HomeMy WebLinkAboutHomestead_Taylor (11) STATE FORM 53569(R35-I0) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1-22-8.1
+11M ORTANT NOTICE T®HOIVIES TE�ADBPROPERT,I' 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
*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.
to a _rS; :k-f -- •PARTI:/ROPER Y INFORMATION
Taspaver Name Property Address State Parcel Number Leaal Description:
Carolyn 1 Taylor 514 N Race 26-12-07-201-002.840-028 NS LOT 4 PT R2
Princeton IN 47670
Complete and return to: einmoED]m®mE1M111muM DEE1Ulm In unm®
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
'..E:> 3`_ .c`a '." r y 'tj,: `i ':c `1 QAXRAyER INFORMATION _ .• f :•
Owner 1 First Middle Last
eta ROL3/4 .3 fia `� 1b r
Mailing Address(number and s• ,,city,state and ZIP code) `� —�J��(J/W� Q I J Same as property address
spouse First Middle Last
Matting Address(number and steer,city,state and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number(last 5 digits) State Other(please specify in Part 4 below)
t _ ' ':,PPaRT3: C•ER IFICAT.ION . .../.,
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
( v r 7 ( �'
( )
Bey .;= ;lei 4)A RTA3i'ADDITIONAL•INFORMATION _
• C•
• GIBSON COUNTY UD17nc
— r. �
��f S��•rF4 CLAIM FOR HOMESTEAD PROPERTY TAX ��� • '�FORM VEAR
� �: CREDIT/STANDARD DEDUCTION
HC10
��� � ` State Fortn 5a79 (R2 / S92) � �
�;�`,� . . .... . . .. r,ve 2 0 1999
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CERTIFICATION STATEMENT �� ; . „t:�- � ,
/�Ne) \ �r, .',�, rt+?'� �a � w..
� GI3SC�� '-�`certify that on the 1 st day of Mamh, 19_
I(We) occupied as our princi al piace f esidence the follow descnbed real properry for which a Homestead Property Tax Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract '
❑ Have a beneficial interesi in the entiry that is liable for the property taxes on the property and thai owns the property or is buying under a contract.
CONTRACTRECORDED
If Duying an conVac4 Fee Simple ownefs name
Recortlers oHice where contract is recortletl Record number � Page
PROPERTY DESCRIPTION
Counry Tawnship Ta�dng distriq (dry, fown, fownship) '
Parcel number Legal AescripGon
- $ -o NS 2 - i
If any poNOn of ihe residen6al structure or Ne IarM not exceeding one (1) acre thai irtim utety su unds ihat sVUCture is used to produce income, tlescribe ihe use and ponion of
Ne properry uWized to produce income.
PROPERTY OWNED 8Y CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township .
ignature Gaiman
.:reby certify the above statements are true, correct and complete.
Address (number arM stree(, dty. slafe, ZIP cade)
�'i N �c E �In�o
ASSESSOR USE ONLY TRUE TAX . ASSESSED HOMESTEAD . . NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding t(one) acre immediately (�)
surroundin9 residential improvements. �
Otherland � (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residen[ial improvements
Garage (5)
Other improvemenGS (6) I
Total improvemenis (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby Certify ihe above is Irue, correCt, and Signature of Assesor Dare signetl �
complete.
Veritying action - Signawre of Autlitar Date signed
\ STANDARD DEDUCTION ALLOWANCE
19_ Pay 79 _
Lesser o( V2 Homestead $
Valuation or 52,000
Signature of Autliror Date signed