HomeMy WebLinkAboutHomestead_Teeters (3) STATE FORM 53569(R3(8-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1
+r. IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS w,, _,, ,•
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 elimin e
homestead fraud. I
�t . . 9" ._ PART!: PROPERTY INFORMATION ;,cs,' - t
Tamaver Name Property Address Slate Parcel Number J,eeal Descrinlion•
Robert G Teeters 918 S RACE ST 26-12-18-201-002.888-028 SS ADD 249
PRINCETON IN 47670
Complete and return to: Millaj[jtia01R[ DOljiiII[IMIi1sEMITE ill6tii1111i1
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 -
• PART 2: TAXPAYER INFORMATION - - x s?Fc
Owner 1 Middle Last
IV First o 4- C- ► rQa p rt, Te-4�r
Mailing Address(number and street city,state and ZIP node) rj\/J�/ /� n (/�)
1k% � • Race 1 [ 11 cey- ��, I ameaA�(dos�O
•
Jlouse First - Middle Last
T-4bLn1 \choI� Tee--erS
Mailing (number Address( er and street, state and ZIP code) r Same as properly address
C C S. Paa_ ■ -\c\c n, \ N 47-1 _121
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
•
•
•
FILED
DEC 272012
GIBSON COUNTY AUDITOR
CLAIM F(?R FlOAAESTEAD PROPERTY TAX
CREDRlSTANDARD DEDUCTION
s�ero�sar3 ��isos�
Re�ed nr n� ne�a��n or �o�i cu�.��a F�
�NSrRUCnavs: s� �re� �;ea ro� R�,y mso-��s.
<.. _.. . _ .. •::c��cnn
FOR(M
HC70
-
i�we� ce,m�m o�. a ard,, zo_
I(We) ocapied as aa prmdpal plarc of th fo0owirg described real property (ar whidi a Hm�es� Propaly is by daimed:
�) owned ❑ Are buymg unAer cantrad `l
a benefidal moerest in the entiry that is liade tw Me property mues m the property end that own� ProPertY ����ymg under a oontract
,. ���i:� �.�.� . ,
tt buy�g om m�traC. Fee Sirtp�e wynere reme
Raf�deA d&e whae wWad'u iecaded
� . .-� . s,; .v". - PROPERTr DESCRIPiIOM�
Canty T�vrduP Ta�g . �(c
Pa`cel nm�bar � Legal tle.wipUon la the
Q1 • �4';. . i
N arry poition d Ua resider�Ual ctnw4ve a ihe lad excee�ng one (1) aae tlat inme6ately a�moun�
d tl�e pope'ly u6f�d m pmduce uxane. �
ab=�a-�S-aol-ooa. gg� -�a�
Rernd number � Pepe
, r
.� �... xq, ,
� .�.�..>: ,;.:Tit.♦.. . Y ...X
f�P)
�
r in que9ion:
� poperry ❑ Mabib Fioma (LG 61.1-n �
mae ia usatl 4o ptoduoa iwartie. des�ibe �ha �m md pwCon
�:; i �:.,�. K -..� � . , ; wti�l.%•r TRUE-TAX � ASSES�V/LLUE � FIOl�STEAD`� � i-�jSrNONRF.SIDHlMLP`N#P��C.r
i,.'�i,,r v 0.SSESSORUSEOMLY� ." �', �i ti:a�� ' VALUE� �+a ...`AT100%OF7TV ry.('.�I'.V��..���,'.?:".a''�4:�kr':�"WlUIEv� C:4�.C`!�?�
.'4. L -4ii.� k�, v" ' i w i;.. F� s`+ �?' , 2Y�,.. � .,. �,.
�8I14 f10� 81�EEdifIQ i�Ui1B� 0(SB IRff� 4 j�V �Ty��{! �IY!{!'$3 �����/Atrt ��,,Xt�,.,'�A
Simamdvg residential improyerf�enb. ��) �� a�i�i,$r �� ��`'r�u.��s i;�1��i3���,k?��`.
_ .�s,aw;.:"st:'.s .
� �14�}f��Y � �
ONer �e11d �2� -,. �'�l� �i��:$�ti�:
Td� land (l'vre 1 pkrs tirte � i31
-'�.{�jSi� i'I�i��e�,p.�JXr ''��
ftC9�EP�QfIpfOVBffIEfiL5Qi1fIf1U8�h ��� (4) -�'�T ,%��/..���i�ft�L;Si�}�.S�iG��':y
AssesSed hl0hde / ManufecMed HOmB � ° �.�'��^��-Kd's a�+t/''-�!"�a �����''U"-`
� �5� �s ��sY�:�� 3a5"•�.,���%�'„�+,�
OClefifnpfOVCrtICntS (8) ;, f{ f f ;i
Tdal 'vrryrove� (frre 4 tluough 6ne 6) (7�
Tdal value (!ure 3 pda Gne n (8)
I hereby certiy ihe abwe is We. cared. and Sie�a oFAsaes� Dam eip+ed
mrt�plete.
VaiFjing amm - Si�a4re of AW'w Date si�ied
, . . y .....
20_Pey20_
lesser of 12 Hortestead
Vehiation or 535.000
e
�
�e si�etl