Homestead_Cason STAVE FORM 53569(RIB-10) TREASURER FORM TS-IA
APPROVED BY ST.1TE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I 1-22-3.l
if
IMPORTANT NOTICE TO HOMESTEAD'PROPERTY OWNERS ' ',k
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 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-INFORMATION CA
Tasoaver Name Property Addrect Stale Parcel Number Leal Description:
Christopher A Cason 8739 S 850E 26-20-27-100-000281-001 PT NW 27-3-9 2.545 AC
BUCKSKIN IN 47647 D-19
Complete and return to: I1111IIHHJE1llh1u0]M11D1 uh111111I ll 11111111111 111!
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
- t : . .P: t 1 : u . • -. .
Owner 1 First Middle Last
e ibto4Dker A ost Cc sc.)n
Malang Address(number and West,city,state and ZIP code) I I Same as property address
B•7 39 5 Sso C
accuse 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) State Other(please specify in Pan 4 below)
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.
Owner 1 Signature Date
• ( )
? 4.PART'4: ADDITIONAL INFORMATION/`=-t
FILED
NOV 5 2012
GIBSON COUNTY AUDITOR
CLAIM FOR HOMESTEAD PROPERTY TAX
s CREDIT /STANDARD DEDUCTION
t State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for lifing insfmclions.
�Aa� FORM YEAR
F
1 � "i
](We) � I � C n ye,� '1- certify that on the 1st day of March, 20_
1 (We) occupied as our principal pla of following described real property for which a Homestead PrKoperty-Tai Ged� is hereby daimed.j
El GISSCflC7U(ITVC`�
❑ I (We) owned Are buying under contract q
Have 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.
V'1' -ld'dx AJ d J 3r a 4
'z'a.yx�''-'CON_ TRACT'RECORDED=:; y' a?. fia "?'Y.r�,..c= ;.'rr..�s.;a- :,�`"F '•.'.•f_ -�;t,
If buying on contact, Fee Simple owners name
Recorders office where contract is recorded Record number Page
N mm`a 'c ROPERT .Y:DESCRIPTIONV,80—`Ytfi<
County
Township
Taxing district (city, town, township)
PeEpel nu
=r
% I -M
YD
Legal ,yycn
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3�
Is the property in question:
3-- s-
V V�
y
(�i
❑ Real property ❑ Mobile Home (l.C. 6-1.1 -7)
H any portion of the residential structure or the
land not exceeding one (1) acre that immediately surrounds thal structure is used to produce income, describe the use and portion
of the property utilized to produce income.
l+ Y -'�S� f x-�t •
IAN -.�% 41 .•r•,u
0.s4sn(-
Total land (line 1 plus line 2)
(3)
Township
hereby cyMfy the above statements are true, correct and complete.
and steel, city, stale, 21P code)
County
of claimant
Township
� ��'ASSESSORUSE ON'YrxR't"
r?:air'S�' - �°i•r Ar.v, tf �., sy�i .4.- -k
,TRUETAX 'r- �
VALUE ;.;';
ASSESSED VALUE
AT 100 %'OPx`TTVyy
HOMESTFJIDI.`
VALUE
NON�2ESIOENTIAL'�
� y` VAIIIJIE
Land not exceeding 1 (one) acre immediately
3-- s-
surrounding residential improvements.
Y
Other land
(2)
l+ Y -'�S� f x-�t •
IAN -.�% 41 .•r•,u
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential Improvements or Annually
Assessed Mobile I Manufactured Home
Garage
Other improvements
6
Trial improvements (line 4 through line 6)
(7)
Trial value (fine 3 plus line 7
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed