Homestead_Drennan (2) • STATE FORM ORS(PT/&la) - TREASURER FORM TS-IA
APPROVED B\STATE BOARD OF ALCOUNTS.HW PRESCRIBED BY TUE DEPARTMENT OF LOCALOOVTANMEYT FINANCE IC6-1.1-22-t.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS. •
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 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
FILED 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 1: PROPERTY INFORMATION .
APR 2 5 2011
Taxpayer Name Location Address
C. .n\.• .y Drennan, Kimberiy A •
r�\1 207 S Walters
GIBSON COUNTY AUDITOR . - - •
Fort Branch IN 47648
2494 . , •
I II I0111'.III III I III III Illfu 11�1111 III II III IIIIIIII Ill flii]It]�111 II
207 S Walters
FORT BRANCH IN 47648-1436
•
Illliill'I"i'I liliilll'I"III'il'I"Illlllllililil"I lil'illlll" State Parcel Number .Legal Description
26-19-18-303-000.679-0266/ALTERS ADD 327PT/326PT
G
This form MUST be returned to County Auditor's office.
Spouse First Middle Last
K`tmko .ell "I 1 I k)ce nv\wv
— Minh- Address(Nam r and treet,city,tate,and ZlP code)"` Same Its Property address-- ' - -. _
. PART 3: CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing infdrmation 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 .
PART 4: ADDITIONAL INFORMATION .
�4,� rt�n t CLAIM FOR HOMESTEAD PROPERTY TAX
` � CREDIT/STANDARD DEDUCTION
'� •� f State Form 5473 (RS / 70-01)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side /or liling instruc�ions.
��:.;�
certi(y that on the tst day of March, 20_
I(We) occupied as our principal place of residence the follovrin9 cribed real property for which a Homestead Property T�c Credit is hereby Gaimed:
❑ I(VJe) owned ❑ Are buying under wn�racl
. Have a benefidal interest in the en6ty that is liable for the pmperty taxes on the pwperty and that owns the p pdrty�r is�uyi` g� o ct.
� CLJ
If buying on contract. Fee Simple owner's name
Remrders ofice whera conuad is recorEed
Counry
Tavnship
_(S11 � —tJUlo 1Z'LC� I �J4J�CJla.�
I( any pTOtlion of l�e residential strucWra w Ne land noI exceeding one
of the pmperry uGlized to produce income.
Coun�y
To.vnship
P
GIBSON COUNT Y
Taiing tlislrict (ciry, fawn, township)
��� Is the property in questian:
❑ Real property ❑ �7oGla Homo (I.C. 67.1-7)
acre that immeaiately surtounds that struUUre is used to produce income. desuibe lhe use and portion
3a��+�a��-
1 hereby certi(y the above statements are true, wrrect and wmplete. �9'awnof
Tavnship
'���+�';�{i � SSESSOR�USE ONLY �' �3s4 'syTRUE TAX - �ASSESSED VALUE HOMESTEAD � ��� NONYRESIDENTIAL�Y�� r:
a'.��`w'�-�.�,7c�:::ia'E. �.�+�..3"'.�. 'ir" `_ y� i�. VALUE: r � AT.100/ OFTIV � VALUE.«.-�r.. .� �.; ;VALUE.�»:,b .<1?�..��.
Land not exceeding 1(one) acre immediately � Y J� �1't.N ..�. �?� +`•„-�
surrounding residential improvements. (� � „�� ,�-,.`>`. `" '"�� � =
. �-1.,.. - Yr :�..
Otherland �p) . - '"�": .:i���
Tolat land (line 7 plus line 2) (3)
'.� r'� J A'xe Kya j -:
Dwelling (4) s '- �,-M'� � X a j 'x- �� � �
Residential improvemenis r�; �'� � �' "'�'v T"� �;
i1'�''-'-�t,`�r,'�`� r_`ii't�-�.
Gara9e (5) �•N�'i-z...+�`l��`K��� � `.�,o.,.
- „'v . - `,
Otherimprovements (6) - _ "�,-���.`;-,'.
;`{'-
Tdal improvemenis (Irne 4 fhrough line 6) (7)
TUaI value (line 3 plus line � (g�
I hereby certify the above is We, coned, and Signature of,�sseswr Date signea
complele.
Vuirying aaion - Signature of fwdimr Date sgned
20_Pay20_
Lesser of 1!2 Homestead
Valuafion or 56,000
S
SignaWreafAUditw � \ IDaleyig�d_ /� ^ �
Aj ( V ( 7V
.. —. r�t"'�