Homestead_Eads •
STATE r ORM!)W al t tsNt TRLkSULTX FORM TS-IA
APPRrwtn PTSiVE BOARD OFMCVMPTs 3m ptrgnsD BYnIr BrPARTAcNrorLOCAL C./WU-N PTT fBAFCE IC 64.l.r4.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 'landau.'deduction.As the receipt of this deduction becomes
�' more beneficial,there Is more incentive than eser 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 reecho the
benefit anti to prmide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi co :demial and can only be accessed by authorized county officials.The t)epannrenl of
Local Government Finance will use this information to create tools that will help county official.eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—. Eads, Daniel LJMelissa A
sm 600 S Main
Fort Branch IN 47648
2607
Daniel L Eads
600 S Main St State Parcel Number Legal Description
FORT BRANCH IN 47648-1726
26-18-24-202-000.754-026 011-00754-00 MCCRARY ETAL 99 PT/98
t o tit It II tit I u II efI tin III t Ve It II n I I r I I nn It It I
PT
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 J Middle }� / Last
(bid t T.tx s
�ag Address(number and- city,state,and Z code) me as property address
OS) s. /-.
Spouse First Middle }� Last
I'1'�.J SA Thy, / L s
Mailing Address(Number and street,city,state,and LIP code) e�i Same as property address
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 understandsthat,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
ow r I signatrad coy 6i Daip
10 (
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
smte fortn 5173 (R7 � s-0�
PresrnLetl by Me DepeMent al loral Govemment F'viance
INSTRUCTIONS: See ieverse side lor filing instructions.
FORM
HC70
YEAR
i �we� !/�`,c ii iu.c� �n �- � i x.c�t:� �.cu u� �ry me� y�'� 4a'2`�Q'�"''. z°—
I(VJe) occvpied as our prmdpal place of residence tlie fotlowirg desaibed real property for whi�h a Hanestead Roperty Tac Credit is hereby daimed:
i owned ❑ Pre buying under mntract `�j'/G�n �',�(!i��
a benefidal infe2st in the enti that is liade for the property tazes on the v �T
ty property and that ams the [XRDeM. W��guyapuu`Sderlymntracl
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H erry pation of tha residertlial struc�ae d the Imd rrol m�ceedirg ona (7 ) eae tlial trnmedalely sunour�da 1h� atrWUre ia used b pratluce'vimrt�e. tleasnbe ihe �ae end V�n
d ihe P�PartY uG&ad b p�oMra u�mrne.
20 _ Pay ZO _
Lesser of 12 Homestead
Valuatim or 535,000
sipn/y7,�'�
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