HomeMy WebLinkAboutHomestead_Dame •
SI ME FORM.}Ya de t uxt mmn-summm FORM TS-IA
APPKWED BY St ATE BMW Of IMPORTANT NOTICE TO HOMFESTEAD P OPERTY ROWNERS64.1-124'
Gibson County Auditor
101 N Main
PRINCETON IN 47670 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 e'er 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 receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be Lryu confidential and can only be accessed by authorized county officials.The Depannsent of
Local Government finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Dame, James A Ill/Charlene A
8372 E 900 S
ELBERFELD IN 47613
8811
James A Dame III
8372E 900 S State Parcel Number Legal Description
ELBERFELD IN 47613-8429
IIIIt111111IIItllllllll111111'll'll'llfllllllllllrlurlllltllll 26-20-28-200-000.612-001 001-00612-00 PT NE NE 28-393.63 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
ir ed♦��JA f'en
tg Address(number and street.city,state,and ZIP code) e
ne as property uddrds - - - - -
-
Spouse // First I t Middle Last
a.r14/Z A
ene rse , .
Mailing Address(Number and street,city,state,and ZIP code) vi' Same as ptopeny address
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
lial
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R61403)
Prescribed by the Department of Local Government Finance
FORM LYEAR
V 41 8
cerfity,that on,thejislt day ofMarch, 20/
119 —
"'pa ace residence the following described real pro erty lot which a HomesteadWoWrtj f Credit is hereby cl'a'imed:
1 8) occul"I our p I pi
C) I e) ' d ❑ Are buying under contract rh Ze a beneficial interest in the rofifty that " liable for the Property taxes on the property and that owri, the property or is buying under a contract.
—NTRACT.IRECORDED
If buying on oontract. Fee Simple owners name
Recorders office where writract is recorded Record number Page
z�u -
MWM�� - - - -- -- - - - - '�RAVN�--
- �-PRORERTXDESCRIPT]dhl
County
Township
Testing distrc *`4'T, h" I
0 7)
re (number anr�d street, city, state, ZlP code)
7
1 )
Pat
207-'�o
description Is the pmpfly estion:
1 21406
ME E
6 Z'2 - E)
N 0`40 —3 4-3 :I-VReal property ❑ Mobile Home JI.C. 6f.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that sfructure is used to produce income. describe the use and portion
of the property utilind to produce income.
- (:7?0 - ofi
- aOO - COO. C,Ila7 - 6Y
RE' kd0kkWb"(hr=r',w*
-WV'£
County Township
County Township
I hereby certify the above statements are true, correct and complete.
SiTture of claimant
Z
re (number anr�d street, city, state, ZlP code)
7
�41 19R4 Z.T
20 _ Pay 20_
Lesser of 1r2 Homestead
Valuation or S35.000
�9
,4 7JR
a UE.TAXqq
'ASSESSED.VALUE
�.,?WHOMESTEADI�;
�41 19R4 Z.T
-VA11 E
ti
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential Improvements or Annually
Assessed Mobile Manufactured Home
Garage
(5)
WINES
Other improvements
(6)%._'}
Total improvements (fine 4 through line 6)
(7)
Total value (line 3 phis line 7)
(8)
I hereby car* the above is true, correct. and
Signature of Assessor
Date signed
complete.
I
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20_
Lesser of 1r2 Homestead
Valuation or S35.000
�9