Homestead_Denny •
STATE FORM 53569(R3/&10) TREASURER FORM TS-IA
AF ROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FIANCE IC6-1.122-8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
T!ndividuals and married couples are limited to one homestead standard deduction. As the receipt of this
Auction 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.
PART!: PROPERTY INFORMATION , . - y:':
Taxpayer Name Fromm Address State Parcel Number J.eeal Description:
Merle Denny 12040 E HICKORY LN 26-14-19-203-000.460-006 WATT ADD SEC A 2/3
OAKLAND CITY IN 47660 C-I
Complete and return to: - iuiilioiii3iluiiiiiME.Iili'miirili i'Il 1ui i lliiiuu
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
•
• • PART 2: TAXPAYER INFORMATION ;..7.4
Owner 1 First Middle Last
Mailing Address(nurnber and street.city,state and ZIP code)
!/ /J' I Same as property address
l,D-0 if° E'. kickor y C Lane L _ -
Spouse First Middle
(Pa --3y //WAI De v.bevy
Maa ng Address(number and sir city,state and ZIP code) lit /dame as property address
J
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 Signature Date
,-.-.
- . FILE
0 JAN 2 4 203
COUNTY AUDITOR
CLAIM FOR HOMESTEAD PROPERTY TAX \�J \� FORM YEAR
CREDITISTANDARD DEDUCTION Hcto
State Form 5473 (R6 / 4-03)
Prescribed by the Department of Local C°ovmnmard Finance
INSTRUCTIONS: See neeroo We for Aft ire6ucObne
e r certify that onr pps ayrof jo r, 20_
coup as our principal place of residen a following described e I property for which a Homestead Property Tax C dif isll�hUUerre••�by daimed:
I (We) owned ❑ Are buying under co act
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prope or is7in» ndet a wnbact.
.+*.x''c%f'- 4CONTRACTRECORDED 'ssc'°{tS�Lik'-�':`,rfo-xt l'e?'.Yi-= :�r'"rT�':
If buying on contract, Fee Simple owners name
Recorders office where contact is recorded Record number Page
^County
P,ERfV.:DESCRIPTI x `.wTx'.tirr- 'x`.�••i''..'`°.i'�
nship
Tamship
Taxing d ( , fo
ip)
n�ber
Legal descripgon
Is the property in question:
i i
Land not exceeding 1 (one) acre immediately
D.Real property ❑Mobile Homo (I.C. 61.1 -7)
If any portion of the residential structure or the land not exceeding we (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
�
- /�o�3 -G�. /O -zw6
��9�-.- rr�.- ��s'+ S3���' ��" w-' �= r' r�P- ROP. ERTYOWNEU?B\! �CLAINtANT ;IN'OTHER'COUNTIESE�.x 1`'�_`��..'�`., }�r� �tefi• +,�t�y
County
nship
County Tavnship
hereby certify the above statements are We, correct and complete.
Si t of ai ant
1rlQrj4ss um aM 5
1' stet IP c )
to
1
y �2 . AS$ES O 11S ON Y{ :�•
4�, •TR E TAX
ASSESSED VALUE
y OAAESTEAD
2ESIDENTL4L3 U
"'VALU,ya'
.., r
.: y?,
"VALUE :
1ATr100 %OFTTVe}VALUE„t�
to
d ,
Land not exceeding 1 (one) acre immediately
7' �'t.`sgv .-+ W Wray �,
surrounding residential improvements.
�s,
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
'Residential Improvements or Annually
'Mi aru'ceraev';.f'
Ataeseed Mobile / Manufactured Home
Garage
(5)
F 3r ti.
''3 .
F
Other improvements
(6)y'
`
d
Trial improvements (line 4 through line 6)
(7)
Trial value (fine 3 plus line 7)
(6)
1 hereby certify the above Is true, corned, and
Signature of Assessor -
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
�✓1.r�:����sdfC1X" -fly �� f� f .
' "�•5� -' MSTANDARD.REDUCTIONALLOWANCE:
20_Pay 20_
Lesser of 112 Homestead
vauaborr or (35.000
S
Sgnature of Audtor allow to 1 14p—q,
to
11