Homestead_Jarboe STATE FORM 51569(R3/2,-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1 22-A.I
a 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 eliminate
homestead fraud. - /
•ti`,C:'t - -= PARTI: PROPERTY.INFORMATION• ' i''a '•r
Tespaver Name Property Address State Parcel Number teen]Description:
Jon D Jarboe 12014 E HICKORY LANE 26-14-19-203-000.2I0-006 WATT ADD SEC A I
OAKLAND CITY IN 47660
•
C-I
Complete and return to: If►1II61n1000IRINIII_m.Iglp 1O.7lICII1lluiTh IMII
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
•
Owner 1 --- First Middle / Last
Q Ilan a2-9i 1i Q Iari-J°
Matting Address(number and street_city,state and ZIP code) r ame as pro M address
•
/
opopse First Middle Lest
)(Caine iar
Mailing Address r and street,city,state nd P code) a as property address
•
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 1 Signature Oats
-
- : 4
);
.- - NOV 7 2012- .- -
GIBSON COUNTY AUDITOR
rr 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 filing instructions
FORM YEAR
HC10
42 -31
I (we) 3 qAr- certify that on the 1 st day of March, 20 — •
I (We) occupied i our principal place of residence the following es b real p erty for which a Homestead Property Tax Credit is hereby claimed:
❑ 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 property or is buying under a contract.
OUT RACTRECORDEDMr WL
If buying on contract, Fee Simple owners name
Recorder's office where contract is recorded Record number Page
�W ,Llq;- iSTAN6AR6DEDUCTION"ALLOWANCE
County
County
Townslup
Taxing di I (city, town, townsthip)
I i(!
Parcel moor
ry
S. - a N D
a at descriptio
Address (number and street, city, state, ZIP code)
11111111111k
Is the pmpe in stion
%5RI"
t ,0
-
4�TRJE-TAX'
A SSESSEDVALUE
LZ Real property ❑ Mobile Home (I.C. 6-1.1-7)
If any portion of the residential Structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce irutome, describe the use and portion
of the Property utilized to produce income.
�W ,Llq;- iSTAN6AR6DEDUCTION"ALLOWANCE
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city, state, ZIP code)
11111111111k
Date signed
91-r
ONLY
-
4�TRJE-TAX'
A SSESSEDVALUE
-H6W6i661
3r.
N- N RESIDENTIAL
—&§ESSORIUSE
Eli
Land not exceeding I (one) acre immediately
surrounding residential improvements.
A�
Other land
(2)
01 MINIMIZE--
Total land (line I plus line 2)
(3)
Residential improvements or Annually
Assessed Mobile I Manufactured Horne
Dwelling
Garage
(4)
(5)
-Q-
*�K
Other improvements
(6)
Total improvements (fine 4 through line 6)
(7)
Tctal value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
�W ,Llq;- iSTAN6AR6DEDUCTION"ALLOWANCE
20_ Pay 2O_
Lesser of 1/2 Homestead
valuation or 535.000
$
Signature of Auditor
Date signed
