HomeMy WebLinkAboutHomestead_Lemmons (2) STATE FORM 53569(R3/8-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 32-8.I
IMPORTANT NOTICE TO'HOMESTEAD.PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
seduction 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.
PARTI PROPERTY INFORMATION
Tasnaver Name Prooem Address State Parcel Number Leval Description:
Vance Lemmons 1952 S WHISPERING HILLS RD 26-13-23-101-000.822-006 SWEET BRIAR EST 7PT/8PT
OAKLAND CITY IN 47660 PT NE 23 2 9.1492 AC C-1-D-6
Complete and return to: IIII��I�Iffl�ll�{IpdI�If1011U��I'�IIIII!]Illll;ll.flfllllllll1llrll➢ll!!
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2: TAXPAYER INFORMATION
on.,n 1 First Middle Last
La E LEY( n &t) 5
Mailing Address(number and street city state and ZIP code) r�%I Same as property address
I 5 IL s, MIAf0 PCP fr�n FALLS 2P t(
Spouse Rol p ppl, r)) Middle Last
D Imo/ r( �/
Mailing Address(comber and street city,state and ZIP code) ; ( Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number(last 5 digits) State owlet(please speedy in Part 4 below)
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 .,c Date
( )
i,-sct_.,r ,, -t .,- , ,,-rPARTS WQ
AQPNAL INF91;!MATION:1;,_a;
DEC R 2012
•
GIBSON COUNTY AUDITOR
CLAIM FOR HOMESTEAD PROPERTY TAX
j CREDIT /STANDARD DEDUCTION
State Form 5473 (R215 -92)
ro_ c
1fi
INSTRUCTIONS: See reverse side for (fin instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT ,'�
p_p5
I (We)+ -GSl certify t/rlp�on 1tiellstdal4bf March, 19_
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ 1 (We) owned ❑ Are buying under contract �l 1/
jntract.
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that own )he'properly or is.lwyingi pdeirka
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxirlg-Gistrict (airy, town, township)
C t
Parcel number
Legal de scn
0
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds &t structure is used tcAproduce income, describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Town p
County
Township
S' r (Claimant
�ereby certify the above statements are true, correct and complete.
rT�Etnt
Address (number and street, city, state, ZIP code) -
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(a)
I hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
Ventying action - Signature of Auditor
Date signed
t STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
$
Valuation or $2,000
ignane^off Auditor
Date signed