HomeMy WebLinkAboutHomestead_Helm (2) STATE FORM 53569(R3/8.10) TREASURER FORM IS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1--222.8.1
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'0 if A NOO , IC« WHOM •S AD " O ' •' '� YOWN ' ' S°
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
Sauses 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.
PAR. 1: P OPER. Y 1NFORMA' ,ION
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Taxpayer Name Property Address State Parcel Number Leval Description:
Stephen E Helm 113 E THIRD ST 26-02-59-032-000.181-019 OLD PLAN 6/7/8 BLK 5
HAZLETON IN 47640
Compete and return to: 1111111[11111111011001E1IIIIIIIIIIM1111011IIIIMEI
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
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Spouse First Middle Last
Matting Address(number and street,city,state and ZIP rode) Same as property address
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• ` PAR _a,C'E'TIFICATION "'
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 Telephone
d/�//��/�/, /�f - 7" 7— /3 (
: :ITPART a ADDITIONAL INFORMATIO
FILED
FEB 7 ' 2013
GIBSON COUNTY OR
CLAIM FOR HOMESTEAD PROPERTY TAX, FORM YEAR
CREDIT /STANDARD DEDUCTION- HC10
♦ ✓ Stale Form 5413 (R6 14-03)
Prescribed by the Department of Local Doveming i Finances
of residence the follow g esciibed real property for which a Homestead 7r,rty T�tgdit is hereby claimed:
7 I (We) owned ❑ Are buying under contract `' -. O��10 -0/ i CW/
Have a beneficial interest in the entity hat is liable for the roe taxes on the roe ' . G4� pro e y or is AUDITOR
ty property rty property rty and that owns a grope y or T AU un at a contract.
r -�s, =.s` '.+,E -' °i'J 3' -'' Y, : E''s�.*g- .n'.v:: %: r -,t•�r CONTRACT :RECORDED r - <.
f buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
County
Tomship
`I -E V I b L_UU LW
portion of the residential structure or the land
property utii¢ed to produce income.
Taring
/ _ / � n /) yes tb ropeM in question:
J(!�+r_'lM1 /�(!! /. -�lJ- IL°YV/r1N --' ❑Real property ❑ Mobile Homo (LC. 61.1 -7)
one (1) acre that immediately surrounds that suucture is used to produce income, describe the use and portion
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' ��' -'_"_`_- `'`-} ,_:P,ROP,ERTY:OWNEDBI'CLAIM.4NT N' THER "COUNTIES `,' :.i `�?"
County
Township
Count T nship
I hereby certify the above statements are We, correct and complete.
gnat r claimant
dress (number and street, city. state, ZIP code)
e
qe, x* £,yam'?}- -F'•t- ..�i. er'�,x i2-va
'+- ASSESSOR ONLY �*'
-+
x $TRUE TAX
ASSESSED VALUE
-.�
ffHOMESTEAD�
- -R NTI r -...
'�ty NON ESIDE ALI �}
g USE $
4 ,o y
r
a 5�.VALUE� '.
AT 100%.OF TTV,.
��:,' VALUES 4'
rh4.T
Land not exceeding.1 (one) acre Immediately
`= -•4� �' eim „a' f`'�1' '-
surrounding residential improvements.
V,�f',r'
Other land
(2)
-7 6
Total land (line 1 plus line 2)
(3)
�T0
Dwelling
(4)
s,,;'3•'t`�^rt r_..
,h„ii
Residential improvements or AnnAnnually
Assessed Mobile / Manufactured Home
Garage
(5)`t`�T'4a4
Other improvements -
(6)=Y-
Mx't�'ar'
Trial improvements (line 4 through line 6)
(7)
Total value (line 3 phs line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
c::STANDARDDEDUCTION;ALLOWANCE
20 _ Pay 20
Lesser of 112 Homestead
Valuation or 535.000 5
Signature of wditor _ Dat signed 01-0-F