HomeMy WebLinkAboutHomestead_Sponeburg STATE FORM 53569(R3B-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY NE DEPARTMENT OF LOCAL GOVERNMENT FINANCE ICtsl.l 22-8.I
1 .
°'r:'_IMPORTANT.NOTICE TO HOMESTEAD-PROPERTY OWNERS ,'.7 .;y`
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
'^duction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
standard 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.
i,' ' , r,`„ ,2.1-T„.... .0 ,. , PARTS: PROPERTY INFORMATION ,1 ,•s , ? irt'x- - ..
Taanaeer Name Property Addre,s State Pa reel Number
Loral Descnotion;
John Paul Sponenburg 902 E OHIO ST 26-12-17-103-004.242-028 SOUTH PARK SUBDIVISION 9
PRINCETON IN 47670
Complete and return to: i°B' =iE1a NGu;R1EiMIII1i1O Fiilultiil1iiufiGi uu
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
. 1;,,V.';'' - PART 2: TAXPAYER INFORMATION ' s ;'.*)rt "a" T_`
Owner I Fat Middle Last
Shn Pau 1 Spo),elA0 r-5
Mailing Address(number and street city,state and ZIP code) Same as=party address
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- -
Spouse First - Middle Last
Mailing Address Bunter 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) Stale Other(please speafy in Part 4 below)
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. - • . -. ' PART_ : CERTIFICATION . - ` .. .• . ".a
' 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 Sign Date
V
CLAIM FOR HOMESTEAD PROPERTY TAX ��
CREDITISTANDARD DEDUCTION � '
Stste Fpm 5473 (R6 / 4-03) /� /�
Prescribed hy Ne Department of Local Govemment Finance �
INSTRUCTIONS: See �everse side Ior filirg instnicbons.
FORM yy, YEAR
HC10 �
't.-.;t : .� ,.:..
��e) � �J certify that on the 1st day of March, 20
I(VJe) oaupie as our principal place o residence the foilowing d scribed real property for ich a Homestead Property Tac Credit is hereby daimed:
� I(We) ow ed ❑ Are buying under wniract
' Have a benefidal interest in Ihe entity that is liable for the property taxes on Ihe property and Nat owns lhe property or is buying under a wnVact.
if huying pn conVad, Fee Simple ownefs name
Recordefs afice where contract is recordetl
County Tamship
Parcel number Legal descn0��o
� _Gy� -
tl any portian af Ne residBnUal sW cture w Ne Wnd nol exceeding ona (/)
of Ihe propery uti12eC tn produce irrcome.
Record number � Page
7ating ist� city, rown. fownshiP)
Is lhe properry in question:
7 ea� wovem ❑ nlabae Hano u.a s-t+-7)
immediatety surtounds ihat swaure is used W produce income, desuibe the use antl portion
' ��� � � �t� �� Y ' ".. � � �` �+++��3y�+�'�' :y'3'TRUETAX ; AS§ESSED VALUE HOMESTEAD%� �`%' '� }
�.��+`��-ASSESSOR 11SE ONLY r ;�'s}'' •-� �# y�UE�y x � �ATi100°/a OFHIiTV� �,A,yK:,VALUE�� �"`NON�ESIUENTI{iL+�' �'+�
Z's;. 7.5..�.-z..:,.� � "�._".'�,�*. v _ :. a.:4g'.... �. .a; ��%3 VALU�,�, �a��
Land not exceeding 7(one) acre immedialely '=`+ ��`�'�'�`�' s` A
suvoundingresiden6alimprovemenls (�) ��-��x'`�����+ Y;
:� � Nt���E"'Yn _
z,�'.RS=.x+�.�.�-;_ .
Otherland (2) ;�;,��-.� ��,��
:.�.:.„.v �: :�M133
Tdal land (line 7 plus line 2) (3�
�`� �F.}��--vY`r-ra�s �-c---.r �r,i-'�
Dwelling (4) �'�.h���.�T �.3.,����,�'-�
Residentiet improvements or Mnually
Pssessed Mobile / ManutacYUrad Home �'�q'��`N ,�r,� ��
Garage (5� a-ti��.�-. _ -
�-.�.rf `"� ,.�n�
Other improvements (g) ��? .�'`y�- ��:
�^�'� P,�A'�*,.y
�
TUaI improvemenLS (line 4 fhrough line 6) (��
TUaI value (line 3 plus line n (g�
I hereby certify the above is irue, wrreU, and Signature otnssessor oate signed
complele.
Veri(ying aclion - Signature ofNitlimr Date signed
����a.�h .�-s'�'�"e°:�s���;�.'F?�''�j�;.1,�'iiSTANDAR�:DEDUCTiON�ALCOWANCE3$''�''d.�,r�'.':3.'���33.�a���"�"vn"�,,.'�r"�s�'f'�'�.'-hw'�%�'31'�1'*a,.�a
-- . . _ _ __ ._ ..
20 _ Pay 20 _
Lesserof 1/2 Homestead
vauauon or E35.OW
S
Sgnature oflwddor - Dale signed