HomeMy WebLinkAboutHomestead_Reynolds STATE FORM 53569(RI/5-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.I--222.8.I
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
reduction 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 -:;,? ;^b/
Tasnaver Name Pro oert Address State Parcel Number / Leeal Description:
Norman C/Carlotta G 10669E 100 S 26-13-13-300-000.801-006 PT SW 13-2-9 4.477 Al
Reynolds OAKLAND CITY IN 47660 GIt I1 p[I'IE nC-I .
Complete and return to: • iuu E111:1111lileiiqu11iu11 1311/11310 121111111111800
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
Owner 1 �� First �] Middle D Last
/YOR/Y/Ast L A.ec hyAJa his
Marling Address(number and street.city,state and ZIP code)
Same as property address
spouse First Middle Last
//��
c. A.ecorrei Atc ley/tie/cis
Mailing Address(number and streeL Mty,state and ZIP cede) I v.;Same 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 a'ndd substantial financial penalties.
Owner 1 Signature `-� (, Date
FILE, a
DEC 3:1 2012
GIBBON COUNTY AUDITuR
CLAIM FOR 1U,"E 00 PFUERTf Tf1r, CI'UUT FOR YEPJ' 19�b
V SEE BACK FOR FIL R
' +arch, 19 I, 0-1 occ mini as our principal
Woperty for which a Honn_st..a$ Property Tax Cre
G INSTRUCTIONS
certify that on the 1st day
1 ce of residence the follm ing described real
t is hereby being claim d:
I, Ole) XQ c..naL �G —/3 - 1a3 - a j
❑ are buyinq utrler contract
0 have a bA_neficia-1 interest in the taxpayer
procerty Description. in !nom
Ta>inq District (City, Town, Towliship)
003 - 0040 -00
County Ta „rsl
J-6 114 / .3 - .L •
pa-rcel tauu& --r or legal description sl-KY n on tax
1= bu_':ina on contract: OWners rare (fee simole cwmer)
Contract recorded in Recorder's Office - Record I•b. page
1 any portion of the residential structure or the land, not one (1) acre that
i;; i -F- iiately surroLE -ds that structure is used to produce incalre, describe the use and Fort-ion
the orOGeY Ly utilized to produce incoue
n1 other counties in which individual ams or is buying real property: C
County T
TQ:.ns}tio
barmy certify th'E��bove staterent i
is n
ntrue, c
�f7L6o
*Signature S
Street Fcktress
Cit- State air] Zip Cs.
*Individual eit}er ans or is h
hiiying umer a contract that provides he is o pay the
nrope_�-ty taxes on the residence, or has a beneficial interest i
in the ta>:rx3yer.
- FOR ASSESSOR'S USE ONLY -
True Cash A
Assessed I
Ikttestc
Value V
ValuatioIl V
ValuaU
Land not er:ceeding 1 lone) acre innediately (1) �o o !
! 7 0 !
! 7 0
surrowriiig sidential i is ,
,,•;
Other Land
(3)
Total Land (
/ /
/ /�/v/'j
Residential IIIti avQmnts 8
L�,elling (4)
/
Garage (5) J
J
x T
Total (6) 33-73
”'
plTpo x
Other 7Jrproven (
(7) e