HomeMy WebLinkAboutHomestead_Bolton MATE FOAM 537t.de r. O nPr'ANau FORM TS-IA
APPROVED BY RITE WARD OF ACIMOTS 9v PEPATIBEW BY THE DEPARMIPAT OF LOCAL GOVBtNMFT FINANCE f -t.'-t-t.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 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 eter for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
ill HEA 1344--700c requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit anti to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
--- Bolton, Jason N/Cheryl L
805 CREEK DR
Fort Branch IN 47648
2801
Jason N Bolton
805 Creek Dr State Parcel Number Legal Description
FORT BRANCH IN 47648-9500
26-19-18-101-001.170-026 011-01170-00 LITTLE YORK PHASE II LOT
lIllIllIuuIIll111l11liuuIultlIIIltlIll111lluIllli11IIIIPttllll 33 D-27
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
— s &Sonl Net 6, Ni3 (Iv /419/1/4)
Ong Address(number and snect,city,state,and ZIP code) &lame as property address
Wt eilte, Thq F4 , %run dh A) y7LYw
Spouse First Middle Last
rljk.e,r L y N & /4-0n/
Mailing Address(Numb r and street,city,state,and ZIP code) 0.3"aattre as property address
?05 C,' re4 ---0r S . srU^—o ■ tic VF76 %t
PART 3:CERTIFICATION -------.__.--I� — —°_--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 hack taxes and substantial financial penalties.
Owre I Signature Date'
•
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Smte Form 5e73 (R6l d-03)
Pra9cribed by the DepartrneM of Local Gwemment Finante
INSTRUCT10N5: See rererse side /or filing ins6uctlons.
� M�e) �� / �i L/� �-/�'�!
I(VJe) occupied as our princi piace oi residence lhe f Ilowing described real pr p rty for which a Home;
❑ I(We) owned ❑ Me buying under contract
� Have a beneficial interest in Ihe entlty ihal is liable (ar ihe property taxes on the property and that owns
If buying on contraq, Fee Simple ownefs name
Recadefs ofiice whera conired is recordeC
f3�jT.cK'�J 9: �^Z'j.1.�f 4YEii!i`uT y ya
'-�'as r� s�a.+.>a-`r..x.cv�aii,«K� %��rE+�-�i�''�•�;-''�,—S3P,R0
CountY iamship
�/
ParcsLpu b r ��O _O� Legaldescd
N any pOnion ol Na resitlentlal sW clure w the tand not exceedinp one (1) aae
ot the property util¢e0 b produce income.
Taing disVict (ciry,
— Is the Pmpe in
wrrounds Ihat sWGu
FORM
HC10
��
YEAR
iaMen the tsl day of March, 20
�
!o rt�T�dil is hereby daimed:
ipverty orfs`buying under a conVact.
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RecarO number Page
�� 7�oGerty ❑ MoMle Homo (I.C. 67.1-�
Is used b produce incoma, describe Ihe usa and poNOn