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HomeMy WebLinkAboutHomestead_Egan STATE FORM 53569(R3B-l0) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTNIENT OF LOCAL GOVERNMENT FINANCE ICe-I l_2-8.1 IMPORTANT NOTICE TO HOMESTEAD PROPERTY.OWNERS -- Individuals-and-marr icd-couples-arc-tin ed-to one homestead standard-deduction. As-the-receipt-of-this --- eduction 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. �_;rte,=,,,;, -" x= _e:'ARTITPROPERTY INFORMATION "; ,* Tasparer Name Proverb Address State Parcel Number Leal Description: Jack LIPauIa J Ea_ean 10343 S SR 57 26-20-31-400-000.169-001 PT E SE 31-3-9 1 AC ELBERFELD IN 47613 • D-10 Complete and return to: IuluIIIIIi iEMIEH RIIMIiluiNIIIIERli?IMI'NIIIIllll GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 E PARS=2 -TAICPAYLfll VFORA7 4 4ON E=•* Lam..-� _; _ � -t z z s• Owner I First -{ Middle Last c_1pkcAS c� IKUIL& LEA, 4- V— CA '--) LA.4A.lry Mailing Address(number and street,city,state and ZIP code) LefSame as Property address 10343 S SR._ 5R GlREQEek® l t q O _ Last `SVA IR. tilt:4 )—) LA.C7ACL) Mailing Address(number and street,city,state and ZIP code) Same as properly address I 043 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 t Signature Date FILED NOV 132012 GIBSON COUNTY ACUDITcr. as." CLAIM FOR HOMESTEAD PROPERTY TAX i^ CREDIT /STANDARD DEDUCTION i• State Form 5473 (R215 -92) INSTRUCTIONS: See reverse side for filing instructions. FORM YEAR HC10 CERjIFICATlO STATEMENT i I (We) ify - t'6 f s ay of March, 19_ I (We) occu d as our principal place of residence the foll g. describe real property for which a Homestead Pro 7Nax �yir t is hereby claimed: V 6,a ❑ I (We) o ned ❑ Are buying under contract IY D Y ❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns - e propert y or is9ying under arconiract. r CONTRACT RECORDED r GiBSO "! cl._t "� I •' Hu" """ ' It buying on contract, Fee Simple owners name Recorders office where contract is recorded _ Record number Page PROPERTY DESCRIPTION County Township Taxing district (city, town, township) - Parcel number Legal description E E ©o i - oo 31-3- It any portion of the residential structure or the land not exceeding one (1 I acre that immediately surrounds that structure is used to produce income, descnbe the use and portion of the property utilized to produce income. - D- - Qtr -GGD. 601 PROPERTY PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES County Township i County Township Sig a of claimant ereby certify the above statements are true, correct and complete. 1 ress (number and street, oily, state, ZIP code) ASSESSOR USE ONLY UE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately (1) surrounding residential improvements. Other land (2) Total land (line 1 plus line 2) (3) Dwelling (4) Residential improvements 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 Assesor Date signed complete. verifying action - Signature of Auditor Date signed �\ STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 ' Lesser of 1/2 Homestead S Valuation or $2,000 Signature of Auditor \ Date signed ('x