Homestead_Seaton STATE FORM 53569 a3/5-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FNANCE IC6-1.1 22-S.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
buses 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.
PA' 1: PROPER YIN O'MA ION ,
Taxpaser Name Property Address State Parcel Number Leal Description: -
Matthew T Seaton 103 S EILEEN ST 26-18-36404-000.257-009. PT SE 36 3 I 1 LOT 103
HAUBSTADT IN 47639
Complete and return to: I1111lIOh1 ERIII�ODII]IP MHO l lEDlIIl a
GIBSON COUNTY AUDITOR- 101 N MAIN PRINCETON IN 47670 1 1 Wl
PART 2-TASPAYER INFORMATION
Owner 1M A Q w First To ci d Middle 6 e A�� last
Mating Address(number land street.city.state and ZIP code) S-h't-+ I if Sarre as property address
103 8 . E i IeeN Anteree- 14C1A9540d+ .N 41;0 39
_ - „—_ ..
First Middle Last
Sher; -y flat ' Sea14
Mating Address(number and street city.state and ZIP code) I I-1 1 Same as property address
103 5 E i leer( ret-I- 4a, �-a1-act{ im!� 1 41in31
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
I' RT : ADDITIONAL INFORMA'1IO\
• _._ di
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
CREDIT /STANDARD DEDUCTION CRo
State Form 5473 (8817 -07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS., See reverse side for filing instructions.
I (We) � r • certify that on 1 st day of March, 20
I (We) occupi as our principal place of residence the following described real property for which a Homestead Property �t is -rg2�r claimed:
rl I (We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
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.
ONTRACT RECORDE .
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
County
PROPERTY-DESCRIPTION
TawnsNp T di (city, tywn, tmms 'p)
Parcel Wmber
L esc ption I Is the property i question:
I hereby certify the above statements are true, correct and complete.
J
06- 3 -1 Real property ❑Mobile Home (/C 6 -1.1 -n
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that kructure is used to produce income, describe the use and portion
at the property utilized to produce income.
.4rJ'�oo.a�S;-00 9
PROPERTY OWNED BY
_ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
County Township
County Township
I hereby certify the above statements are true, correct and complete.
Sign of claimant �.yn
VI -
(number and 4 city. ,1end ZJP code) I4 -76.3 rl
67te- trassl sVee
ASSESSOR •
_ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
s •
NON-RESIDENTIAL
8
w 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Land not exceeding l (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
' ` :`'.. ,,: ' -_ti • -:
Assessed Mobile I Manufactured Houle
Garage
(5)
Other improvements
(6)
-`'
Total improvements (fine 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day. year)
. • `j 91:1111111192 •
_ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation
8
w 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Date signed (month, day, year)