORMIATION
at Middle
lay e i u
Mailing Address(number and street,city,state and ZIP code)
ry-Ki Same as property address
DAD A/1 X ±- L
First /1 tbddle
Mating Address(nunter and street,city,stales ed ZIP code) 1 Same as property address
Social (ZJ
cial Security Nurrter(last 5 digits) Drivers LicenselSlate ID Number(last S digits) 1 ' state Other(please specify in Part 4 below)
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 1 Signature. Date
•
PART 4:ADDITIONAL INFORMATION
1 r _
�11 �. •. - I • _ L.i_ -�
• ' I•
- - -- APR 13 2012
..
Ilk-
GIBSON COUNTY AUDITOR
CLAIM FOR HOMESTEAD PROPERTY TAX � FORM Y�aR
CREDR/STANDARD DEDUCTION � Hc�o �
♦ smm rwm sars Rt� i sa�
Presrnbe0 by tlie Depertrr�anl of Lo�l Govarur�rt Finance
INSTRUCTIONS: See raverse side for filing instruttions.
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��e) certify ihat on tlien 1 st da�j no March, 20_
I(We) ' as our prm place ol residence the fo0owing desvibed real property tor whirli a Hanestead �^ Tet �t�ll�e�eby daimed:
nvrx:W ❑ Ne buying under oontrad
benefidal intere� in the entily that is liade for the pmperty fa�ces on the {xoperty and that v.ms the
contract
Cwnty Tnnrsttip
Pa� naMer L �Ption
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rc am u,e r�ne�aia� sauau�e a n,e �ane �a m���a (
d �he rty ulif�d b P�<e uwune.
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(cd�} rown.
oJ � I� ihe pioperty i
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amt enrte6ately Lvrtounds Nat fxua is
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TUeI value (line 3 pks Gne n �g�
I tlereby txrtify Ute above is We. oortett, and sipnahae orAssassor Date signed
complete.
�^M^B e� - S9re� d�� Date signed
a�Yr�vs.�n!i.'�+�itit �,.`�"..':?I�:"h�;'�����n�a:'�'...''� �*�:�:STANDARD'UEDUC710N��ALL'OWANCEa?;��r4�.-�"'s.ti��`4�`.r���4;"Ro'�":°j:�N'?�1:avi,°�'�,iyy.�";�`h.';�'.'*��'ti;�`�i$
- 20 _ Pay 20 _
Lesser of 1 R Hort�estead
Valuation or 535,000 f
Si�a4ae of NWiOor Data sipned