HomeMy WebLinkAboutHomestead_Blackard (4) %LATE FORM nrta IR_I..-u 1 • TRIIMUILR FORM TS-IA
ArrRthEn BY SITE WARD or ArVr1LVTa.5%n PiLYTIBIDBY Mr OERMT\ff.YTOF REAL tw,tRVMrsrr FB:ANCE le 4-I.I-L4.t
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandatd deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher lax bills for all:therefore.
1 14— ' ' [,� HFA 1344-2000 requires taxpayers xho restive the homestead standard deduction to verify that they are eligible to Incite the
IBp{""yI' benefit and to 0 requires
additional ideho rece a the avon nemvnd ten Bllux.county ga'emment to better monitor Ieceise Re
filings.This information Mill haler contidetaial and can only M accessed by authorized rnunry officials.The I)epartmxmt of
Local Government Finance%sill use this information to create tools that will h:Ip Monty officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
APR 2 0 ZU1U TaxpaverName Property Address
ABlackard, Kenneth V/Genevieve
400 E Sinclair
GIBSON COUNTY AUDITOR
Fon Branch IN 47643
7641
Kenneth V/Genevieve Blackard
400 E Sinclair State Parcel Number Legal Description
Fort Branch IN 47648-1107
It lttliltt lllllllllilll llrll rllltrlllllll lllrllll llll II 26-19-18-301-000.079-026 ,011-0007300 HILLCREST 13
I)
PART 2:TAXPAYER INFORMATION
Owner I First' Middle Last
aamE.V /EVE' l_,4eotL /+�yP�i>
gipAddress(number and-Amer,city,state,and-ZIP-code) _— —- -- — —- —---- v�'Somc as p of erty address ------- - — —
`l1 � & SAticc.s, e___,
Spouse First Middle Last
Mailing Address(Number and street,city.state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
slam
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 may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
•
•
CLAIt� WR HOf�'�STEFlD PROPERTY TAX CREDIT FOR YEAR 19?��
� S BACK FOR FILING jN,STRUCTIONS
-` �l
%��� ��-"v �� yr....�._.•--•- certi.fY that on tt� lst day c
I' `"�� nal olace of residence tt� iolLowing described real
s�tarcklr 19_, I. (FIe) occtroia3 as Our PnncL.
�-=,s-ty rar which a z�+°°+°a'� ?sope=ty Tax �edit is hPSSeby bein4 claic�� -
�' �� p���a ,�� �� Dlf 4D � 79 ��
� t�ave.a beneficial in�t"�st in th° �1'�
�pp�y j�5.,^Z1�LOI7 ].Il ¢_y i8�o n� COIIIl� �i✓/o n/ '�I1S+�'U
Tar.ing District (City, Tv+:n, 7bwnshiP) � �T / R��-H
Pzxcel ih�iner _ or legal descrintinn stnwn on tax staterent:
. NiLL L' RE�T- ��3 -
I_° buyina on contract: Oam�_rs �n�e (fe_ sinmle aan°r)
Nntract recoxded in Recozd�'s Of�ice - Rec�d I3�. Page
If any mrti� of the residenti.al stxucture or the land, not e�'='e�i� or� il) acre that
ir.mediac�ly staxo�a3s that stru..^tiae is used to pxo�c.� incane, d�s¢ibe the use a� �*-*; an of
ti� property uti]ized to g�oduce i�one
p�, o�,�r co�ties in which individual owns or is buyin4 real PmP�Y�
I h�y �-fY ��� statarent is true.
��Stxeet F
., . _ . �.:, ,. - -
mim 1tHmshi�
:._.:.;. . u�yr
xSygnature ---
*Individval either oo-ms or is buying imer a mntract that grovides he is to pay the
. �Y_ �S OTS �lE *'PSiAonrp, �}]3S a bES1Ef1C.131 lIlt2t'PSt 3IS.�I2 t'SM]ij'ES.
� - F(.1R ASSESSOR�S USE ONLY -.
Zrue Cash.
Valt=_
laxri not ec�4 1 (on_i acre �ately � (1) / / / O •
sisroimdin4 sesidential i�sovsoPnts.
Otl�r Iand (2)
Total Land ? (3)
P�ssin�tial 7icozvv�sts r�ii;,,❑ (4)
Garage
Zbtal
(5)
(6) � S��O
0`�h�r I�rovenents (7) —
� • 7�c�zov�mts - Line (6) Plus (7) ssuaLs (8) (B) �
I her�Y �p�l{�, the above i.s ttuer ��� � oatmlete.
- ACTI(H� BY ?.IIDIT(1R -
DatE:
Fwozovsi:
ASSPSSBd
Valuation
3 70
F4-r�r�ctc�,r
Valua}irn
3 70
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Date