Homestead_Anderson (2) STATE rrlaM!me TREASURER FORM TS-IA
■rR[NED BY!.--E WARDm MI TANTS..9v PLEAFIBm BY fir OVARM-NTGF LOCAL to aNMEAT FINANCE Ie Vtir4.I
Gibson County Auditor
701 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.Ilomeste:d fraud causes higher tax bills for all:therefore.
• HEA 1344-21109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to pm'ide additional identifying information neceswv to allow county government to better monitor homestead
filings,ibis information will be Imp confidential and can only be acee.sed by authorized count'officials.The DgnMxnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Pruperty Address
Anderson, John L/Deborah D
It 2 Box 305
Elberfeld IN 47613
3298
John UDeborah D Anderson
R2 Box 305
Elberfeld IN 47613-8437 State Parcel Number Legal Description
1.11.1111,1111 26-20-28-100-000.212-001 D81-00212-00 PT W 2&3910.50 AC
-.____—__ X
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
0-0 HA/ L . ANDERSolt/ •
M
Address(number and street.city,state,and ZIP code) -Sgine as property address
_
'79 /7 900 $ ELBERFELD / ti 4 76 13
Spouse First Middle Last
DeL3okA 1+ JD ANDe Eso,J
Mailing Address(Number and street,city,stale,and ZIP code) I I4$axrle as property address
-7 9 /'7 E 900 S ELBERFELD _TA) 4-7(0 / 3
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.
Ovine I Si nature Date
/? 2- COx 30s tD4S 4,v6-ea A Feui yeAR5 A ,
t STxTE
i HOMESTEAD CLAIM FOR PROPERTY TAX
CREDIT/STANDARD DEDUCTION
> )� State Form 5473 (R2 / 5-92)
i
INSTRUCTIONS. See reverse side for tiling instructions. _
r�.
ME
MORE
APR 2 5 2001
re
_ /7 CERTIF ATIO ATEMENT
,/'� v III
st day of
I (We) C/ �`-� certify that on MaWRI�9R
I (We) oc pied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
9 (W 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 Simple owners mane -
Recorders office where contract is recorded _
Record number
Page
- PROPERTY DESCRIPTION
County
Township
Taxing distri city, town township) "
Parcel number
00 /-
Legal descrip "
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 im
ieby certify the above statements are true, correct and complete.
Address (number and street, city, state, ZIP code)
R #z 13oX &5 LBER -PeLD
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
(t)
surrounding residential improvements.
Otherland
(2)
Total land (line I 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
$
Valuation or $2,000
Signature of Auditor
Kr
Date signed (.
O