HomeMy WebLinkAboutHomestead_White (14) RAT:FORM 5150(N/9-10) TREASURER.FORM TS-IA
APPROVED BY STATE B•••0 Of M'COOSTS hI• PRESCRIBED BY TIE DEPARTME\T OF LOCAL GOVERNMENT Mart IC 6-1.1:2-di
•
Gibson County Auditor R 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
•-• FILET) 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 1: PROPER'I V INFORMATION
MAY 11 2011 Taxpayer Name Location Address
White, Charles Michael/Pamela K
C. .My
`1 - 0 MILL
GIBSON COUNTY AUDITOR PATOKA IN 47666
618 - '
Charles Michael/Pamela K White 1110111011111111IIII[III VIII01tIl 11111Thiii iiiVU Illft liim1 n II
P O Box 182
Patoka IN 47666-0182
"'I'l11l'll"Ill"'I"11111"I'lll'llllt1lll""IllIllTlIIllltll State Parcel Number Legal Description
26-04-25-102-000.420-020/ PT NW 25-1-11 1.222 AC WOODS ENLG
V 56PT/57PT 9
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.
7 -- —__—CART 2:Ter\PAYER INEOR:NIATION---
1 First Middle Last
bifiR US P41014 f_L- Coll a 7-?__
Mailing Address(number and street,city,state,and ZIP code) C Same as property address
Po3oX /sz) PAToK4 id d71a,6 1
PART 3: CERTIFICATION
Each undersigned certifies,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 additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial fmancial penalties.
Owner 1 Signature Date
(
CLAIM FOR 1 iEAD PROPERLY TAX CRBIT FOR YEAR 191?
�
�• l
i SLR BACK FOR FILIrFti
.°_ following dS�bed real.
may=- --hr) r Zr (470) pC y93 25 011i _ -
. �-y f� uthich a Y� e° -toad °son =' cY ��t is h°zeby b° -yn4 ���° '
rV
❑ am buying - under cc==a -^-t
have a °fi •-; a1 int "mot in tt a tm?aVer
6 , 640,✓ Cb:mty ffbovns 7i
Tay ng Ds' =ict (Cif, Tam, 2bwrshin)
or legal des---IF-inn snas cn tax sat✓ t
I buying on contra -�' Oc r�rs zsa ti ee sir�l_ owi = *)
. Via. � reorIs3 in Ps=zt_g
is O i.c: - P--=d lb. Page
-t[se or the land, not e=ee_ -r^g � (1) a =e tiat -
If any Pc tioa of the residential s� . i,y-�=e, ;, -==ibe ti-e rss and fir`. ion os
i- c�diatly s= -cards that str t�se is used to ��
the v:ae' -r.LY u'ilized to pro&= �e
Pny cy ^s o�*ies in c . ch inaviaual airs or is buying real prctertY:
Z hg-ny cr`sfy tr_ above Stats�t is tz�, a==t meets.
Stxeet7L'� -Tabs -•..::. uzy, o�_ o,.. ..�;
naafi' ohs la is to 4ay the
*Individual eithsr moos or -Ls I'g lIIL°S a � that
-ice or bas a eTl^ It 1nt�st ill.thr taxpayer.
property taxes an the re- r
- FOR ASSESSORS USE 0NLY_
�,jryL'LT'S3i.1:g ro;.ia°ntial ir.'I'S (1) �-
C..i z Lard
i (3) ---
1b``al Lard Il �o,>gnerfs -„ ; ng (4) 1�O / /��/
1�� /
Garage (5) 3 3 0 C>
Total (6) 3 3
To ar s - Line (6) Plus (7) e=Lals I9)
cam.•, ;ry the above is ttL-°. correct
and cacgalet°• �7
CdL.°
gy=aa-r°_ of PssSSOr
r - ACTION BY AUDITnR -
Date:
True l
Assessed F
F�ea
ly v
value irn y
yaluati
+ enr�inc 1 (one) zze a
a�ately 8
8 4 1
10 9
90
Date: