Homestead_Blanchard STATE FORM 53569(R3O-10) TREASURER FORM TS-IA
APPROVED BY STATE BOAR',OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC&-I.1'2-I.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.
PARTI: PROPERTY INFORMATION- A, t-
Tasna.er Name Pruners Addresy State Parcel Number Leal Description;
Sandy B Blanchard/Michele 103E JOHN ST 26-18-13-402-000.813-026 GENUNG&WALTERS 309PT
L Odom FT BRANCH IN 47648
Complete and return. to: IW111[IGilill/[tuu[lu®CIIUU rli PRENHi1Wuul(uln4u
• GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
• PART 2:TAXPAYER INFORMATION
Owner I First Middle Lest
5 OA Ably 0, /3Ahc utrJ
Magog Address(num and street.city,state and ZIP code) f
Xi Same as property address
!0 3 £asf ,3-240 S-treL4- R . Ira-
.. .
Spouse First Middle Last
M c,lkae. L. Od o wi
Mailing Address(number and street.city,state and ZIP code) W Same as propeny address
10 3 ri.a s-I Sok In S'i-ctsth . c { 6ravteJ , J\J II 7(011 9
■ •
!TT,.
YW
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
•
FILED
NOV - 5 2012
(liner-at rOtINTY AUDITOR
GL41A1 FOR HOAAESTEAD PROPERTY TAX
CREDIT/STAIdDARD DEDUCTIOM
shRe Fonn 5473 (R7 � s-o�
Preaubed by Ihe Depatrrait N Lorrl Go.�ermerrt F'rwim
iNSrRUCnor�s: s� �� �aB � r�;�y;��a,wao�s.
FORM
HC70
_
cei�cnn.A.� �.�.,. �
i�we� �y n,a� �, me �� aay or �ra,, zo_
I(We) oaupied as aa � dpal place M "rg destr�ed real property which a Harnesffiad Propdty T�c Ge?t is hereby daimed:
�� M�e) owned ❑ Are buyu�g unda contract
Have a berefidal mtsrest m the entity tliat is liade tor fhe poperty �ces m ihe popaty and Mat owns C�e �xoperty or is Gryug under a contrad.
,., ,� . .,.. � . . - ; � r: � . � � � .. • CONTRACT�RECORDm ,:y .a;,, . . .r -.� -
• . . � .iS � :t'; . � :.,J. :i�_r �_,r„s!
M Wy�g on amhacl. Fee Simpe ownefe reme
t�mderS nlbce whae mntrad L+ recaded Recad number Pega
Co�nq
.. ".n� .. - PROPERTY DESCRIP,TtON'•" ' � � i
Tuvnslrip.: � T�+9 da�+� jaY. �+�+. ���)
Parcel nuriDa � L{�al desrn���� ta ihe paperry vn
CV �SA
nary�aue�ae��n�mravmaim,nna�«cee�n9 (i�aQem�:��yw�ma�
ar me �ny �mr�d m yoaca u�m��.
a l�-,�--�3-4a a- oov.ss i 3-�a �
�v�vgb !J �wtibrw�r�e�i.c.�i.r-�
ia u�e m promce:m,b. deaxbe Ob �e a�,a portion
...:.. �. , :..
: . , . , , �Exn ovn+m er cu�maNr a oniEx cou�s,; ;: . • .,k� ,°.: .��, �,`"
U_ ; ,
Counry Tuvnship County Towrrship
1 heneby ceAiy Me abwe 5ta6errrnts are We. conect and cortyle�. �+'a of daimxi
(n� erd atreet oA: �m. Z� oode)
- `.�, � ,ASSESSORUSEOWLY . ;�� �� Tib1E'fAX. fLSSESSEDVALIiE ►IOiffSTEAD'.:'y �4120N�D@nilAL'^�,j��`f^:
.��;. a. yr, +1 YALUE. 'AT,IOMGOFTIV f;-VALUE p,': ���2trVALUE7..i;i„�i'y�i:;�
r e �[ i o -- r3r;
Lm�d rwt eueedirg 1 (one) aae irtrne�ately .. � � � � � �; � I'�.;�' � 't � f;;t� `ik1 {-�
s�vround'sg residential impovements. � � ' '��, x?a .;; , „ xs r�,.�.�:��'a .����
- .:_�-:;._. _
Otl�erland (y) � �.:k'•�.;�_,, �.,,,
TU� land (l6re 1 pkis 1'ire � ig)
; ,� r
i F!�t ��r �, as4i ,�„ �tL,, ,°, j�%
Resdential 'vnprovertients a Mrnially �6� �4� .t „?{:t� � '3 z E `�"`'+� ;.�','� sx`�;'1
�SSBSSEd M0�0 / �A3(pl(9f�ICd FIOff10 i i5 -- eC 1r.St�fY y�,
,✓ 7 Aq�` tflxt r�R. �.lt'd V4�+i�k.
��e �5� '}'xK':'_.,���.,}..ii�i,l�'y�.'F'.%•
� , �2} -'Y. "
OU1ef onpfOVEffICr115 �6) '"!`'' �r.`di
Tdal'vnprwernerrts (�ire � tluot�h 6ne 6) (7)
Titel value (1'vre 3 pda tine n �g)
I hereby ¢Mify tice above "s true� cortect and Sgr�ea otASa�m Date aipied
�P�
vaa�,�e aoian - si�sma or a,�to. oam s0nea
20 _ Pay 20 _
Lesset of 12 Homeslead
V�ua6P� or &95.000
S
'g�
.....,� ��, •: . ,u,•_ �-���ni��,1� �