HomeMy WebLinkAboutHomestead_Thompson (6) STATE FOILM 53569(R2iS-O9) TREASURER FORM TS-1A I
APPROVED BY STATE BOARD OF ACCOUNTS,201/9 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 1061.1-22-8.1
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
.deduction
higher tax bills for all; therefore, HEA 1344-2099 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. • - -
PAR is PROPERTY 1`FORMA ION
Taxpayer Name Property Address Stale Parcel Number Legal Description:
Robert E Thompson 1703 Kennedy Drive X 26-12-08-203-001.436-028 019-01436-00 DIKE ENLG SEC B
Princeton IN 47670 OUTLOT 45
C-1
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2:TAXPAYER INFORMATION
Owner I First Middle last
Robert- - hompson
Mailing Address(number and street.city.state and ZIP code)
rye,Same as poverty address
First Middle last
a } he Thompson
Mailing Address(number and street.city.state and ZIP code) [7] Sane as property address
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
'
PART 4: ADDITIONAL. INFORMATION ..
•
•
•
?� ��'t CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
\ � SUte Fwm Sa73 (RS / 10-01)
Presvibed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side (or filing instructions.
FORM
HC10
YEAR {
'CERTIFI A710NSTAlEMENT�--: � �� -
�-: _'i "">_ .sr7'`_ - ' . .. _ ' .
NOV 1 �. 200�
I(We) ��certify that on the 1st day o( March, 20_
I(We) occupied as our principal place of residence lhe follo• ' described real property or which a Homes ad Property T C� it is he by �aimed:
❑ I(We) owned ❑ Are buying under contracl
�Fiave a benefidal interest in the en6 that is liable for the ro e taxes on the ro e {Pi� �� �o^�S' � y g� ��IT�R
ty D P rtY p p rty and Ihat owns th�� r bu m under a conVact.
y� �,.p
r: �:o��.�'���� `�S�:S�t9^��Y �..;' �� ..x: �.,.�. .i?`:i' ";CONTRACT'RECORDED. ;:-� �t �r,-..: , � J .�� �:e'}� %. �t� __ >,.. - _ -
If buying on conVaa, Fee Simple owners name �
Recordefs ofice where wnVact is recor0ed Record number Page
Tavnship
Vl � ^V( �F.��o-w p��
If any po�ion ot Ihe residential sWdure w ihe land not
of ihe property ulilized W produce irrcome.
Is the
(1) aue that immediatety sunounds �hat
townshiP)
in question:
�Real property ❑ Mobile Homo (I.Q biJ-7)
Sure is used ro protluce income, desuibe Ihe use and portion
��S� ��'-�f ��... Y�.il -�ya �.. � -'-Y Sti4 � ' . . � �5
��Rx.""s��� ASSESSOR USE ONLY�� `'� f, r.�,?T VAL E� i.� ' AT 100°E OF TTV - HOVAL E�D l? �$'�'� N VALUENTIAL�'ts.���
u�'�`'�S�?. . `�£E�s:�}�-F r�3'#�-s��._ ?s��.w.t�s�;�;s. �_ .,�� . �,�. s=�.r_ t� ,��.a.,5.��3br?:
Land not exceeding 1(one) acre immediately �.T ���'4? ` a`'z-�'-k°��;c��r,. �'�a;:;
sunoundin residentialim rovemenfs. (�) --�+'� ��;``�� ;�°�cte'�r.�
9 P � � �� r� �.n
Other land '�����'��'''''`` �'i_� �
: _'
�2) f_ _Y.$'v`X �..�•
Total land (line 1 plus line 2) (3)
r�s{ -o"z`S�.ci;�r�.`t zky�T -'i
Dwelling (4) e )> yi'�'r,-.r �;,�R.. 9,,n ��.,
Residentlal improvemenLS �'--.k��A*E 'e�.��r:a:-?:N�t�,�'�?�..i
� > r s -,�
Garage (5� ��r�v..�d".�,•�f�,. . ,. '"�3��i?
..-,..'-J,`i`��'e�.-�`'.`.�.�-�.. �Y,k3'S1.
: "Y,' ff� � y .
Other improvements (6) �'. ��� � '�
- : '.�- ���.:y
Tdal improvements (line 4 through line 6) (7�
Rtal value (line 3 plus line n (g)
I hereby certify �he above i5 We, Corted, and Signawre ofASSessor Date signed
complete.
Verifying acfion - Signature ofAudimr Date signed
20_Pay20_
Lesser of 1f2 Homestead
Valuation or 56,000
5
Da1e signed
�/-�a -o a
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