Homestead_Gordon I STATE FORM 53569(0.7/2410) TREASURER FORM TS-IA
' APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-8.I
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
•luction 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.
• - PARTt PROPERTY-INFORMATION •' -" ' - - • '• yl
Tatnarer Name ?ronerlr Address Slate Parcel Number I.eeal Description
12408 E 150 S
Bill R/Deanna L Gordon 26-14-17-300-000.153-006 E SW SW 17-2-8 2.38 AC
OAKLAND CITY IN 47660 C-I
Complete and return to: - IOW flp[�ICOOIIi fllU:flUInI(.�If9Ie'a0I11!GR91t IiDIN _
- udullU Ifl ndur rjbllaltlo mutl ti3 Gnd tLRUBEd b lu hlS 151111
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670. V�
:. PART 2: TAXPAYER INFORMATION' .:%s
Owner 1 First Middle Last
goetoi
Mating Address(camber and street,city.state and ZIP code) r-
/�4 8 /5 L�Same as procerty address
Spouse �f/� //�j First / Middle �/ Last
)e
Mailing Address(number and street.pity,state and ZIP code) IX
Same as properly address
/ai)B E /6 ) S
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
1", ^ •PART 4:'ADDITIONAL INFORMATIONr'
1•
"P" _, �E;S:� - ...a as .. � _. ... ....,
•
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
.:; State Form 5473 (112/5-92)
Feu
INSTRUCTIONS: See reverse side for filing instructions.
I FORM
HC70
1 (We) U JA A_Jv ' • 1 � - `•" -x � I � certify that on the 1 st day of March, 19�
1 (We) occupied as our principal pl of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
(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 oWl 7g nde
CONTRACT RECORDED - nrn 1 O 1007
It buying on contract, Fee Simple owner's name r V "`
Recorder's office where contract is recorded Record Z
AUDIT 4R If
r\A ' PROPERTY DESCRIPTION
County Township
County
Township
NON- RESIDENTIAL'
VALUE
Township
Taxing district (city, own, ip)
liter _
Parcel nu er
Legal description
Otherland
nQ�
It 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.
(3)
_ZZ 6 /�� /
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County
Township
NON- RESIDENTIAL'
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
I hereby certify the above statements are true, correct and complete.
Sign u e of claimant
•ess (number and street. city state, ZIP code)
Zr 3 a oar /mod l2 %�
/' 7& C)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL'
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Otherland
(2)
Total land (line I 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 pbs line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
s
Date signed
.. W STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
$
Valuation or $2,000
Signal o utlitor Date si np[{