Homestead_Cook (3) •
STATE FOPSI 53560(17.3/S-10) TREASURER FORM TS-IA
- APPROVED BY STATE BOARD OF ACCOUNTS,YW PRESCRIBED BY THE DEPARTMENT OF LOCALCAS'F]t'NEYr FIVAVLE IC 61.1-U-LI
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
103 N. Main Street du
- Individuals-and married couples are limited to one homestead standard deduction-As the receipt of this deduction becomes•
' ,
a ce
Pn ton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
t 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 Mill be kept confidential and can only be accessed by authorized county officials.The Department of
FTT F Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
L, ■ I ® PART I: PROPERTY INFORMATION
- ' _ Taxpayer Name ° Location s
_ocation Addres
- __
• APR 0 6 2011 Cook, Jesse R/Sharon F -
- 530 5
C. .m V
FRANCISCO IN 47649
8721 mI� Ip�
GIBSha COUNTY AUDITOR II�I1IIIIU�IIIIII�1111111011111�III 1I�II II1�II1II III DII�II I II�II1III�ILIII III III
Jesse R/Sharon F Cook
7683E550S .
Francisco IN 47649-9130
IFIIIIIIIIIIIIIIFIIF'IIIIIIIIFIIIIIIIFIIIIIIIIItIIIIIIIIFIIIIIIII State Parcel Number Legal Description
•
26-20-09-100-001.570-00 / PT W NW 9 3 9 9.18 AC D-8
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.
r — ---_._PART2L AJPAIERINEORlIAII(
Ow _. I First Middle Last
Mailin/ddress(number and street,city,state,and ZIP code) • El Same as property address
��g3— CS D S PM4'c I S �� D IN �7( 9
Spouse /7 ,t /�,. ,�- First' Middle /� Last/yCVX,pIL(lt P d `/fi
��?i (Number city,state,and ZIP code) / . ��� Same as property address
•
-
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 far.back.taxes and substantial-financial penalties.-0 -. ,- - --->--_=---- - - _
I Signature Date
0
o o ! a /s 76 -.qo
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989
County Township Taxing District
Name of Taxpayer /2� Cs
Parcel No. or Legal Description (,J/
aG -010 -0 9- 100� 06/ Sao - 06 i
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum)
Other Land.
Total.Land
Residence (Dwelling)
Garage
®: Other Improvements
s'
Total improvements
4
Total Land -and
Improvements.
p
(1).
goo
y3o
xxxxxxxx
(2)
XXXXXXXX
�a %O
XXXXXXXX':
oZ l300 -
I hereby tify the abov y true, correct, and complete.
Sig
na re of As sor
STANDARD- -DEDUCTION CALCULATION.:. ?
IC 6- 1.1 -12 -37 provides that a person who is entitled to a Home-
stead Credit is entitled a Standard Deduction. . .
Amount of Dei
1989 pay 1990 1990 pay 1991
lesser of. 1/2 lesser of 1/2
"R" A /V:or "R" A/V or
$2,500 $2,000
Qua �• ° ""3"r�a
Signatur
GMN =M f tAl1 TM
auction Allowed
1991 pay 1992 Years after
lesser of 1/2 1991 (same
"R" A/V or as 1991)
61,500