HomeMy WebLinkAboutHomestead_Beard STATE FORM 53569(R3/3-10) ••TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-LI-22-8.I
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS -
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 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.
PART!: PROPERTY INFORMATION .' -- tee,
Taapayer Name Properly Address Slate Parcel Number 1.teal Description:
David Beard - 107 E STRAIN ST 26-18-24-202-000.572-026 MCCRARY ETAL 77 PT
FORT BRANCH IN 47648
Complete and return to: IPIIIHI lu] l EIN11111 MMEDMJ f u3nrng
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
1111.111.=11111a Val Real Ina isa n Dim ra Luz
Omer 1 First Middle Last
<Davii L-e-e Bea r
Mailing Address(ratter and meet.city,state and ZIP code) ame as property address
Spouse First • Middle Last
kw-Car ' tea rd
Malang Address(number and street city,state and ZIP code) Same as property address
_ PART 3: CERTIFICATION -a:• .- • (, f `=F'"'� r
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible io 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 asd substantial financial penalties.
Oawer I Signature Date
b•P4'./...•?.a4 ,: ._ Y_ , ,. •- _ =PART ADDITIONAL INFORMATION 'c
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
State Fortn 5473 (R6 / 4-03)
Rasaibad by Me Departmem d Lotal Gwemment Finance
�NSrnucnoNS: sea ��,� � �, nr,� ��.
0
� C 0� YEAR
�G •
JUL 2 1 2006
� cwe> � �ry��rr•v �— c ��ICQ i�� � � �e���/ �ec��te��b'N���b�i���,.20_
1(We) occupied as our principal place of residence the foilowing descnbed real property for which a Homestead Property T�c Credit is hereby daimed:
� I(We) owned ❑ Me buying under wntract �
7 Have a benefidal interest in the entlry that is liable for the property taxes on the property and thai owns the property or is buying under a conVacl.
II byvig on conUaq, Fae Simple owners name
County
I( any
of Ihe
conVad is recorded
Tamship
� �U ��
sWCWre a Ne land nW
ice i�ome.
Record number � Page
township)
/, �/ n �� / � Is the property in question:
YLf9 // �LL \i'�(
d[�f' !�f' I SF� R�� v�opeM ❑ Mobile Homo Q.C. 61.1-� .
(1) aae ttiat imm �a y surrounds Iha Gure is used to produce income, Cescribe Iha use and portbn
� a�-��-a�o?oa-a�* .s9�-oa�
�"��s' -z� � ?"�k'� � -��� r �i .'�"fTRUETAX� ASSESSEDVALUE HOMESTEADA °'� NONpRESIDENTIAL
� 2..%',, g-+-�ASSESSOR USE ONLY � � �` �� ��' . �� ..� e � �4 �`
a��2.��'+i.rf.�.�,',��,".;i7 t.r_.s:..z_=�. N'-i.'� �.' �rVALUEi-v�„y� AT�100%OF`TTV��VALUES+�-*G���i��`.}i''�'.VALUE'�.,�c�.�.%.�'i.�Aik€
Land not exceeding 1(one) acre immediately ��#+�-� `, � j� �
suvounding resitlentlal improvements. ��� '�� �?''y��'�{x��.����
� ..t +cr ._ vst #`'u�" �.� �'.�`
r.-a
Other land '#*� '��-`�� "�'{�"^' -
2 ,�- r�.k
( ) a.r�i:,`���i��
Tcial land (line 7 plus line 2) �3�
'"...Yi::G"' 4�yY ioL' {_y�
Dwelling (4) �,��„^'�.��.�•.�`. i;.''�%'��.`J.fi�-
�Residential improvements or Mnually --}'f*'��+��-°�^r�'%�'���`��'�
0.ssessed Moblle / ManufxWred Home Garage �5) s'�. g��,�� �� ��
��" ' ������`�"
. �= :.�� _
Other improvements g �..r�' � `� ¶'•� ��
( ) ;e� ��•` `� _"-:_
:� �����
Tctal improvemenis (line 4 through line 6) (��
Tdal value (line 3 pha line n (8)
I hereby certi(y the above is We, coned, and Signature otnssessar oate signed
comple(e.
Verifying aclion - Signature oflwditor Date sgned
�����'�-`"<�?�x�t�?.�'�"`x��',��.%��STANDARU:DEDUCTION�ALLDINANCEax,?'�;� � :a,��^'-��;� '.
;�� - _y�".��"'�Y`r3�a.�.� �
20_Pay20_
Lesser of 112 Homestead S
vauanon a E35.000
SgnaNre of fwddw ' Date signed