Homestead_Fithian STATE FORM 53569(R1l8-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE ICS-IA-224r I
illatigeffLY,,. `IMPORTANT, NOTICE TO HOMESTEAD PROPERTY OWNERS X15^. ' rll
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 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 , .,7.4..:x
loaner Name` Property Address State Parcel Number La al Description:
Bill Fithian 156 E 780 S 26-19-19-203-001.234-026 INDIAN HILLS 27
FORT BRANCH IN 47648
Complete and return to: hillifil11inEIlILI iLilliliiiiithill 0 1 1111 11 0 1II 0.10111
GIBSON COUNTY AUDITOR. 101 N MAIN PRINCETON IN 47670
r - - ,. ._ : PART 2: TAXPAYERJNFORMATION -7:7 44-. `C.:A - y
Owner
514 First Middle E/ T! / 1 A � last
Marling Address pannder and street,city,state and ZIP code)
5 E 2 g° S r`7, i3 0(/?N. fly 1M ✓Same as aope y address
Spouse First Middle
Last
Sfl /Ail e)7 il . 1 H /AAI
Mailing Address(number and street,city,state and ZIP code)
(w“ame 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 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
.:,9
FILED
NOV 26�201`2�
GIBSON Court I T AUDITOR
i
� I
�:
;�
Form HC 10 Supplement_ oO
Worksheet for March i, 1989 Assessed Valuation
HDMESTEAD__CREDIT CALCULATION FOR 1989
°� °�� �9_i9-��.�-a%�� oa�
County Township Taxing District
Name of Ta::payer �/' �—'—
Parcel No. or Legal D=scription
�,�. %�.�2� !� �- a 7
6
Land (1 acre ma::imum)
Other Land.
Total.Land
Residence (Dwelling)
Garage
Other Improvements
�'
Total lmprovements
4 .
7ota1 Land.and
Improvements "•
F •
.
I hereby � tify the abov � true, correct, and complete.
.
✓
Signa re of As sor
ASSESSORS CALCULATION
True Tax Assessed R �
Value Value Resid. Non-Res.
c1) �"Loo /�3O xxxxxxxx
��� XXXXXXXX
� J �
. ..
... , . . . :- . ..:.
. _ _ .. ._ .._ :..._�_-.-,..:. __ "' _' . �' _':ni -...
.- . . .?.�. �- .. . ' _.
_.....
�a) �5�aoo `��.3� xxxxxxxx-
(5) XXXXXXXX.
,.
,, , . ,._ . . _ _:..:_.
(6) - XXXXXXXX:' . .
��� .
! :
(�) '
-- --..._ . - _ -.
_ . _ - ,. ._- - ------ � . _STANIIARD D�DUCTION CALCLP_ATIDN _' - :_ . � . _ - -��
IC 6-1.1-12-�7 provides that a person who is entitled to a Home- .
stead Credit is entitled a Standard Deduction. ..
Amount of Deduction Allow_d
19B9 pay 1990 1990 pay 1991 1991 pay 1992 Years after
lesser ofi: l/2 lesser o{ 1/2 lesser. af 1/2 1991 (same
"R" A/V:or "R" A/V or "R" A/V or as 1991)
S2�SU0 SZ,OUO $1,500
L�7� �• �
Signatu��7� ����