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HomeMy WebLinkAboutHomestead_Emenhiser STATE FORM 53569(RiB-10) TREASURER FORM TS-IA ,APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-l.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 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 elimina • homestead fraud. PARTI PROPERTY INFORMATION r Tasoa.er Name rrotrom Address State Parcel Number Leaal Deserintion• Rowena B Emenhiser 1816 S 1150 E 26-14-19-103-000.961-006 PT N NW 19-2-8.482 AC OAKLAND CITY IN 47660 C-1 Complete and return to: 11�1711EI�1'11LII1�111d�IIILIlO11L11®�I11lIII11LIL'�1�11119�I7Lllll GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 r . PART 2: TAXPAYER INFORMATION Owner 1 last Q First e0 /(,,,, Middle ay/�, gI Mailing Address(number and street.city,state and ZIP code) I klBame as progeny address t S i s is© >; ajar"d . ' Spouse,yrp First - Middle last Mailing Address(number and street city,state and ZIP code) Some as property address Social Search Number(last 5 digits) Drivers License/State ID Number(last 5 digits) Sate Otner(please specify in Part 4 below) 'far. P6'FT 3• C1ERTCIRICSA GFON.° - r_r-‘1 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 NOV '5 2012 c.a.m GIBSON uOLINTY AUOITnR CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION State Form 5473 (R6 / 4.03) Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for riling instructions. FORM I (We) 1--, ' %d I-L7-yj 11 a- \tj t jWLQfyLjUzak certify that on the Ist day of March, 20_ I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: 79 (We) owned El Are buying under contract — lave 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. u'z� CONTRACT- RECORDED It buying on contract, Fee Simple owner's name Recorder's office where contract is recorded Record number Page P IkO P E R TY ID E S C R I PT 10 N �k� PROPERT.Y-.'cjwktUBy'cLAiMANT-,IWOTHERrCOUNTIES �r,"',x.-',',-� County Township County Tatting d cr vin, township) 1 hereby certify the above statements are true, correct and complete. Signature of claimant L I d Other land (2) Is the Property in question: V n1ox (3) I F-1 Real property ❑ Mobile Home (LC. 6.1.1-7) If any portion of the residential structure or the land not exceeding one (1) am that immediately surrounds that structure is used to produce income, describe the use and portion of the property ulilbacl to produce income. "A Assessed Mobile Manufactured Home Garage IE wln r PROPERT.Y-.'cjwktUBy'cLAiMANT-,IWOTHERrCOUNTIES �r,"',x.-',',-� County Township County Township 1 hereby certify the above statements are true, correct and complete. Signature of claimant (number and street oily, state, ZIP code) IE wln r - "� xeiv 'h' 4 —, 1— ASSESSED VALUE tt, A;;;HOMESTEAD. NON -RESIDENTIAL-V-'-'�� Land not exceeding 1 (one) acre immediately surrounding residential Improvements. Other land (2) Total land (fine 1 plus line 2) (3) Residential improvements or Annually Dwelling (4) "A Assessed Mobile Manufactured Home Garage (5) .Ober improvements (6) Total Improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) I hereby certify the above is true, correct and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Date signed >eSTANDARD, DEDUCTION' ALLOWANCE L 20 _ Pay 20 _ Lesser of 1/2 Homestead S Valuation or $35,000 Signature, of Auditor I Date signed