Homestead_Fromme . .
STATE FORM 53560(R1/8-10) - TREASURER FORM TS-IA
' APPROVED BY STATE BOARD OF ACCOUNTS IDA PRESCRIBED BY THE DEPARTMEAT OF LOCAL GOVesNME'n FINANCE IC 6-1.1.224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street -.Individuals and marred 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,
'� 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 1: PROPERTY INFORMATION ' .
•
Taxpayer Name Location Address
Fromme,Jason A
0 SR 57
OAKLAND CITY IN 47660
1556 II II 1 II 1
155onAFromme " II_ILIII]LIIIDIII� onnioiii]LIIiminiiuohLII_II_inciII_II�IIDIIDIIIII:i III
2565SSR57
OAKLAND CITY IN 47660
State Parcel Number Legal Description
TTn 26-13-26-200-000.337-006 >PT NE NE 26-2-9.5766 AC _ (C-1
-
JUN 07 2011 o ' lj
M
GIBSON CC114 MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
l PART 2:TAXPAYER INFOR31ATION •
OM.,._1 First - Middle • Last
a � .� 1)\, �1-3t ` -comm-2
Mailing Address(number and street,city,state,and ZIP code) ! , p Same as property address
,
Spouse First Middle Last
1_ `- c,ornm-2
Z=P.Saiimg'Address(Number anti same:,city,state,and'GIY:gdej _ --_ r,r_tSamc"as property 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.
All I Signature Cam_ Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX — FoRM
CREDIT /STANDARD DEDUCTION Hcio
State Form 5473 (R6 / 4-03)
Prescribed by the Department of Local Gowemment Finance '
INSTRUCTIONS: See reverse side for riling "-"' -
n9 instructiortis.
R
I (We) ) r r certify that �a 1st "f March, 20_
I (We) occupied as our pdncip place of residence the following described real property for which a Homestead Propeeerrty�(Tascrreedii'Psereby daimed:
❑ I (We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
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.
nG."+' ��rf E. n1'''-- �s` e'.` 3�.•, .L`= da'*W4V,.AM:•CONTRACTRECORDED
If buying on contrail, Fee Simple owners name
Recorders office where contract is recorded Record number Page
P ,ROPERT,Ya153ESCRIPTION:= �?s1';?:
Cou
Township
County Township
Testing district
S, lure of claimant C�
Pa '�--r
Legal de 'tiO
-e4 VALUE
Is the pro
rtyi question:
���
k r
eal property ❑ Mobile Homo (I.C. 61.1-7)
If any portion of the residential structure or the land not exceeding one (1) acre
of the property utilized to produce income.
--9
that immediateh/ wrounds that
ructure is used to produce income, describe the use and portion
- 13 - A/C - o3oO-G�• 33
-alr�
(2)
FA
x 1+ n 4r� y
^TM,o[c .ASSESSOR USE ONLYr
It
` � TRUE TAX�.�?
^
County Township
County Township
I hereby certify the above statements are true, correct and complete.
S, lure of claimant C�
ddr s (number sheaf, city, sfate, 7code)
OF+'TIV
.�
FA
x 1+ n 4r� y
^TM,o[c .ASSESSOR USE ONLYr
It
` � TRUE TAX�.�?
^
ASSESSED VALUE
"AT.r100%
+; HOMESTEAD
NONiRESIDENTIAL —VM
h §.+aYs' K..e �z. �` y°`. _ :�
yALUE V'T' '"
�. ..; .._
OF+'TIV
.�
-e4 VALUE
+' ' ,VALUE'S"' €
Land not exceeding 1 (one) acre immediately
k r
surrounding residential improvements.
Other land
(2)
-r�.t-
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
rX. x.fi`
Residential improvements or Annually
Assessed Mobile / Manufactured Home
G,,, g,
1
E� �_ 4'. °:
Other improvements
6
s 9tz -''n!
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(S)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
` C ,,..; li7o oaIT4fLotA�-�STANDARD '.DEDUCTION'ALLOWANCE..,�;;
20 Pay 20_
Lesser of 112 Homestead
vaus0on T !35 .000
S
Signatu of dit /� Date sign
l /".nC/gf. ,y .