HomeMy WebLinkAboutHomestead_Hoskins STATE FORM 53569(R3/5-10) TREASURER FORM TS-IA
APPROVE()BY STATCBOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-l.t-22-8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS ° , w„w,
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
"eduction 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.
. PA' l: PROPE' YINFORMA ION : ;;...:
Tasnaver Name Property Address State Parcel Number Lela!Description:
Robert T Hoskins 10564 E 250 S 26-13-24-300-000.399-006 PT SW SW 24-2-9 1.005 AC
OAKLAND CITY IN 47660 D-6 C-I
Complete and return to: 1[11111111E11111110111[11101111111111101111011(11EIRMI
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2: TAXPAYER INFORMATION 7'
Owner�st // First Middle /� ,,// Last
!/ CODGiP . ��J i.. r
Mailing Address(number and street.ow,state and ZIP code) // /lame as property address
•
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Mailing Address(number and street,city,state and ZIP code) I �ame as property address
!,' .. _ P,,_ g,, PART3 CERTIFICATION.-.1.. - tip, . tr.r r ya-y : i !k..
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.
• 'glare Data Telephone
Spouse Signature �.,,/ Date
.
I �'
• NOV b WIZ
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GIbbON COUNTY I'uDITnR
CU11f i FUR Ild"Si D PIUD[ ii r rn1; q -iii 1-w utJt lug
SEE BACK FOR FILING INSTRUCTIONS
I, ) certify that on the 1s" cla',-
i (We) cccw:)i. -rd s our princi. place of residence the follcming de-scritn_d rea
�operty ror v:irich a Flonstex�3 . perty Tax C7eclit is hereby being clainrxl:
I, cn'e) '0 9946-4., 043°�°l 00
are buyinCl Coder contract
Ej have a beneficial interest in the to :-,payer
Procerty D>scription. in S;3 I Q �6 � County
Ta.xinq District (City, Tcxn, 'fo:alrship) :
Parcel I]t ILes or legal description shoun on tax sLa"L -n rlt:
P-t, z trI 14 Sk. rk j Y Q&;0 1- dQSAt.
1= bu': ino on Contract: U:m_ss tyre (fee sinmle ovme
Contract recorded in Pecorder's Office - Record lip.
Page
If: any portion of the residential structure or the land, not exce -ding one (1) acre that'
n]n}�diately surrOwils that structure is used to proCluce ipcone, da_scri-L -e tl ?e use a?d FOrLion
the property utilized to produce ircouv=
i:rrl other Counties in v:llich inclivzdual a.,ns or is buying real prop—.sty: Count;
certify t,v at jrent is true, correct atri cong)lete.
Street Irklress CiLy, S
and 'Lip
,,Individual either a.,ns or is Lijying weer a contract ti>at provides he is to pay Jle
property taxes on she residence, or has a beneficial interest in the ta> :caYer.
- FOR ASSESSORS USE ONLY -
True Cash
Value
Lan not e•:cOedulg 1 (one) acre inclejiately (1)
surrourrling residential inproval�ts
Other Lard (2)
Total Land (3)
p e s id e n t i a l In uro vel]-Pn is
D: elling (4)
Garage (5)
rib ta1 (6) / -7 `/ 1 d
Other ITmrava lien Its (7) —
1c Ij- rrnelpnts - Line (6) plus (7) equals (8) (8) _
l 1 ?ereby certify the above is true, correct, anti cafrolete
Klanature of Assessor
- ACTION By j+UD I TOR -
Da Le:
ASsess°a"i
Ikl lte7':
Valuation
Valu-1;
-70
7o
1._
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