Homestead_Lamar (2) STATE FORM 53569(R3/13-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-S.I
LMPORTANT NOTICE:TO:IIOMESTEAD 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
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 INFORMA ION
Taspaser Name Property Address State Parcel Number Leal Description:
Aaron M Jones 7282 N SR 65 26-06-06-200-000.222-017 PT NE 6-1-9 7 AC
HAZLETON IN 47640
Complete and return to: 111011[1111101011111111111110003011111111[111[111111111111
•
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
•
spouse j • First Middle Last
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Mailing Address(number and steel.city.stale and ZIP code) iX rr
Same as property address - •
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Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and oorrect and that he'or sheds 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.
' PART 4: ADDITIONAL INFORMATION
FILED
SEP 191U14
• IL
GIBSON COUNTY AI Ir1ITOR
jEsr'E ° CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
'> State Form 5473 (82 15-92)
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INSTRUCTIONS: See reverse side for filing instructions.
"Jil f .I
SEP 14 1999
CERTIFICATION STATEMENT
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lei.
• P •- ° i f fM. fl 1
I (We) certify �at oirfh �st'day of Ma(c ooDR
G'S
I (We) occupied our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
Credit here
(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.
CONTRACT RECORDED
If buying on contract, Fee Supple owner's name
Recorder's office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (dry, to' , township)
Parcel number
Legal description
004 �00�2•.� -a
.
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 portion of
the property utilized to produce income. _
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
Signature of imam
reby certify the above statements are true, correct and complete.
Address (number and street, city, state, ZIP code) '
R o
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON- RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
5
Valuation or $2,000
Signature of Auditor
6__ _
Date signed