Homestead_Greer (2) STATE FORM 53569(RJ&09) TREASURER FORM TS-I AI
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1"-8.1
5 - IMPORTANT NOTICE TO HOMESTEAD PROPERTY 'OWNERS
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
*uses higher tax bills for all; therefore, HEA 1344-2099 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.
PARTI: PROPERTY INFORMA ION
Taxpayer Name Properly Address State Parcel Number Leval Description:
Luther/Louise Greer Jr Jr. RI Box 134 26-04-25-301-000.569-020 018-00569-00 PT SW SW 25 I II
Patoka f• 47666 / 3.00 AC
Complete and return to: X
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
•
PART 2:TAYPAYER INFORMATION - '
Owner l First Middle Last
� � +-Matins (nunter and and ZIP code) EX ., _ . r.a..
I Same as property address U
she may be liable for back taxes and substantial financial penalties.
Owner I Signature
(Qj,, � _ /— � ���
.
-•
_ t CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R5I 10-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
HC10 I„
I(We)- ��1)A IQ 'h VLF- r..,' r, r•. : .
�-� ct a e 1st fhga
II (We) occupied as our principal place of residence the following des ibed real property for which a Homest ro ax Cr s h eb aimed:
.CJ I (We) owned ❑ Are buying under contract
�iave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prof1e7A4pr i� hovirIIft er a contract.
. ��I �I RR �I 1V! Cu
�, r-•
3i'�` CONTRACT.' RECORDEDT- �'- `r`'�s,- r"i'.Sa "-
If buying on contract, Fee Simple owners name
Ay csso'4 dGIVU171 Y AU01TOR 4
Recorders office where contract is recorded Record number Page
sCount"�x v.;4RROP,ERTY DES ✓�� s''_2 a.� Yrt + �?" 9—{ :. ; �y -
County
Tmmship
ing of t10
Taking district ri1 , fo
I hereby certify the above statements are We, coned and complete. yd
_
eoo O
e al description
Is the operryin question:
�Ceal property ❑ Mobile Homo (I.C. 6-1.1-7)
If any portion 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.
-_,t �'ax?t.a. .: . r- 6, ���. i, �', �P,ROP.ERTY;OWNED`BYCLAIMANT,IN OTHER" COUNTIES'/ ��i.. �- 1�' �- i''. i�r- '�- �+t1;�'a"d''.�t'�-'�.�"•€k
County
I hereby certify the above statements are We, coned and complete. yd
Signature alma -
Amilijress�nbber and street, city, state, ZIP code)
U!' � 'T'uAi?irum�` f
�ASSESSOR�USE ONLY r'
L A" �F
Y TRUETAXX : *
- Y+'
ASSESSED VALUE
�_...+er.«
HOMESTEAD
yNON- RESIDENTIAL . h
:}".,.ss`a
VALUE -e
__ATi100%e'OF�TTV
T. �VALUEnF.-
I,:.VALUE�i- c'�`'i*.t
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
2
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
I.n
FY
>` e4 2� :°F ,P r. :: INK
Residential improvementsa:{t4!�s
Garage
5
p3C� i. sr = �
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(6)
1 hereby certify the above is We, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
rs.- a:STANNARD:DEDUCTION` ALLOWANCE; hiy, �, �,=. He.;;! i. k�3.. r�.-' �`.., r,. ,-�- ,.5�'.r'!����r.�+ ".3ti�y,� -i
WV ti
20 _ Pay 20
Lesser of 1/2 Homestead
Valuation or $6, $
Signature of Audtor ne r� '\
jV\ .. v