HomeMy WebLinkAboutHomestead_Anderson •
SINE FOR>t'1,'MIR_U s-I lPFASIALIt FORM TS-IA
APPROVED AV STATE BOARDOFMYT VT&'uw PRFYRIBmm BY 1111 DFPARTLENT OF LOCAL CAWQII.YMrA'i MACE IC 6-I.1f4 I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couplet are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ester for homestead fraud.Homestead find causes higher tat bills for all:therefore.
BHA I344-2009 requires taspayera who receive the homestead standard deduction to verify thlt they art eligible to creche the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be cep 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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Anderson, Daniel R
703 B Locust
Fort Branch IN 47648
7802
Daniel R Anderson
703E Locust State Parcel Number Legal Description
Fort Branch IN 47648-1215
26-19-18-304-000.604-026 011-00604-00 HOLCOMB ADD
I r I II 11rIr II eitIu II rt II I t I nt II t I tI t II 111111111 75PT/76/77PT
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Da ∎C�1 fir+ i.s�
deg Address(number and street,city,state,and ZIP code) -- _ y - -�® Same as property address --
']03 E Lo cu s-} rr F+- branch 2-cm Le? (18
.
Spouse First Middle Last
Mailing Address(Number and street,city.state,and ZIP code) O Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sac
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 feay be liable for back taxes and substantial financial penalties.
Owner SI atur , , A Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fpm 5t73 (R6 / 1-03)
PresaiEeE by tlro Departr�ron� d Local Govemment Fuwnce
INSTRUCTiONS: See �e`sroo dda brl8hp oybucfiont
FORM
HC70
�
YEAR
-.
+.._..
i(we) `i V�1/,�e� 1/ ���J-�/�-(�d.� �en;ry mai�ea5�,a3r�arch, 20
I(We) occupied as our principat place oi residence the (ollowing described real property for which a Homestea pnoertv T�G it is�hereby daimed:
❑ I(We) owned ❑ Are buying under cont2ct �f���N�C�N� AUDI7GR
` Have a benefidal interest in the entlty that is liable for the pmperty taxes on the pmperty and that owns the property or is buying under a conVaU.
It buying on conVad, Fee Simple owners name
Remrdels o16ce where conVad is recordeE
CounTy
I( any portion af Ne resitlentlal aW cNra w
ot Ne proDerty utilized tn praduce income.
To.msn�v
nd exceed�inp one
/ °/
Record number � Page
Tating district (ary, town, township)
ProPertY in 9uestion:
❑ Real property ❑ Mobila Homo (I.C. &f.
immediat y wrround that sWCture is usetl W protluce income, desaibe the uu antl portbn
,� j���
�T:X�,"Y � � �f M1� a s�.�:.rc-.�y y � W � . 1`C t a . . _y'J
�b��' � ;'.� AS�'SESSOR�USE ONLY i�7�¢� ��UE "�}9�.. AT 100°/a O �T.TV� �� VALU � ��� �N y�UE'� �?��-�
� �.r� i> .-r.�" .�V�t:°'3rr �.«T�'.'.��.i�'.�s..`�;� ''��. - _...� �.,3:.� ` . .F�'`�.'.. ...-��
Land nol exceeding 1(one) aae immedialely - i ,�y?'-FC� � r'-" �,
surrounding residential improvemenLs. ��� �x°*-� '� ���t� F�� �
���} �.y. �����4 M,_��-z�
Other land �y) :f�� =r�
µ
`4��� -.c =`.,. ..;�
TUaI land (Gne 1 plus line 2) (3�
�+Y rd �N •3
Dwelling (4) �'�`-��'���' �`
�Residential Improvemenb or MnuaOy '���� �����
i��,�`��'�;"w� .v�i'�`�.. �:
As�es�ed Ab611e / Manufac9ired Hane Garege (5) �''+���'y�` ,� -
w� >.:�_
Other improvemenls (6) ����� �
�ix: _. -e.
Tdal improvements (line 4 fhrough line 6) (7)
Tdal value (line 3 phs line n (g�
I hereby certify the above is We, corred, and Signature ofAssessor Date signed
complete.
Verifying acibn - SignaWre otlwdiWr Date signed
��'�e'�a�:•`,�''�•�^���s'Fx�;+.�r��,�-'�.::STANDARD!DEDUCTION .ALCOWANCE�e.S.'.'�;'�+?;.'h�. `3�-z'`�'z��i'`a,�.z�`.t'���w` �e3�'s±.�...s��rd..�r+��?
20_Pay20_
Lesser of 1/2 Homestead $
vauanon a 535.000
Signature o(Auditw ' Date signed