HomeMy WebLinkAboutHomestead_Riley (2) STATE FORM 53569(R3/3-ID) TREASURER FORM TS-IA
APPROVEDBY STATE BOARD OF ACCOUNTS,2009�I� !� y,� PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I-1-22-8.I
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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
"Fuses higher tax bills for all; therefore, ILEA 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.
C Pea11t lBaYLI1.f3Connta"i!%,YOLCm - •-
TaspaverName Property Address State Pa reel Number Legal Description: P277/
Michael W/Brenda J Riley 11345E 150 S 26-14-19-200-000.813-006 PT NE 19 2 8.522 AC
OAKLAND CITY IN 47660 C-1
Complete and return to: F
ut[uiiu[[[i[[[[mum[r:[u1[[[[[[m[1[[o[[o[r[iu[i[[[[m[[�[[,u11i[[i
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
. ' 1 tnia INFORMATION '
Owner 1 First • Middle Last
May g Address(member and street,city,state and ZIP code) I ``Same as property address
��
x First Middle last
(Ste t-tip(a-- 0 � . .
Maifirg Address(number and street,city,state and ZIP code) Same as property address
-Each tan gned certifies,u •er penalty of perjury,that the above and foregoing information is true and correct and that he or she is to receive the
homestead standard deduction • this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or
she may be liable for •ack taxes -•d substantial financial penalties.
Owner 1 Signature Date
, , ' - PART4$ADDITIONAL INFORMATION • .
FILED
• DEC 28 2012
cm
GIBSON t JuNTT AUDITOR
d °F CLAIM FOR HOMESTEAD PROPERTY TAX FORM
A �'4 CREDIT /STANDARD DEDUCTION., Hc10
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICkTION STATEMENT
I (We) certify that on the 1 st day of March , 19
I (We) occupied as our principal place of residence the f escribed real property 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 it under a contract. "M ir w. -v-i u-%
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name N U V 12 )oc)
Recorder's office where contract is recorded �RRecodl Ny�(lfbbeer, I Page
A I I rl ITAA rr��
lT� I t
PROPERTY
Township
township)
Parcel Numb Legal Des ri i n - _
�Qn3peZq(3-"+&6ntial structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to pr uce income.
G- � - D -ao. d, /3 -OG6
/
PROPERTY OWNED BY CLAIMANT IN OTHER C NTIES
County County � :-� Tow ship
hereby certify the above statements are true. correct and
Address (Street, number, city. state and ZIP code)
, . 3 /doY C2 ;,3,4 d�?w✓Lp vrJ �7T11 ��✓ II
ASSESSOR USE ONLY TRUE TAX VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Otherland
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19—
Lesser of 112 Homestead
Valuation or $1,500
(2)
[;&ofuditor
(3)
Da Si e
_) _0 3'
(4) -
-
-
- -
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2.000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19—
Lesser of 112 Homestead
Valuation or $1,500
[;&ofuditor
Da Si e
_) _0 3'
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