HomeMy WebLinkAboutHomestead_White (8) STATE FORM 53569(R313.10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.'009 -
PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC61.1--"-9.1
IMPORTANT NOTICE TOHOMESTEAD'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
It uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
• sL dard 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.
PART1: PROPER Y _'FOR:\tA ION
7
Taxpasen Name Property Address State Parcel Number Legal Description:
Raymond White 411 W CHERRY ST 26-04-24-303-000.207-020 COL DIY OUTLOT 8 PT
PATOKA IN 47666
Complete and return to: I®I @M]IN IIifIDME11m11]tI rn coal®�Cltmllll
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 7 LL III �aJJ [Il IIO
.
-
eQ20 -Y N S u.e. L ) 1re,
Mailing
Address(number and street,city,state and ZIP code) s✓- I'Sape as property address
L/7/ OLe l 4- . P K-� -- , !N `�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 financial penalties.
t . .--PART 4:ADDITIONAL INFORMATION - .
4111 .
-I - I
Nnv 7 2012
GIBSON COUNTY AUDITOR
} CLAIM FOR HOMESTEAD PROPERTY TAX F s` Y R
M ;
CREDITLSTANDARD DEDUCTION n �
` State Farm y the (Re! rime ^
HC10 A `
Prescribed try IFe Department of Local Government Finance l /U ^I
UEI 1 9 2008
INSTRUCTIONS: See remorse side for filing instructions.
I(
under contract
alave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT • -• r
If Wymg on comracL Fee Simple owns /s name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED
BY
ASSE�SED VALUE
HOMESTEAD
PROPERTY
$
County
TamsttiP
T�cir�Qistricl (city, fo f slip)
�/1'/
Parcel number
L descnp'
Is Ure property in question:
i
I I property ❑ Mobile Home (IC &1.1 -n
If airy portion of the residential structure or the [arid n exceeding aria (1) acre that immediately
of the property utilized to produce income.
sunuunds that saucture is used to produce income, describe the use and portion
rib ov �v 000. ao7 c o0
PROPERTY OWNED
BY
ASSE�SED VALUE
HOMESTEAD
County Tarn ship
$
County
Township
1 hereby certify the above statements are true, correct and complete.
Sign of claimant
Land not exceeding 1 (one) acre immediately
ress (number and sfreel, city. state, and LPcode)
//\
i
'� c ?• -.y " -`i. `. - . -.. ;. °'_ ...,.
surrounding residential improvements.
(1)
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSE�SED VALUE
HOMESTEAD
NON-RESIDENTIAL
$
or 43,000 for 2009 pay 2010 40,000 payable after 2012
AT 100% OF TTV
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
'� c ?• -.y " -`i. `. - . -.. ;. °'_ ...,.
surrounding residential improvements.
(1)
Other land
(2)
-
Trial land (line 1 plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
<r -s , 4
Assessed Mobile I Manufactured Home
- -
Garage
(5)
/
, .
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assess«
Date signed (month, day. year)
complete.
Verifying action - Signature of Auditor
Date signed ( nonth, day, yaad
r • r DEDUCTION
PaY 20 — 45,000 fat 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation
$
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Date signed (month, day. year)
___________________________________________________________________ ________________ _______________ R _J _ -
W11 yk
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