HomeMy WebLinkAboutHomestead_Conder STATE TORN 5156O(PI/A10) MASERU FORM TS-IA
t APPROVED BY STATE BOARD OF ACCOUNTS,ZOOS PRESCRIBED 9 _ PRESCRIBED BY THE OEPARTHEIT OF LOCACOVFA\MEYT FMANCE tC 6-11.2241
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individysls and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
A 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 Deparmtrnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION „, .
,
.
. MAY 10 2011 Taxpayer Name Location Address
C rc, -J Conder, Gary C/Nicole A
fVC \v 10776 E 125 S
GIBSON COUNTY AUDITOR OAKLAND CITY IN 47660
1448
GaryCConder 1111III:liiil111 IIInlllHflu 111 IIImmmull_II_IIi illiL011911_11]I]II
10776E 125 S
OAKLAND CITY IN 47660-8641
IIIIIIuILrIIIIIIIIIIIIIItllllu1Illll1ll1l1hil1l1l' 'l�"'I'I� State Parcel Number Legal Description
26 13 13-300-000.185-006 f PT NE SW 132-91 AC — C-1
5
. This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
111 PART 2: TAXPAYER INFORMATION
First Middle Last
(74 6 t C, Cro ►�IUer I
Mailing Address(number and street,city, ,and ZIP code) 0 Same as property address
107 ( ' F /2-C S fa-kL J O. TA). Ili(12( 0
Spouse 1. . First Middle Last
Mailing Address(Number and strect,-city:state,and71Pcode) _ - - _ - _ 0-Same as property address - — _ _ —
In71 (p C" I z•S S: O.L. TN +1-. ci a
:
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 sh• !I.y be liable for back taxes and substantial financial penalties.
Owner 1 Signature Date _
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION
State Form 5473 (R6 / 4.03)
Prescribed by the Department of Looal Government Finance
INSTRUCTIONS: See reverse side for riling instructions. MAY 1 3 2005
CERTIFICATION STATEMENT
I (We) (t� certify that on Z, Y "�f Ia th, 20
I (We) occupied as ot(rkfincipai place of residence the following described real property for which a Homestead PG4gMTpO�4apV"M0JMMMed:
-r
)PI (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACTjRECORIDEIDAw .—
If buying on ContmcL Fee SLmple owners name
Recorder's office where cantract is recorded Record number Page
PROPERTY' 52
Ems. i 4F
County
Township
Tedna district to", township)
Pared number
Legal descriptio
Is the property In question:
061 &5-cd
I V-1- d � S
❑!at property ❑ Mobile Home (I.C. 6-1.1-7)
If any portion of the residential structure or the land not exceeding we (1) am that immediately surrounds that structure Is used to produce Income, describe the use and portion
of the property utilized to produce Income.
ti s. , W,
R
County Township
County A
Township
I hereby certify the above statements are true, correct and complete.
d
'n,ss (number and street, city, state, ZIP coda)
ti s. , W,
R
TRUE TAX,
�kk OMESTEAWf.
�p -11
T�-14jz-, NONIRESIDFNTIAL-�
-'VALlJ'E4
AN
2W
Land not exceeding I (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Horne
Garage
(5)
improvements
(6)
,O4hel
k
Total Improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
7
1 hereby certify the above is true, correct. and
Signature of Assessor
Data signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 112 Homestead
Valuation or 535,000 I S