HomeMy WebLinkAboutHomestead_Beasley • RlitE FORM'1 V.,R:/.owl nnrASuInR FORM IS-IA
.APPROVED BY SrStF.BOARD OF'MI 1V$.SVM PrrYWBFD BY THE DrPARrSn r(r LOCAL GOVERNSIM7 FIKANCI le LLl"-LI
GibsCounty Auditor
N Main
X101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ner for homestead fraud.homestead fraud causes higher tar bills for all therefore.
ill FLEA 1344-2009 requires taxpayers who recehe the homestead standard deduction to verify that they are eligible to'raise the
benefit and to provide additional identifying information necnsan'to allow county government to better monitor homestead
tiling;.This information will he kept confidential and can only he accessed by authorized county officials.The Depannrenl of
Local Government Finance will use this information to create n013 that will help county officials eliminate homestead fraud.
PART 1:PROPERTY INFORMATION
Taxpayer Name Property Address
_ • Beck, Jarrod L
R I Box 169'
3249
Chastity Beasley
9939E 550 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-8569
I tItt I�ttt�t IIIiIIIIIIItl tllu�rtll ltd Ill �
tt it tttlltlr�tt�tt 111
26-20-11-11000-001.098-001 001-01098-00 PT NE NW II-39.78 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 beast CI1 cs! c- , (caste-(
�ag Address(number and street,city,state,and ZIP code) Same as property address
q Q39 E SS O S O 46C lc c-Q C'.«L( --X v..., k-{766a 0
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) '❑ Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
—
PART 3:CERTIFICATION 1
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(Signature Date
( )
I
PART 4: ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
` Slate Form 5473 IRS l 7 -07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
KM
JUN 2 9
I (We) certify that onl&�da rch, 20_
IP
I (We) occupied as our prim p of residence the f o 'ng described real property for which a Homestead��tlacL)whisRg imed:
''/ I (We) owned ❑ Are buying under contract
J 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 ••. .
If burying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
County
Tovnship
I hereby certify the above statements are true, correct and complete.
rW r s (numberaM street, city . state, and ZlPcode) r I v �J
l 93 i C sSo S Ci4-4 -L av L(?(O(O 0
Township
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSESSED VALUE
PROPER TY DESCRIPTION
Court
Ta slop Taxln istrict (cry, town, township)
V�
AT rr OF
Parcel numberL
I escrip'
Is the property U lion:
I eel property ❑ Mobile Home (IC 6-1.1 -7)
If arty potion of the residerNal structure or the IoM nor exceeding one (1) acre that immediately surrounds Uat re is used to produce Income, describe the use and portion
d the property utilized to produce income.
_, 0- //- /170_X U70 �(J/
County
Tovnship
I hereby certify the above statements are true, correct and complete.
rW r s (numberaM street, city . state, and ZlPcode) r I v �J
l 93 i C sSo S Ci4-4 -L av L(?(O(O 0
Township
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSESSED VALUE
HOMESTEAD
NON-RESIDENTIAL
AT rr OF
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
hx3, r�t� tif�xi
Residential improvements or Annually
Dwelling
(4)
�`': i`;4
.l {_
Assessed Motile I Manufactured Home
Garage
(5)
- r0
Other improvements
(6).:'
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus fine 7)
(8)
,
hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
20 _ pay 20
Lesser of 12
Homestead Valuabon
or
Signature of Auditm
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012