Homestead_Young (8) STATE FORM 51569(RJ/5-10) - TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-5.I
IMPORTANT NOTICE TO'HOMESTEAD PROPERTY OWNERS — ,
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
duction 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: PROPER Y 1NFORMA ION =
Taxpayer Name Propem Address Slate Parcel Number teed Description: ..r
George A Young III III 646 S SR 57 26-14-18-101-000.815-006 FARMER&SON TRACT 14 J
OAKLAND CITY IN 47660 C-1
Complete and return to: IIII111EIII'IllIIllf.1P fflibflIIEIIa�110IPJICII ELTIJuulltlWR
- IdnhIUUJIralla Uu OWtl Ua Utl4 10BOWkwtl40]IUIPJla BE
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
. PART 2: TAXPAYER INFORMATION • '' --- z s,
Owner t First Aline / Middle Last .
C Phd I a'T1F�Prr Y l` UtiIC�.
Matting Address(number and Lary,state and ZIP aloe) as property address ff
6 4 S, S4-le
. . . _._
Spouse - -\ First • Middle -
Last•
/ A54t0. ) -- eQ111LC�_ y O l.fv\ I----
Mailag Address(number and street UN,state and ZIP code) I 1
--san+a-ds property address
10u Sr &(-o- Ai0 ienil 6 57, Da lc1Oti0P e / ti U 7(r, 6
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
■ - DEC 21 2012 - -
01psON COUNTY AUDITOR
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
State Rm 5473 R7 / SM
Pmacnbad by the Depanrnerd cd Lmal Galerrvnert From
IuSTRLIC?7 a, Sm �� !br!L_
ul- 1 1 2 2007
I (we)
that 76 t of March, 20
a) occupied as our place of the rig described real property for which a Homes KQQkMQ%&E0*reby claimed:
I (We) It
I (We) owned PFAM buyij contract
td=
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.
U,
0 0
PR PERTY
County
C ONTRACTt REC ORD ED W-K � , i!:41
Canty
If bjyrg on coins; Fee Surcie ownees mm
I hereby car* the above staternerris are true. coned and complete.
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urnbw and sftfet dfy. stale, 7 .77
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Pm=dWs dfice where contract m receded
Parcel nurnber
Record number
the WqmV
Page_
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0 0
PR PERTY
County
Township
Canty
TaN nshp
I hereby car* the above staternerris are true. coned and complete.
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Parcel nurnber
"ptian I
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E RBEd pWerty
❑ Mobil. Horne (I.C. &l. 1-7)
ffarly �wmtu0 or the land not exceedng one (1) . that
=Wftfi.—d
m nr thal stiucture
m used to pu&xe �, dewrit)e the use and pwbon
of the Wo&�
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ASSESSOR USE ONLY
County
Township
County
Township
I hereby car* the above staternerris are true. coned and complete.
VALUE -1,
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ASSESSOR USE ONLY
'Ti1UE.TA'X,
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ASSESSl!h:Nrlij_tfi
HOMESTEAD.
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VALUE -1,
�ATIODWOFTTV.'-
r�S-:�L
-' ALUE
Valuation or $35.000
Sqnature cd Ax km
Land not exceeding I (one) acre irrynedialely
surrounding residential irnprovernents.
Other land
(2)
Tdal land (line 1 pha fire 2)
(3)
Dwells rig
(4)
r
Residential wnpromnents or Anmally
N
Assessed Mobile / Manutectured Horne
Garage
1�4
(5)
Other unprovements
(6)
Tdal apvvernents (&* 4 through One M
m
Total value (1hrie 3 pAz One 7)
(8)
I hereby car* the above is true. cared, and
omvwe-
Squwture of Aammsor
Date Signed
VanWV action - Sgrature of Auftrw
Date signed
DEDUCTION ALLOWANCE-4
20— Pay 20—
Lesser of 1/2 Homestead
Valuation or $35.000
Sqnature cd Ax km
Date soined