HomeMy WebLinkAboutHomestead_Smith (57) STATE FORM 51569(R3R-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 - PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC&1_I-22-6.1
a 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
uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
s fdard 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 *ill use this information to create tools that will help county officials eliminate
homestead fraud.
•
PAR I: PROPERTYTINFORMATION.
Taxpayer Name Property Address State Parcel Number Legal Description:
Judith L Smith 123 S RACE ST 26-12-07401-001.079-028 ARCHERS ENLG 12 PT
PRINCETON IN 47670 III 'I I1 t1
Complete and return to: iu1111HEMBI111 m»iE000mEU[11mm1mmuum1111
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
.PART 2rTAXPAYER INFORMATION `
°wrier 1 First Middle Last
Mailing Address(minter and street city,st�9 and ZIP code) /I
fJ Same as properly address
t j.3 smttiL Kan_ Si-.
Last
Mailing Address(comber 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) Sure Other(please specify in Part 4 below)
PART3: 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 Si e / Date
( )
•
PART 4: ADDITIONAL INFORMATION ,..;,,..
il QCT 2 3 7012
GIBSON COUNTY AUDITOR
E��• CLAIM FOR HOMESTEAD PROPERTY TAX 18 1�_;! YEAR
a�A ° F _
;�""..:
.. � -y , CREDIT/STANDARD DEDUCTION Hcio
:� State Form 5473 (R2/1-90) . �j�,�- e
,' '°�• � INSTRUCTIONS: See reverse side lor liling instructions. _/ AUDIT�R �
l/
CERTIFICATION STATEMENT
I(We) ��p�,(�� �!Vyj't��"1 •. certify that on the 1st day of March , 19 lI
—•�—
I(We) o�Cupied as our principal place of residence the foll wing described real property for which a Homestead
Property Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity thaf is liable for the property taxes on the property and that owns the
property or is buying it under�a contract.
CONTRAGT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract
PROPERTY DESGRIPTION ,. ', ; . ' � �
Township
Legal Description
(City, town, township)
a���
If any portion of the residential structure or the land noi exceeding one (1) acre thF�f immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
FROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
I hereby certify the above statemenis are true. correci and
(Street, number, city. state and ZIP code)
County - I Township
Signature
ASSESSOR USE ONLY_ TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
veino
Land not exceeding 7(one) acre immediately
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling (4) � - � —
Garage (5)
Oiher improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (.7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete -
Verifying Action - Signature of Audilor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or S2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 7 9— Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or �7,500 Valuation or j1,500
Signature of Auditor Date Si ned
n�, �� - _ _ti-i�-�� _