Homestead_Richardson (2) ststE}CA.M:Wt.IK/wrvl - - MIASMA FORM TS-IA
ArrROVED BYRAlf:0011ID OF.1(<Ya:\TS.1a Par3Arnm BY lllr DEMsr'r r(1 ickALrovasm wT FEASCE IC 6-I.1-2:—.I
Gibson County Auditor_ _ - IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNER$__
101 N Main _
PRINCETON IN 47670 Individuals and married couples are limited to one homestead >tandard deduction.As the receipt of this deduction becomes
/, more beneficial,there is more incentive than eaer for homestead fraud.homestead fraud noes higher Inv bills for all:therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information nemsmry to allow county gm.ernment to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county official,.The Depannent of
Inca!Cosemment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Richardson,Wayne D/ Beverly K
10591 L 125 S
Oakland City IN 47660
4325
Wayne D/Beverly K Richardson
10591E 125 S
Oakland City IN 47660-8638 �yy{''��� tale Parcel Number Legal Description
i. 3-300-000.804 006 003-00804-00 PT SW 13-2-9 3.64 AC
1 rt 11 I1 II rr I I tl I I III rl I rl I I 11II1 I tl I I �u l ,
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7-7,0a GIBSON COUNTY AUDITOP
PART 2:TAXPAYER INFORMATION
Owner I First Middle / Last
W A Vtv c `, ec i i /c h 4 / od
_�m Address(number and street,city,state,and ZIP code) ___- _ _ - __ _ - _ __ 13--5-1afproperty address --_ - - - _- .
/ 3-54! c /255A OARIaw1 C-1„ ,ç4 Li766 c)
Spouse First Middle / Last
2/ef�y t1,�rp 2c,bLcJsaa
Mailing Address(Number and street,city,state,and ZIP code) Same:ti.praperty address
/059/ 5 /2 si Q4XJA )v/ C -I-Ai y'7 66&
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfidly,he or she may be liable for back taxes and substantial financial penalties.
Owner 1 Signature Date
IIIII
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473(R2/5-92)
INSTRUCTIONS: See reverse side for filing instructions.
liiL —
N
1 (We) y A >M!�7 r. .: a_d �.2Y�.. d � 0 'IL -0—it Rt Certify �e'. �..e th --
r lWe) occupied as our principal place of resid nce the follow, described real property for which a H4estead Prope
® l(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.
- -._... T18
CONAC7RECORDED „-
1
It buying on contract, Fee Simple owner's name
I
Recorder's office where contract is recorded Record number Page
' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES.'_ .. .
County I Township
t ereby certify the above statements are true, correct and complete.
ddre (nu r and sir =et, cry. state, ZIPcode)
1
ASSESSOR USE ONLY
PROPERTY DESCRIPTION,`'r. .-
County
Township
Taxing district city, town, township)
Parcel number
Legal description
0 3 6N
VALUE
It any portion of the residential structure or the land not exceeding one (t) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
_ 3 a3
' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES.'_ .. .
County I Township
t ereby certify the above statements are true, correct and complete.
ddre (nu r and sir =et, cry. state, ZIPcode)
1
ASSESSOR USE ONLY
TRUE TAX
-ASSESSED
HOMESTEAD
NON- RESIDENTIAL:
_- -
,VALUE
VALUE..
VALUE
VALUE _
Land not exceeding 1 (one) acre immediately
- -
surrounding residential improvements.
r)
-
Otherland
(2)
_ 2
°
�c £
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 pbs line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed