HomeMy WebLinkAboutHomestead_Maier T .•\ MESSMER FORM TS-IA
APPROVED
ATATEVERBTFl E / IN
BY V STATE BOARD OF ACCOUNTS.2C09 PRESCRIBED BY THE DIYARTME\T OFIMaLG04'IX\MEYr BMA`A£IC 611-214.1
sonCoun Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
lr Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
F1t1Na
0 •���f 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
MAY17 2011 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.
C. . PART I: PROPERTY INFORMATION
Taxpayer Name Location Address
—GIBSON.COUNTY AUDITOR Maier, Harriet E Etal Trust
7155S 1675 W
GRIFFIN IN 47616
2804
• Harriet E Maier tat Tr ust II IDIII1II DIImI. ionIIllDIIDI _II ilIIhII I_III I1111II 1I1 IGO Mrs John Jaqua
Jr Trusle
6935 N Pennsylvania
Indianapolis IN 46220-1044
- - III'IIIllt ttlIIIIItiIIIIIIIIIIIIhI611I1111111illIl'IIIIIIIII State Parcel Number - Legal Description -
26-16-21-300-001.849-024 Sw 21-3-13128.20 AC
Spouse Firs_tl Middle Last
Cone I O>'4'ed1_ _Er-Same /71'1/E_
Mailing Address(Number and street,city,state,and ZIP code) as property address
7 / 60S L6 -2 SU) Or 114`. Iry �2 6
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.
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 IRS 11-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse We for filing instructions.
CERTIFICATION TATEMENTr"r t3•#''r"
a '• ter
yn If,
I (We) 4bertify that on the t day of March, 20_
I (We pled as our principal place of residence the following described real property for which a Hlhestead Prop s hereb 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 prope r is yenD
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
g"';;°°y,- -,':i,.jxz•fi' PROP. ERT. Y, �OWtJEDrBY: CL'AIMANT.INOTHER'000NTIES:`.,;
_
County Township
County T
Taxing district (city, to f con ip
leer 01 description
5Q
is the property in question:
0-3-13 / ;8, a .E Real property ❑ Mobile Homo (I.C. 6-1.1 -7)
If any poNOn 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.
g"';;°°y,- -,':i,.jxz•fi' PROP. ERT. Y, �OWtJEDrBY: CL'AIMANT.INOTHER'000NTIES:`.,;
TRUETAX ITS
��,VAL.UE��
County Township
County T
1 hereby certify the above statements are true, correct and complete.
Sigr re of Eta ant
QGc
sot ss (number street, city; state, 21P e)
�*`� 4z 4L7 (Pr
• �'u + x, �+°y-
SSESSORUSE ONLY f�r��
�'�����g
TRUETAX ITS
��,VAL.UE��
+
ASSESSED.VZU
u
ck .
�HOMESTEAD'at
�
- .ti, .t
NO N-RESIDENTIAL`''v ..
��-
��y>o,�•� ���s� -...s.
mAT�00 %.OF�`TTV�
,<�VALUE'�
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
23 ".- . r7
At
£
Residential Improvements or Annualty
Assessed Mobile I ManufKWred Home
Garage
'` `' ` -�
(5)
:D*
Other improvements
(6)f;,
's
Trial improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(6)
I hereby certify the above is true, cofrect, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed