HomeMy WebLinkAboutHomestead_Peach •
. STATE FORM!)!NIRU wO TREASURES FORM TS-IA
QPNOVEn lft'RATE BOARD OF aMUY6.21,n PREXTIBFD BY WE DEPARTMENT OF LQAL GOVERNMENT FIANCE IC LI-U4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 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 eter for homestead hand.Homestead fraud causes higher tat 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 identifvmc information necessary to allow county government to better monitor homestead
filial",This inhumation will he kepi cnnlidentinl and ran only he 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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Peach, Tiffany R
)k`�j I
i
r RI Box 128 A
tlaubstadt IN 47639
8315
Tiffany R Peach
701E Haub State Parcel Number Legal Description
HAUBSTADT IN 47639-8234
II III II I I ( i ' I II I III 11'11111 26-19-31-400-000.766-009 BRIARWOOD SUB DIV II LOT 22 D-9
r u rn I use r r n el nl I se ern
PART 2:TAXPAYER INFORMATION •
•
Owner I First Middle Last
--TT-TAMy R e4 ".ACR
ging Address(number and street,city,state,and ZIP c e) IS'$umc as property nddTS-- -
7oi E. Raub.
aLL.skadit, �� - 976939
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please spcify in Pan 4 below)
snit
PART 3:CERTIFICATION
Each undersigned certifies,tinder 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. — �r-
Owner I Signature Date
PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5173 (R6 / 4-03)
Presrn"bed by the Department of Local Govemmenl Finance
INSTRUCTIONS: See reverse side for (ling instructions.
FORM 1 YEAR -
HC10
I (We) ce�a n t e 1st dt -ff Ma O_
I (We) occupied as cipal pt residence the following described real property far which a Homest Pro rt relit is•hereb aimed:
❑ I (We) owned !v trying under contract gg nn
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prop= lb u�nj ngr a contract.
If buying on contract. Fee Simple owners name
Recorders office where contract is
COUNTY
Record number I Page
-iii rr -..- -, -.... .j _- .... _ ..
«-- �aPROP.ERTY.OWNED�.BY CLAIMANTiN:OTHER`COUNTIES war. ".z�.,.,�_
r =s P•ROP.ERTY:OESCRIP,TION%�� ,f�2 �s.F:�'
County
Township
un
Toting district
townshi
e u i Q /y/ '�
v �i/!/V
Legal description
I e property in question:
Real property ❑ Mobile Home ( /.C. 6-1.1 -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 potion
of the Property utilized to produce income.
-iii rr -..- -, -.... .j _- .... _ ..
«-- �aPROP.ERTY.OWNED�.BY CLAIMANTiN:OTHER`COUNTIES war. ".z�.,.,�_
20 _ Pay 20
County
Township
un
Township
I hereby certify the above statements are true, correct and complete.
or
Sign Lure of imant
J
Address (number and street, city, state, 21Pcode) —7016- a
rt ASSESSOR USE ONLY ��� -a; ',.
'TRUE TAX £
ASSESSED VALUE
`HOMESTEAD;
''y'`kRNONP - RESIDENTIAL
r`��VALUE-0-'
AT.ti100 %OF TTVr
az,VALUi`.ir41tYALUEM•e:4;
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (fine 1 plus line 2)
(3)
Dwelling
(4).�1
}
'� t r
Residential improvements or Annually
ED -
Assessed Mobile / Manufactured Home
Garage
5
Other improvements
6)
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(S)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
.raster -"i## ..- STANDARDIDEDUCTION 'AL'LOWANCE..,>�"d3,'w -+'" ,rS"+�i{= i:�1•�`'J� ---
20 _ Pay 20
Lesser of 112 Homestead
veuauon or E35.000
$
Signature of Auditor
Date signed