HomeMy WebLinkAboutHomestead_Greer (4) STATE FORM 53569(R315-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-5.1'
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
a�auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
a adard 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.
PART]: PROPERTY INFORMA ION -
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 • -
Spouse Signature Date Telephone
( /
PART 4:ADDITIONAL INFORNIATIO,N ' - 2
•
FILE !
• NOV S 0 2012
GIBSON COUNTY AUDITOR
7T r, -'T
CLAIM FOR HOMESTEAD PROPERTY TAX - - kEORtt� Y
CREDIT /STANDARD DEDUCTION HCt0
t -�- State Form 5473 IRS /ID01)
Prescribed by the Department of Local
on the property and that owns the property or is buying under a contract.
'CO_NTRAC_TRECORDED ' P zausat'°xcer-". y} ' `.^,a�•'S'C'
If buying on contract. Fee Simple owners name
Recorder's office where contract is recorded Record number Page
_ •�Y PROPERTYaOWNED BY C12 AIM /1NT IN( OTHER `COUNTIESW; `�.`�- '," 4ALl § ` 9 AM ft
County Township
County Township
1 hereby certify the above statements are true, correct and complete.
Taring district (tidy, to w/ v&
Pa{egI nvrsh)'r�O� �/ —� Legal e
V 1 VX
^ Is a property in question:
1. /.b Real property ❑ Mobile Home (I.C, 6-1.1 -7) .
If any portion of the residential structure or the land not exceeding one (1) acre that im t ttelly rrounds that structure is used to produce income. describe the use and ponbn
of the property utilized to produce income.
_ •�Y PROPERTYaOWNED BY C12 AIM /1NT IN( OTHER `COUNTIESW; `�.`�- '," 4ALl § ` 9 AM ft
County Township
County Township
1 hereby certify the above statements are true, correct and complete.
atu aimant
d ( U en n a � state „ilPC 0q
`
AAT,40g°k7OFTTVa
VALUE
20_Pay 20_
Lesser of 112 Homestead
t Valuad4n or 56,000
Date
-- TRUE AX .,s
j''
ASSESSED VALUE
HOlAESTEADh
BNit ESIDENTQWL '
WLL_._UE
AAT,40g°k7OFTTVa
VALUE
'VALUE
Land not exceeding 1 (one) acre immediately
''ps,.?^
surrounding residential improvements.
(1)aT
=� -"?sa
Other land
a s -szG•= -r�
(2)
-v7
Tdal land (line f plus line 2)
(3)
Dwelling
(4)
iffier
Residential improvements
,
Garage
(5)
Other improvements
(6)
4
S
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(6)
I hereby certify the above is We, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 112 Homestead
t Valuad4n or 56,000
Date