HomeMy WebLinkAboutHomestead_Stivers STATE FORM 53569(RA-10) TREASURER FORM TS-IA
APPROVED BY•STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.122-S.I
sp. IMPORTANT-NOTICE TO HOMESTEAD.PROPERT=Y::OWNERS'
o ndividuals and married couples are limited to one homestead standard deduction. As the receipt of this
luction 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. -
PART Ii PROPERTY INFORMATION
Taxpayer Name Property Addr(,<} State Parcel Number I.eeal Description:
. Jacob A Stivers 510 W S1AKEMSON AVE 26-12-18-103.000.582-028 PT NW 18-240.48 AC
PRINCETON IN 47670
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Complete and return to - 1110D111INElHETEME1111111011.01 IllhII ll tf
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
::fix .n". • ":PART 2: TAXPAYER INFORMATION - `: tt: 1 -1: ,` •,*
Owner 1 _ First - Middle Last
Jac
ob.. • • A)IeYI oiert
Maiing Address(number and street,city;state and ZIP cede) -[Sane as property address
lO (►'?a Eerrrsorl At i'i e'/7&70 •
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Spouse First Middle last
IUi kt Li S S- -+oPrs
Mailing Address(number and street,city,state and ZIP code) 14 Same asp uymry addles'
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 I Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` Sute Form 5473 (R8/7-07)
1 Prescnbed by Uro Department d Local Govemment F'vance
INS7RUCTIONS: See reosrse side (w fiiing insWctions.
.:- :��
,j , - Ii: `�i
MAY 2 3 Z008
I • v
� (We) certry Iha�g�0lUsOtBbtNiIC(aktlCgbOR
I(We) pied as our prindpal place of residence the folbwing described reaf property for which a Homestead Property T� Credit is hereby daimed:
�I ) owned ❑ Are buying under contract
Have a benefiaal interest in the entity that is IiaWe fw Me property taxes on ttie property and that owns Me property or is buying under a cantract.
If hry'cig on wntraa, Fee Simple wmefs nama
Racordefs of4ce where cpNad is recortled
Counry
Taring disUicl (cify, (o:m, fownship)
Recad number I Page
re um ai aes Is Ihe praperty in question:
�
� � n� � � ❑ Real property ❑ Mobile Fbme (IC 6-7.7-n
If am/ portion ot Ihe resideMial sUUCture or ihe IaM not ex��qqeedding one (7 ) acre Ihat immedialely surro/u�nds ihat sUUCture is used to produce inmme, descnbe Ihe use aM po�bn
N Ihe WuPertY uliGz� In pmduce imm�e. (/ 1 y� �� 0 ^_' D• I 1
��L � � � �O�
�pb
,_ , . . .. . .
„..
Land not exceedirg 1 (orre) acre immediately ' . - _ - � '
surroundirgresidentialimprovemenis. (�)
OfherlarW (p) � . `�' .
Tdal land (Irne 1 plus line 2) �g)
Dwellirg (4) �f �-�'� �:�? t`�-,.
Residential improvements a Mnually �
0.ssessed Mobile / Manufactured Home � • � � -
Ga2ge �g� r..
X.
Oiher improvements (6) .`-.±�,'x;>i �f' � �
Tctal improvemenGS (line 4 through line 6) �7�
Total value (line 3 phs Ir/re n (g�
I hereby certify the above is We, cotreU, and Signature ofPSSessor Date signetl (monlh, day, yea�
complele.
Veifying action - Sigro Wre of �tw Date signed (manth, daY. Y��
Zb _ pay 20 _
Lesser M 12
Homestead Valuation
w
Sipnahrte
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012