HomeMy WebLinkAboutHomestead_LamarCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDITISTANDARD DEDUCTION
t rw State Forth 5473 (RS/ 10-01)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS., See reverse side for filing instructions.
I (We) certify t*ARttq 18t ORMarch, 20
1 (We) occupied as our principal place of residence property for which a Homestead Property Tax Credit is hereby claimed:
_❑ I (We) owned ❑ Are buying under contract JJ//��//����,,�
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns I fA,. n un a contrailGGffBBaavv . ��u
CONTRACTRECORDEO�s 'D'- �G'�Fi"- ,�-- s��:4s°��
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
�r.�� ai 'y�y'"�.��r��}?V�s- P,ROP,ERTY, OWNED_ BY�CLAIMANLINUTHER "COUNTIESf.. us;?�,5rs�i "`" "�.S .�`;j''4 .Is"��E'
County
Township
County Township
County
Tomstdp
Taxing district (city town, township)
P r��/►/�y��Jr
Legs
'on
Is the property in questico:
.�/ /�)
K�/ W
_ATX100
❑ Real property ❑ Mobile Homo (LC. 6-1.1 -7)
H 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.
�r.�� ai 'y�y'"�.��r��}?V�s- P,ROP,ERTY, OWNED_ BY�CLAIMANLINUTHER "COUNTIESf.. us;?�,5rs�i "`" "�.S .�`;j''4 .Is"��E'
County
Township
County Township
hereby certify the above statements are true. correct and complete.
Signature o I , ant
-^ (n/lyber
%.OF�TTV
1, dy,'afate, ZIP code)
��
—w
i^ t
r ASSESSOR USE ONLY'? "S
i.f> TRUEeTAX�
ASSESSEDYALUE
HOMESTEAD
,c.,:i
�,NONiRESNENTIAL
%.OF�TTV
;,+�?;VALUE�re
` t-r ?`-VALUEgT
i -� «4s".�`v?r�� 2f3 _ «�*",t.'+'ALUEs��."._�
_ATX100
Land not exceeding 1 (one) acre immediately
4r ` r -tv
g
surrounding residential improvements.
(1 i
; z i`!' ^'x..
Other land
(2)
Trial land (line 1 plus line 2)
(3)
Dwelling
(4).�.,Y,�.'
i F Kitr� r
Residential improvements"ti911d't,�
Garage
r 3 5
N-0-114
(5)
,.
Other improvements
(6)��.""?'
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(6)
1 hereby certify the above is We, oomect, and
Signature of Assessor
Date signed
complete.
Wrifyirg action - Signature of Auditor
Dale signed
STANDARD:DEDUCTION AL`LDWANCE`j�,��� eta'" ,.`y°'`�_;;"=�rr'a- sr.`c..�t'�
20 _ Pay 20 _
Lesser of 112 Homestead
Valuation or $6,000 $
Signature of Auditor Date signed
STATE FORM 53569(R3/8-I0) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-5.1
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 PROPERTY-INFORMATION 40 .;.:,' „p;r ,,,a- t =:raa
Taspa,.er Name Property Address State Pa reel Number Leal Description:
Steven N/Kimberly Lamar . 10219 MAIN ST 26-20-02404-000.098-003 OLD PLAN 17 PT PT SE 2 3 9 .22
SOMERVILLE IN 47683 AC
Complete and return to: IuI�IIG1111111uGlill(I If11C�1119[1111111 II�II II1VIf111711.II�IIV
-
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
Owner 1 First Middle Last
S l-even Iiortrn AA/ LQVnCIK
Madmg Address.( and street.city,state and ZIP code)
/ I2Sedme as property address
/11hrtt€ 40,6 1Z1 *N 5r P a. i3 , 3;3 SoreeruI lie .1,4/
...., __-«-
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 Signature Date
_ ,o
• IT , &J
NUV 1 4-ZUIZ
GIBSON COUNTY AUDITOR