HomeMy WebLinkAboutHomestead_Terry STATE FORM 53569(10!2-10) TREASURER FORM TS-IA
APPROYED.BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-8 1
IMPORTANT NOTICE TO HOMESTEAD`PROPERTY OWNERS R� I
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
®zauses 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.
rM{ ,Hr) , C:-.7.r1:22. PROPERTY'INFORMATION / t G4414`°a,4171:; ,;: " r
Tasnaser Name Proven,Address State Parcel Number Lent Description:
Brian L/Patty S Terry 1027 S STORMONT ST 26-12-18-202-001.404-028 SS ADD 275
PRINCETON IN 47670
complete and return to: IDIMIIIIIII JDIBGGG UILWiillUUff iffli'UElRlilIiihil
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2i TAXPAYER INFORMATION f'=+ �'.
Owner 1 First Middle Last
Mailing Address(number and street.O .state and ZIP code) 1/ Same as property address
//l/97 5 SrjpvnowT LV�
Spouse First Middle P Last
PTY S �t 7 hip/
Wing Address(number-nd street,city,state and ZIP code) Same as property address
�^^ s _..._:_. - -.-7' _,'-=PARTS CERTIFile F10N -- - '' :- :•-- --
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 Signals. 0 Date
1 ll , i lI'
NOV 2 2012
C
GIBSON COUNTY AUDITOR
4 rt•� � CLAIM FOR HOMESTEAD PROPERTY TAX
i�
CREDIT/STANDARD DEDUCTION
,�l�e Siate Fortn 5473 (R2 / 5-92)
��u
INSTRUCTIONS: See reverse side lor filing instructions.
, . _ , `�'. f1c' _-'- i� -..�.: , --?CERTIFtCATI
;,
FORM YEAH
MC10 �
I(We) 1 W certify that on the 7st day of March, 19_
I(We) occupied as our principal place of residence the tollo � g described real property fo hich a Homestead Property 7���di�i4�eahaRlaimed:
WJJ
�� I(We) owned ❑ Are buying under contraa
�Have a beneficial interest in ihe entity that is liable for the propeAy taxes on Ihe property and that owns ihe pro or is buyio un r a antract.
/ ,...,..�. :ti�,.,� .����y
�-��.. -.�., �;.., .' .� � ... .��«• : r..CONTRACTRECORDED;-_. ��.. � . _ ... � .�_� � .=,.,.
�:.
If Wying on contraa, Fee Simple owner's name
Recortler's oflice where contratt is recorded Record number Page
. . . _ . . . . ' � ' PROPERTY�DESCRIPTION�. ..
Counry Township Tacing tlistnct (city, town.
rgtcei/1 er ^ ' �D 'I
C�I � 4
If any portion ot ihe wsitlenfial su
of Ne property utilized to producE
Legal description
or Ne land rrot ezceeding one (1) aae that
wrrounds
". �..
used ro produce income, tlescribe ihe use arM portion
° - � PROPERTY OWNED BY CLAIAIANT lN OTMER COUNTIES �
Counry Township Caunry Township
I hereby certity the above statements are irue, correct and wmplete. i9nam IaTna
ess (numbe� and sveel. ary. stafe, ZlP code)
S, sa�nn.�T R.v = �i..� �,V- �/7In
� �'-ASSESSOR USE ONLY "��� � �UETAX� �ASSESSED MOMESTEAD NON-RESIDENTIAL
� . - - VALUE� VALUE VALUE - . VALUE .
Land not exceeding 1 (one) acre immediately ( . � � - � �
surrounding residential improvements. (�) -
Otherland (p) � ,;[�•:
Total land (line 7 plus line 2� (3)
Dwelling (4) . �. . -
Residential improvements . .
Gara9e (5) - .
Other improvements (6) � .
Total improvemenis (line 4 thiough line � (7)
Total value (line 3 p�s line � (g)
I hereby CeRify the above i5 irue, correCL and Siqnature of Assessor Date signed
complete.
Venfyi(g attion - Sgnamre of Autlitor Date sgned