HomeMy WebLinkAboutHomestead_Powers STATE FORM 53569(R3B.10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-1.1-22-A.1
a IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS faz
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.
• PA• I: P•OPER Y INFORMA ION `a
Tasoaver Name Property Address State Parcel,Number Leval Description:
Terrance\V Powers SR 57 26-13-13-403-000.042-006 PT SW SE 13-2-9 7.763 AC C-I
OAKLAND CITY IN 47660 gnitp11p(('1p11 ��pp ��qq����qq ��77 ))��1�77 ��mm����pp
•Ccmp:ete.ad.reairato: IJIIDU,IIMEllIIIlAl1111.lUIWIWIUml1.I�1WIri17411 __
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
AdrL W ( Man\ CoWe.fs
Mailing Address( and street,city,state and ZIP code)
�T I Same as property address
I0. �1 - �� 'c�ara C;�,�L� �� k-nv o
Spouse First Middle Last
Try �--�v\ v\ Pov v s
Mating Addd(reess(number street,city,state and ZIP code) /,{�) K 1(�
4341 S 54ic . \ d - 3 1 V�Y` `' `c\ (5 1 c Same as address c- (p O
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 Date
• FIT , , D
NOV 5 2012
• GIBSON COUNTY AUDITOR
I
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
Slate Form 5473 (R817 -07)
.. � Prescribed by the Department of Local Government Finance i aoo
v 1
INSTRUCTIONS: See reverse side for filing instrucfions. G (y 2 r S
I (We) certify that on the 1 st day of March. 20_
(We) occupied as our principal place of residence the following cl cn real property for which a Homestead Property Tax Credit is hereby claimed:
tI (We) owned E) 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.
COhTRACTRECORDED
If burying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
County
PROPERTY
Township
T ist' (cdy, town, 16wnship)
Parcal number
Legal description
Is the property in question:
VALUE VALUE
Land not exceeding 1 (one) acre immediately
I eaI property [D Mobile Home (IC 6-1.1 -7)
If any portion of the residents] strWure or the land not exceeding one (1) acre that immecialely surrounds that stnrcture is used to produce Income, describe the use and portion
at the property utilized to produce mtome.
a�o- It 3 -►3- X63 -�a.oy
a -ooh
County I Township I County
I hereby certify the abafe statements are true, correct and complete.
street
Of
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSESSEDVALUEJ
HO
AT 100% OF TTV
VALUE VALUE
Land not exceeding 1 (one) acre immediately
-
surroundingresidentialimprovements.
Other land
(2)
a , -
Total land (lime 1 plus line 2)
(3)
L
Dwelling
(4)
x +
Residential improvements or Annually
-
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(8)
Total improvements (line 4 through fine 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month. day, year)
complete.
Verifying action - Signature at Auditor
Date signed (math, day, year)
DARD DEDUCTION ALLOWANCE
20 _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homesteto ad d Valuati on
5
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature ofAudtor
Date signed (month, day, year)