HomeMy WebLinkAboutHomestead_Scisney STATE FORM 53569(RJ/S-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-l.l-22-8.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
s ...Ward 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. -
PA' I: PROPER Y 1'FORMATIt N
Taxpayer Name Property Address State Parcel Number Leal Description:
Bryan Scisney 514 N HART ST 26-12-07-102-000.933-028 OLD PLAN 106 PT
PRINCETON IN 47670 I11II^IfI11tII tf,Il� rt1IfII
Complete and return to: _ I®IIQQTQQD'11QI�TBIOW1um11!tliuIO11 In lllWIIO
GIBSON COUNTY AUDITOR. 101 N MAIN PRINCETON IN 47670 ' - _-
•
PART 2:TAXPAYER INFORMATION .
Owner 1 First Middle Last
n
1)d 4 ay\ l.r ,vine Scrim CV
Mailing Address(minter and street.city.state and 1 ZIP code)
S) 4 NL FfM 1 7b Same as property address
S lT/fl nCt.�., �-n/ � -7
• .
First Middle r Last
T�,AAy ��e � Scisn ey
Mang Address(number and street,city.state and ZIP code) \„i Sarre as qty address
Sv-k k \\k -1 6 tiinccon -r) 47(07e.
: •
, -
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�igrature goisch(L.,_7 Date
PART ADDITIONAL INFORMATION -
v
FILED
JAN 10 2013
GIDSON COu I YA AUDITOR
���* � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S I St2te Form 5473 (R4 /&00)
INSTRUCTIONS: Sea reverse side !or filing instructions.
ir i �; , i�Y i ��
� II
I(VJe) � certrfy that on the 7st day of March, 20_
1(We) occupied as our ncipal place of residence the following cribed real property for which a Homestead Property Tac Credd is hereby davned:
❑ I(VJe) owned ❑ Are buying under contrad
.Have a beneficial interest in the entity that is liable for the property taxes on ihe property and that owns the property or is buying under a contraG.
II Duyirg on rnntract Fee Simple ovrnets rertre
Recordets office where contract is recordetl
Counry Twmship
Parcel n ber Legal description
�I i '� '
II any poAion of Ne resitlential sWCture a Ne lantl frot exceeAing one (7) aae Nat
of fhe praperry uLlized to produce Ircome. -
IRecord number
r_..___'�y����k�
,�ESCRIP�TION
�� Tadng tlisUkl (ciry, fown. township)
i�teN s" urtounds U�at struUwe is used� � inwme
Tavnship . , � County
I hereby certify the above statements are We, corred and complete.
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