HomeMy WebLinkAboutHomestead_Bethe STATE FORM 53569(R318-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-Ild241 I
t "5' IMPORTr NOTICSATO OVIESTE�AD PROPERjTY b N�RS
rr .4wra..
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
duction 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.
i i i l l i i l i a : -;p. ',,e^FVtuL :23. ' t: '-AR I 2 P'0'. Y INFORMA •1ON"° - ,.t 4 a w 44.V0- r°>v2' l.. .;z
Tasos.er Name Property Address Slate Parcel Number Ira!Description:
Samuel K Bethe STOFFEL RD 26-20-27-100-001.814-001 PT NW 27 3 9 2.00 AC
BUCKSKIN IN 47647 D-19
Complete and return to: 1EDDD:1111DID]DI11IODllatimt! DUVVDll110]ILUDI[111
=SON COUNTY AUDITOR, t0! N MAIN PRINCETON IN 47670
II4 . -t.
LA i- w .I .L y`^ `,r, RT.2: A P,. 'R; I to Ok , * �mal
Owner 1 First Middle w Last
Sgmgel K. 3cehe
Marling Address(number and street,city,state and ZIP code) Same as property address
?75_5_. 5 sSo _E _. 21<hi c°rFcld nil 1717 /./
—
Spodzav ," Fust 1 •a Middle
. - .. ._ - .a s T 4 _ .ti::y s 4 t` - ♦ say t •�r y=tyr ',_.- . -. r"
�'N 1. .f &sa=i`_ Cr�] aS.�. _. 'v' _ -
Mailing Address(number and street,city,state and ZIP code) i i Same as property address ,
Social Security Number(last 5 digits) Drivers License/State ID Number(last 5 digits) State Other(please specify in Part 4 below)
raRT3 N RTIFIC:dTION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eiigibie 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 1 Signature Date
- - (
1;11;:44,ki1te. 49i4.iie- 4 z i PAR 14{:.ADDITIONAL INFyORMA AMI ,,, , s-- F`€ eA" mHP.r. a'A. .,
■
! .
FILED
FEE 2 0 Tin
GIBSON COUNTY AUDITOR
Fe
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDITISTANDARD DEDUCTION HC10
State Form 5473 (R614 -M)
Prescribed by the Department of Local Government Finance -
INSTRUCTIONS: See reverse side for filing instructions.
I (We) 2��sa. A ` \ hie A % 9, certify that on the 1st day of March, 20
1 (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tae Credit is hereby claimed:
❑
](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 properly or, is buying under a contra 1 i)
�.. 1_ 1i_J .i / 1LJ
- cry- .�.��,�'�.ux�t�� -• f �sr:tCONTRACT.= RECORDED ^
__
_ .Mn��`�
-- _ -_
-max � -'d' zPROP.ERTY, OWNED` BY; CL' AIMANT ,INOTHER "COUNTIES,f`.?,?'��`
County
Toxnship
Taring district (city, town, township)
Parcel number
8
at descri Lion a I
��3`
Is the property in question:
'�
t, city; state, IP code) M) 4e7441 1 7
❑ Real property ❑ Mobile Homo (I.C. 61.1 -7)
H any portion of the residential sWCture w 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.
dG -ao -a �2 - /oo - oo /. 2i oai
__
_ .Mn��`�
-- _ -_
-max � -'d' zPROP.ERTY, OWNED` BY; CL' AIMANT ,INOTHER "COUNTIES,f`.?,?'��`
County
HOMESTEAD
Township
County Township
I hereby certify the above statements are We, correct and complete.
Sig atur ai ant
Add, ss (number and s
t, city; state, IP code) M) 4e7441 1 7
III
� ASS SSOR�USE ONLY =
,
' TRUETAX I
1,
ASSESSED VALUE
HOMESTEAD
- i`INCIWRESIDENT_I]A n
§1i'
{ - _i��g w, 61-1
YALUEy y
FAT�100 %xOF."T;fV y
i VALUE,,
.Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
- °1; rya
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
rte•
>
r,7
F�.: a,*1�1 0
Residential improvements or Annually
Assessed Mobile I Manufactured Hare
Garage
6
-riffs �k
- an 4
Other improvements
(6)
- - ��;
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 pits line n
(6)
1 hereby certify the above is We, correct, and
Signature of assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 1/2 Homestead
Vauatta or 535.000
S
Signature of auditor I/ - ` pal /1 /) IDat IsigZ _f 5 O d