HomeMy WebLinkAboutHomestead_Knust STATE fLNMI 515691A_11.9) TREASURER FORM TS-IA
APPRISES➢BY STATE;AARDCF ACCOUNTS,XOS YRESCRmm BY THE DEPARTMENT OF FECAL GOVERNMENT FINANCE IC 6-1.121-S1
. • 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 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 indentifying 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 I: PROPERTY INFORMATION -
Property Address(number and street,city,state,and ZIP code)
6 3 o .a /eci
State Parcel Number
07(0 k/— OR 5- 10 doo 553 - do2OFILED
2 3 2013
SEP
Spouse Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) [] Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
&Dr.
Date Telephone
( /
Mvf A-5( CX
n.
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R614 -03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instnictions.
I (We) 1 A if AA.C� !117ii (- PM A AA -A riAl
I (We) occupied as our principal place of residence the following described real property for which a
❑ I (We) owned ❑ Are buying under contract r
ih Have a beneficial interest in the entity that is liable for the property taxes on the pTPqrtY.jpQdft
FORM YEAR
HC10
lat2AU 1st day of March, 20
oroperty Tax Credit is hereby claimed:
V. V 17 11
under a contract.
ONTRACTzAECORDED
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
I - - . - -
RC1VEkT*-:bWNE1IFWY, CJLAlMIXN4t.IW,6THER �CdMNTIE§'
kGPERTY.dESdRfPT16N
County
Township
I hereby certify the above statements are true, correct and complete.
Taring district (city, town, township)
_�IWS_Q JW
611M
_L��escription
YAL E
Is the property in question:
❑ Rest property ❑ Mobile Home (1,C. 61.1-7)
If any portion of the residential structure or the land r1bt exceeding one (i) acre that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income.
I - - . - -
RC1VEkT*-:bWNE1IFWY, CJLAlMIXN4t.IW,6THER �CdMNTIE§'
County Township
Coun ty
Township
I hereby certify the above statements are true, correct and complete.
ig lure of claimant
Address (nu be gh f. md s6 cr1y; state,
YAL E
,rj �' I I � =--- g---
NR
M�OMSE ONLY- P,7�
-'
--aMUE-TA M�Q%
ASSESSED
HOMESTEAD,
g,
�"VALUE;2
C
YAL E
Land not exceeding I (one) acre immediately
surrounding residential improvements.
Other land
(2)k.
=�ti
Tidal land (line I plus line 2)
(3)
Dwelling
(4)
W -- M, SI
ON an
Residential Improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
YA
Other improvements
(6)
Total improvements (fine 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of IQ Homestead
Vatuatton or 535.000