HomeMy WebLinkAboutHomestead_Schmitt (15) . STATE FORM 53560(0.3/840) TRFASLRER FORM TS-IA
APPROVED BY STATE HOARD OF AMOUNTS.3110q PRESCRIBED BE TUE DEPARTME\T OF LOCAL GOVMMEYT FINANCE M RI.1-232.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS '
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
F w T HEA 1344-2009 and regdeona taxpayers n) i enti receive the homestead standard deduction to verify that they are eligible to receive the
..�■HJ'`, .. \I■ hrnefit and to prmide addilianal idrndfiing information necessary b allow county teemment m bens monimr 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.
PART l: PROPERTY INFORNLATION -
APR 11 2011 Taxpayer Name Location Address
— C Kw v r Schmitt, Sandra S
�V\ 375 N Main ST
-
GIBSON COUNTY AUDITOR Haubstadt IN 47639
-2695
Sandra S Schmitt II I Oil BDIII 0111 IIII-I Oil 01111 Jill DI 011011.11.111 r 1.11.11i0111tEll_IIIDIIII
315 N Main St
Haubstadt IN 47639-8140
I'lI'ImIII'IIIII'II'IIIII11 111111111'111'11"011I'1'II"IIII11 State Parcel Number Legal Description
26-19-31-301-000.096-009 RIGINAL PLAN 27/28 PT
•
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
(Thl PART 2: TAXPAYER INFORMATION
First Middle Last
34& ca S C. S u e, S G/ HM i i-r
Mailing Address(number and street,city,state,and ZIP code) Same as property address `
3/5-N P) 4 i I) sr xL4L 6s rA p r .FN q7/, 3 ? .
.
Spouse First Middle Last
Matting dares(Number end street city,state;ii-M1111 code)- 0 -_`.`^c-s. _- Li-Sa,uc Ws'61 4.11.Ciy addrir - _. - ._ ___
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
1 I - I I i I I 1 c
situ
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. 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 i ig nature Date
PART 4: ADDITIONAL INFORMATION /
�f RI1(
ad CLAIM FOR HOMESTEAD PROPERTY TAX
#� CREDIT /STANDARD DEDUCTION
.%I State Form 5473 (R2 / 5 -92)
sie
INSTRUCTIONS: See reverse side for filing instructions.
- .. - 1 - 1 rcorrnrnnnu crnrcucur
I (We) a 4n/ ?//46f! J C'R L41-4- / - certifl
occupied as our principal place of residence the following described real property for which a Homestead
III(We) owned ❑ Are buying under contract //``
El Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns (tye
sti940f March, 19
Credit is hereby claimed:
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- PROPERTY DESCRIPTION
County
Township
Taxing district city own, township)
i /3 S
s
13 Y rib 7—
Parcel number
Os- DOvy'(o -od
Legal description
.
If any portion of the residemial 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.
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
eby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street. city. state. ZIP code)
ASSESSOR USE ONLY
_
TRUE TAX
.VALUE
ASSESSED
VALUE
HOMESTEAD -
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Otherland
(2)
Total land (line 1 plus line Z)
(3)
Residential improvements
Dwelling
(4)
-
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
omplete.
Signature of Assessor
Date signed
Vert ction - Sgnature/�of Audit ..
:- l
Date signed
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
/
STANDARD DEDUCTION ALLOWANCE
S
Date ned" ^ ��