HomeMy WebLinkAboutHomestead_Bogan C.
a STATE FOIU.I 53509(8318-10) IRFASLAFA FORM TS-IA
- APPROVED BY STATE swan OF ACCOUNTS 2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL COVFANMLNT FINANCE IC 6I.I228.1
Gibson County Auditor . IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 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
®
TT benefit and to provide additional identifying information necessary to allow county gmemment to better monitor homestead
° `� T aJ' ®'ings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
1 • al Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION-
APR' 0 6 r 2011 Taxpayer Name • -Location Address
Bogart Donald UPearl
',T-- ---._ C�. _ - _ - _ o ,. ^-` — 9873"E 700 S---------",------ -a.
.GIBBON COUNTY TOR OAKLAND CITY IN 47660
8815 •
Donald L Bogart II I0111f III I II III DIUI I lIIIIlII I I IIHII Hill ill Ili II III I in-III III II
9873E 700 S
OAKLAND CITY IN 47660-7724 '
11'I1'11111 1"II'I'III" 'VIII'IIIIIIIIIIIII'llllll'I'llI'llnlrl State Parcel Number Legal Description
26-20-14-302-001.919-001 PT NE SW 14 3 9 2.70 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.
F N __.__;__________-_________ PART 2: TAXPAYER INFORMATION
_ ems
_ Firs[ —.—__ ___ —_ __-Middle C70 6-,447- Last
Mailing Address(number and street:city,state,and ZIP code) - Same as property address 2
S, t)d1//4A' , 0/T ,
g er7 r 7/0 '.Tg e,7764/7
,
Spouse - First Middle Last
P�,41eL - 4 4 Viol. /
Mailing Address(Number and street,city,slate,and ZIP code) 0 Same,as property address
7173.C--/"-760,C, . aM 'L4i Q7/ 7, 2/7e
' Each undersigned ce:tifies,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 additiorial'homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
2
Owner I Signature . o - Date
.
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDMSTANDARD DEDUCTION HCto
State Forni 5473 (R7 I S-M
Prescribed by the Departinant of Local Coemnnarft Finance
INSTRUCTIONS: See reverse side thr filing instructions.
FILED=y
'Wm. mi"'migurk, WTIOCAROWSTAIEMEPE2�
M -40
0=
Jul' () 8 2007
1 (We) Pt- certify that an the 1 st day of March, 20_
I (We) occuptea as our principal piece of residence, the following described real rb" for which a Homestead Property Tax Credit is hereby claimed:
l(We)owned ❑ Are buying under contract
Wave a beneficial interest in the entity that is liable for the property taxes on the property and that owns GIBBON
propeWoVl's WyiAg'Wd@Pa contract
+nCONTRACTR]EtORDIED
If buying on contact, Fee Simple u~s name
Rboorder's office Where contract is recorded Fbaoord number Page
PROPERTYovirmw qycCalmANTW
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
signatu daimanot
Parcel number
Is the prop" question:
Other land
(2)
Real WoPefftr Mobile H.. (I.C. 61.1 -7)
if arty portion of the residential structure or the lard not exceeding one (1) scra Viet immediately sturounds thed sAxture is used to produce incorre, describe the use and portion
of the Property utilcrad to Prod" hoorrie, 6?- 70 X9' (1,
A6 -d6 - a-50,4 - Go/. 9- Coll
PROPERTYovirmw qycCalmANTW
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
signatu daimanot
i,,-:.srANDARD'DEDUCTIONIALtowANcE- k?' 'FVW
g
@
Lesser of 112 Homestead
Valuation or $35,000
IN '
M EN it,NONAESIDENTiAL
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Y'
.5 a N
Other land
(2)
Total land (line 1 plus Fne 2)
(3)
Residential improvements or Annually
Assessed Mobile I Manulactitreid Florae
Dwelling
(4)
Z vi
Garage
(5)
FEE rnl,
Other improvements
(6)
' me I'a m
Total improvements (fine 4 through fine 6)
(7)
Toted value (line 3 plus flne 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature ofAssessor
Date signed
Verifying action - Signature of Auditor
Date signed
i,,-:.srANDARD'DEDUCTIONIALtowANcE- k?' 'FVW
20_Pay20_
Lesser of 112 Homestead
Valuation or $35,000
Sunature of Auditor
Date signed