HomeMy WebLinkAboutHomestead_Allen (4) STATE FORM 53569718-10) TREASURER FORM TS-IA
APPROVID BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 105-1.1-224 1
. IMPORTANT NOTICE TO HOMESTEAD PROPERTY'OWNERS
Individuals and married couples are limited 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.
' ••-•fr"el PARTI: PROPERTY INFORMATION r.,- : 5
Taxpayer Name Property Address State Parcel Number Leal Description:
Juditha P Allen 401 S CENTER ST 26-19-19-101-000.410-026 PRITCHFT-TS ADD 234
FT BRANCH IN 47648
Complete and return to: - - IWIaIUUJ�Itl�1�IClIU:il[IIU��IIlUlU7�17U71�IlUlU71II�IJi�IIG
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
';4."• ' PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Judi 4-k f} LLen lcACKbfnrn
Mailing Address(number and street,city,state and ZIP code)
Lic Same as property address
4 01 -C Ce n 4 c-r Si- • FO rf- (3 rot a , I to 01. q cc 14 '
spouse First Middle Last
SCO Ef e_ 31CCC0-3ktia
Mailing Address(number and street,city,state and ZIP code)
�(1 Same as property address
- O \ S . Ce+€CSC. �prl grcgarc'- 'tti k--1-7 6'1
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 I Signature Date
`rd'..' 1 C. : :PART a:ADDITIONAL
. e
//
U
j CLAIM�FOR HOMESTEAD RROPERTY TAX
CREDIT/STANDARD DEDUCTION
♦ State Fwm 5473 (R6 / 4-03) .
�M
' Presrlibed by Ne Departmant of Local Govemment Finance
INSTRUCTIONS: See ieverse side for filing instructions.
,' _ ., _ �
1.�.,�
JUN 1 3 2005
I(We) certiry that on the tst day of�farchy, 2N(irnT
I(We) occupied as u prindpal place of residence the tollowing descri ed real property for which a Homestead Property����t f�5��i��y c�mT9�tl:OR
�(We) owned ❑ !ve buying urMer contract
�!ave a benefidal interest in the entiry that is liable for Ne property ta�ces on the property and Nat owns Ne property or is buying under e conVact.
It Wylnp on anvep, Fae Simple awners name
RxmCeh oMce whera conuaG Is recorded
�r'�:�r�4:aa'������� `^�s'F-k..•''.-.;i-`S=.`?�
Counry rawnship
If any
of Ne
County
Rewrd number � Pega
Taing distrid
L� al escri 'on Is Ne prope I ' n: �
''� I O—� �� �'� Y Real properry ❑ Moblle Home (I.C. G1.7-n
�iEenGal structure w the IaM not exceeding ona (t ) aae Ihat immediatery wrtounds Nat struccure is used 10 produce incoma, dascribe Na use anE poNOn
W produce income.
Twvnship
1 hereby certify the above ststemanLS are We, cortect and complete.
Address (numbar and sUeet, ciry, staro, ZIP code)
County
Signature of Ueimant �
Tv.vnship
�'�,��„�,���^*ASS SOR U E ONLY ,�s,,,�,i'� j��' �;4��UE �y�-Q,t' ` AAT E D% OF, TNt, ,. H�V/1CUE D �Y s�NON VALUENTIAy�Ly �-
.+ti.'?L.n +�'i3..4k�Ta�eC_...A�'Np.[w .�..f...t `� �:S .'x`1L..s..�.... �S_ � Y
Land not exceeding 1(one) acre immediatery --` t-.� ��" ?, �'N'"""+ ,:�
. (�� ti�?�: � � � �
surroundingresidentiaiimprovaments. a.= � a,_r;.,� ,F _,�<��.,;,-�;'
Otherland ' �-`� � -
iz) {-
TGaI IarW (17ne 1 plus Ilne 2) �3�
Dwelling (4) r��, •-k,��'< bi.'��-,^y s3` �`�3}�9 ":�
Residentlal improvemenLS or Mnualty � �`�` < ;�Y '° -'"*;k?'
Assessed Moblle / Manufacturad Home �. -- 'n� ti` x v�, ���-<"�r�, :._$
Garege (5) � i.� ,ro>�s � �`..��'.� °'
,O�pet improvemenb (6) � ---<'
Riel improvements (line 4 through line 6) (7� .
Tctal value (line 3 plus line � (g�
I hereby certify the above is We, cwrect, and _ Signaare of wssessor � Da�e signad �
wmplete.
Veily'uig action - Signawra of Pnditw Date siBned
� �'_��asNu .�-�-s.i :.', f . �.�[�:� rd?�;:�� .,T�rSTANDARD;OEDUCTION'ALLOWANCE' � � --
�
20_Pay20_
Lesser of 12 Homestead
Valuatlon or $35,000 S --
SlynaWre of PLdkor � _ Dete si9ned , _,_