HomeMy WebLinkAboutHomestead_Rowe STATE FORM 53569(3315-10) TREASURER FORM TS-IA
APPROVED BY STATE BOA OF ACCOUNTS,2009 PRESCRIBED BY TIE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1--222-3.1
•
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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
lip 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 Property Address State Parcel Number Lee])Description:
Daniel/Adrienne E Rowe 12794E 75 S 26-14-17-100-001.392-006 PT NW 17 2 8 1.50 AC
OAKLAND CITY IN 47660 C-1
Complete and return to: I®IiUU]IIDll1UVuImlDIIIDi]i6 f[I UlEIfDIIDILIDlV
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2: TAXPAYER INFORMATION .
Owner I First - Middle Last
URNite 1 4\I-er 'oLt)-e
Mad mg Address(number and street city,state and ZIP code) �t
i aiq i cq-]J (_JAJL1 Ct-I+..l 2(\� VI as7 oPam aadresa
Spouse Fiest Middle last
Nkr;hen rte Ten Rout
Mali g Address(number and street city,state and ZIP code) C7J Same as property address
• - . • PART 3: CERTIFICATION - - -
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 ach undersigned also understands that,by claiming additional homestead deductions unlawfully,he or
she may be liable for,bacKlaxes a d substptial financial penalties.
Owner 1 ' e Date
• OCT 2 3 2012
n IR$ne,' .. VVV
---•.••• i nuullUK
4 t CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R5110 -01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for (ling instructions.
FORM YEAR
HC10 M
I (We) L,dtn �/ A 3A n e T` " - 4- t'� cerfitymT on A 1`23TUfto2 of March, 20_
1 (We) occupied as our principal place of residence the following described real property for which a Ho stead Prope 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 owr� =5�rii�e�k1 /1 bkIyFa T&ae •a wntract.
sc'x,+'"'.s - _CONTRACT._RECORDED;?'- �-fi" -,
::s'w. .FZ �.f �•,
It buying on contract, Fee Simple owners name
Recorder's office where contract is recorded Record number Page
i; 2v' s�' s"--' C' Sr3�"' ?' aKPROPERTYOINNEU; BYCI 'AIMANT;IR:OTFiER "COUNTIES'r�_` '�k`j'�;T - t ^+•f�:�+i"
- -
?P,ROP,ERT.Y
County
Township
Tadng distri (dry, town, township)
Parcel number
Leg al description
Is the property in question:
- b ( �{
.,aVALUE•• 'L:=
Real property ❑Mobile Homo ( /.C. 61.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
L- -�4-i -7- /oo- ao %39a -oo�
i; 2v' s�' s"--' C' Sr3�"' ?' aKPROPERTYOINNEU; BYCI 'AIMANT;IR:OTFiER "COUNTIES'r�_` '�k`j'�;T - t ^+•f�:�+i"
County
Township
County Twvnship
I hereby certify the above statements are true, correct and complete.
Signature mant
Addresnmz n d s(il;ly sa, k4'1
SW.SESSOR USE ONLY )
10:11- -b'"ti�
TRUETAXX� g
ASSESSED VALUE
,raHOMESTEAD
f � ON,- asRESIDE T[At
,o;.,3xs..�r- :;„yy�..
•.,,,#tiVALUE
�AT.�700%OF�TfV�Nq,.1VALUE
.,aVALUE•• 'L:=
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land -
ua.�" -±v``
2
,.�
Total land (line 1 plus line 2)
(3)
Dwelling
Residential improvements
Garage
Other improvements
(6)-;
r37'
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 112 Homestead
Valuation or $6,000
signed
C -9—