HomeMy WebLinkAboutHomestead_St. Clair (9)ISTATEFORM$3569 R3D-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.1009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1-22.8.1
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 andard 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.
.PAR 1: PROPER Y T'FORMATION
Taxpayer Name Property Address State Parcel Number Lepal Description:
Justin A St Clair 614 N HART ST 26-12-07-102-003.288-028 OLD PLAN I26PT/131 PT
PRINCETON IN 47670
Complete and return to: Ellal]D0u1111m111I11D lmfIIIMI 101Em®
1:= ----- ,C! ,SON COUNTY AUDJT.Q ,.102 { ;41NPFINCETON.1N 47670... _ _ - -,---_
PART 2:TAXPAYER INFORMATION
-
Owner I First Middle f Last
Jck 1\) ,414�/ 5 —.C ,
Mailing Address(nurtter and street dry,state a ZIP code) • I me as popery address
1 L► I�! Irk 5-- pr;rr�-tb, 4,3 'Ai t-e-10
Social
Middle _ Last
��� D9 5\—. C\e V
Mailing Address(muter and street,city,state and ZIP code) I Same as property address
- u N or S� f ? hctkm�.i Q 10-07()
Social
w..,.a_,,,r.sd.MNSOe trade:pcnt!ty of pair, .$)at the above and if.wcow 4;..rmation Le.true 2nd correct a..w fhu!hear she s eligible to rec eive the _...,.
. homestead standard deduction on this property.Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or
she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date Telephone
4:"a0171OiAA.1. I tf FORMATION , • - -
a-
DEC i-1.2012
ak
GIBSON COUNTY AUDITOR
F .
CLAIM FOR IiOMESTEAD PROPERTYTAX
CREDIT/STANDARD DEDUCTION
smm r� sare cR� i sos�
PiasaLeA by tlie Deper6neirt aF La�l Goyarmart Friawe
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OCT 3
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�f' cerby that on Cie 1 st day oF March, 2b
I(VYe) oca as av prmdpaf plam of residence the to6owirg reaf poperty for which a HanesOead P�operty Tmc Gedit is hseby daimed:
� iWe) oM^ied ❑ Are buyug urder aontrad
Have a berefidal inte�est m the entity Mffi is IiaWe 6w IAe popeAy tazes m the property and Mal owns the poperly or is buying under a contracL
a� ' .�:+.. �:t �`�'` `CON7RACT,f�COfiDme:� �°5t/ ''�'re!' �. ?'`_ .r.«.z.�s'�•
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Parcei nunba Lepal desmJif°°`' la Me qoperty n ques0on:
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PraPeM �A3mtl Eo ProA�ce vwune-
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. � � � � 0.SSESSOR USE 091LY '.' . � r '�.J.,} f ���. ,4` TRUE TAX y /LSSESSFD VALUE �'�HOl�STEAD . � �FMON�tE.9DENMl �:���{�
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lafM not ew�rg 1(one) aae imr�a�ly .: 'h� 7`�d( s;��,/ `�„� s�` s,�y�� �+�
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Tdel land (I'vre 1 phrs 1'ate � ig)
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Assessed AloGle / Mlanu[a�aed F{artie � � i �`�+),'� } sr ' �,�.':`: �����
��e �5� . `[5..3'$�k.`�.z.�,5.°zs'��,.��s`a'7�l�1",it
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Olher "vnpwar�ents (6) `�.�?;�.{?.";�:�%
T� 'vnptovertienta (fire 4 tivou� Bne 6) �7�
Tiial value (I'nre 3 pds ffne n (g)
I l�reby tertify the above is We. cortecl md SiBr�at+e dAss�sar pete sg�ed
�e.
Vaiycp adian' Siymtae of Pudrtar Deie ei�ied
� t� rSTIWDARDDEDUCTION'AI.LOYVAMCE .•"' Y�- r:.' 1,�, y"=,,�-' ,�.�.a`�" �,,�F�l+,�__t,
20_Pay20_
Lesser of 12 Harestead
Veluation or 535.000 E
Sipahoe dAidrO� Date si{pred