Homestead_Edwards •
slap FORM 135ta IR'rviral taFAZUR FORM TS-IA
MITE En BY 5tniEBns0.00I MnRWK_ryw PLMP.III MIT mE DEPARTMENT Or LOCAL CAI£RVNEM FP•1]L'E IC 41.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
:PRINCETON IN 47670 - Individuals and married couples are limited to one homestead sandani becomes
deduction.As the receipt of this deduction becom
.� more beneficial.there is more incentive than eser for homestead fraud Ilomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kept confidential and on only he accessed by authori,ed county officials.The Depanntent of
Local Gmemment Finance will use this information to create touts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pro l• •Ado
_ Edwards, David M/Teresa D
RI Box 239
•
• Oakland City IN 47660
4679
David M/Teresa D Edwards
1882 S 950E State Parcel Number Legal Description
Oakland City IN 47660-8443
26-13-23-100-001.363-006 003-01363-00 PT S SW NW 23 2 9 5.00 AC
t o tarIt II ru I I n I I E I I I I t I I I I E I I t It II I r I
`X/ C-1
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
'David Mai-theta Edwards
�g Address(number and street,city,state,and ZIP code) _ -- - - 0 Same as property odd .i-
J'IW. s 950 E Oiidand Co-y t id 4llolv0
Spouse First Middle Last
•Teresa, Dow n Edwards
Mailing Addr -(Number an street,city.state,and ZIP code) ❑ Same as properly address
PART 3:CERTIFICATION
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 l Si Date
0
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YeAR
CREDIT /STANDARD DEDUCTION HCto
.`` State Form 5473 (13215 -92)
sn
INSTRUCTIONS: See reverse side for filing instructions.
I (We) h QAQ � A _ LA 14UJ I,J S )mil certify that-an thd"ist -day oil Mar✓:h -49_
occupied as our principal place of residence the following described real property for which a Homestead I ProperAR C" Gaimed:
( r ° " I 't �J�O y
i (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 rperty or is b)lyinnder a yyntrq9
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded
Record number I Page
_ -
PROPERTY DESCRIPTION.
County
Township
-
Taxing district (city, town, township)
_ I
Signatur
X
I claimant
AO ress ember an street, riry state, ZIP
lL. .C.
Parcel umber
Legal de
ipti n
If any portion of the residential structure or the land not exceeding one (1)
acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
ar! - /3 C00%
3la.3 -zz
Dwelling
Q ooc�
1\ h \ U
PROPTfRY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
NON- RESIDENTIAL _
VALUE
Township
�eby certify the above statements are true, correct and complete.
Signatur
X
I claimant
AO ress ember an street, riry state, ZIP
lL. .C.
Otherland
���� D
RA
ASSESSOR USE ONLY
TRUE TAX
.VALUE
ASSESSED
VALUE,
HOMESTEAD
VALUE
NON- RESIDENTIAL _
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
_
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
,
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pfis line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor -
Date signed
verifying action - Signature of Auditor
Date signed
—.,W,
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
5
Valuation or $2,000
Signature of Auditor
Date signed
t