HomeMy WebLinkAboutHomestead_Bradley STATE FORM 53569(R3t8-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1 22-8.1
:; 6 ;" IMPORTANT NOTICE TO'HOMESTEAD;PROPERTY OWNERS 1 1
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
`-'-duction 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 rare 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 <:r l e• '. h :-la
Taspaver Name Propertv Address Slate Parcel Number J-eeal Description;
Joe A Bradley 400 N WEST ST 26-18-13-402-000.678-026 CHRISTISON ADD I6PT
FT BRANCH IN 47648
Complete and return to: 1010 MERE E RE I[IIIIJIl111I1 11 Pmt IIIIIiIIIIII
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2r TAXPAYER INFORMATION _ I "-
Owner 1 First Middle Last
Mailing Address(ntsnber and street city.state and ZIP code)
r Saab as property address
75-'a , .5 . 550 E . inohitInm 01 I rd
aoouse Fir
_ st ' Middle - • • .• Last
Mailing Address(tamper and street city,state and ZIP code) Same as property address
7 c S r 55 o 4--- m ortfi ome-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 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 ...e_ Date
;
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NOV 7 2020112,
CIBSOM rnIINTY AUDITOR
d'�'�` .
: �i
6
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fartn 5473 (R2 / 692) -
�n/crR� �cnnuc� c« .e�<.<a d.�a �.,. r,r;.,,, :.,�m��n.,��
FORM
HC10
YEAR
� CERTIFICATION STATEMENT
I(We) certify�r�{hq 1��ljpy oF March, 19_
I(We) occupied s ur principal place of residence the follovrin escribed real property for which a Homestead P Fjax�r tlit�s hereby claimed:
❑ I(We) owne ❑ Are buying under contract
❑ Have a beneficial interest in the entiry that is liable for ihe property taxes on ihe property and that owns r ' ntract.
GIBSON COUPI7Y AUD��
� CONTRACT RECORDED �
� If buyinq on conuaci. Fee Simple owners name
Recordefs oflice where contract is recordetl Recortl number Page
PROPERTY DESCHIPTION
Counry - TownsNp Taxing district (ciry, rown, fownship)
Pamel n1umber Legal description •
' l — W
It any ponion of the residenGal sWCNre or ihe �and nol ezceeding one (1) acre that immetliatey surtounAS ihat stmcture � used to p uce income, describe Ne use and portion of
Ihe properry utilized to protluce incame.
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Signature of claimant
ereby certify the above statements are We, cortect and complete.
Address (number antl street, ciry, sfate, ZIP cotle� '
� a• ti.�, t �t. �
ASSESSOR USE ONLY �UE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediately (� �
surrounding residential improvements. .
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwellin9 (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvemeNS (line 4 throvgb line 6) (7)
Total value Qine 3 plus line 7) (8)
I hereby certity [he above is true, correct, and Signature o1 Assesor Da�e signetl
complete.
Verifying action - Signature oi Auditor Date signetl
•� STANDARD DEDUCTION ALLOWANCE �
19_ Pay 19 _
Lesser of 1/2 Homestead c�
Valuation or 52,000
SignaWre ol Autlitor Date g
-3�-�
.,