HomeMy WebLinkAboutHomestead_Weaver (2) STATE FORM!J!M IR_IYNI TREASURER FORM TS-IA
.APPROVED BY STATE BOARD OFMTOISNTA]aw PRfyLTUnn TIE 111E DEPARTMENT OF LOCALa'OVER`MFAT FINANCE 11:6-1.1-224.1
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• FIFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifyme information necessary to allow county government to better monitor homestead
tiling+.This information will he kept confidential and can only M accessed by authorized county nllicials.11w Depanntent 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
Weaver, Nicholas D/Laura M
Hasenour
R 2 Box 340
Haubstadt IN 47639
3418
Nicolas D Weaver
408 S West State Parcel Number Legal Description
HAUBSTADT IN 47639-8155
I riullur1r11nu11r1r1tlltI1r err 11t1t1n1t1r11u t1u 1u 1Itli 26-23-06-103-000.220-009 013-00220-00 PT W 6-4-10.76 AC
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.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
II61)I(o/as �r7�hr. m �tl/P�
¢Address(number and srxt,city,state,and ZIP code) ❑ Same as property address
q 0 8 SL tv' c'i- sfr 1--/ 4oti ,<J,J7- )ry 47627
Spouse First Middle Last
Ca ,.CO- PiQr.t 1445-en0c.rr — (A)eauer
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
ties S . i,.Jes+ S± t-icLwtosMd f /At '-n6 &
_ _
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 Si attire Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R6I4-03)
Prescribed by the Depa tment of Loth Government Finance
INSTRUCTIONS: See calves rlda 16rf$1p kmt ucddnm
V I M �j YEAR
j
V EB 15 2006
I (We) F— v certij ja(TSyUAbj I'st "day of March, 20
(We) occupied as our principal p ce of residence the following described real property for which a HomeN Property Tau Credit is hereby claimed:
❑ I (We) owned ❑ Are buying under contract
' 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.
NTRACT.:.RECORDEDs
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
.
P,ROP,ERT.Y:DESCRIPTION�� ?2h:k4"�v.'� .r�,j?``.c�?u 't"rr- .:`.�,,a�=:{ �,a�•,
Court
County Tawnship
ture of c imant
Tming district (city, town, to n
Parcej.wymb4r' J
Legal descrip
n
-
Is the props Re �properry ❑ Mobile Homo (I.C. 6f. f -7)
H my portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that s cture is used to produce income, describe the use and portion
of the property utill, to produce income.
„r�'�s`PROP.ERTY> OWNED- BY- CL'AIh1%1NT_IlWOTHER"000NTIES#r
County
Township
County Tawnship
I hereby certify the above statements are true, correct and complete.
ture of c imant
dress (number and street, cd)1 state, ZIP code)
�[CK6 S,4/ S 1 —/ 1, r.4 j 1AJ Lr >X39
—,-'. ONLY "�
TRUE TAX
ASSESSED VALUE.HOMESTEAD:F
"AT
>ti NON�tESfDEfdTIAL F
r
,� }.{,,�- ,- t
REM"
3z'Y].E2ii C43i'- �v.iili _;yG�f ...iai
_�VAL_UESw�t,
100 %- OFT,NVALUE�'
eiK%fr_ ..
,�-
Land not exceeding 1 (one) acre immediately
3'r es~n
surrounding residential improvements.
Other land
(2)
r
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
for"rV� Wn
t
Residential improvements or Annually#`_
-
Assessed Mobile I Manufedraed Hems
Garage
(5)
Other improvements
(6)
,-j
%z's;:�=
Trial improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date wgned
20_Pay 20_
Lesser of 112 Homestead
Vatlauen or $35.000 -
H
Date signed V 0--(�s -0/0