Homestead_Garrett (6) STATE FORM 51569(R3l5-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.I-22-8 1
IMPORTANT NOTICE TO IjOMESTEAD PROPERTY OWNERS ;a'
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
"+reduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
Oca 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
Tuner Name Property Address State Pa reel Number Lead Den-lotion:
•
Sterling B Garrett 107 E SOUTH ST 26-18-24-204-000.084-026 LAGRANGE ADD 302
FT BRANCH IN 47648
Complete and return to:
I u11 i I�e z�u u�u�w ul Grill ui i�IB u�uu f�ui W tl l I�I�
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
• _ PART.2: TAXPAYER INFORMATION . r. ° .
Owner 1 First Middle Last
C.
. terII`Sd� (-?rre-Pf"
Mating Address(number and city,state and ZIP code)
Same as property address
First Middle Last
Mating Address(number and street,city,state and ZIP code) NT Same as Properly address
4
.
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 Sig .tire Date
•,-- ?
t FILE
NOV 7 2012
GIBSON COUNTY AUDITOR
�"�5i�"°- CLAIM FOR HOMESTEAD
���_ �j SUte Form 5473 (Fi2 / 5-92) .
'e�Ci'�i7:%'�� . .
� INSTRUCTIONS: � See reverse
FORM
HC10
YEAR
I(We) � l-�rfiff��B1�J[ft� t�st � March, 79_
I(VJe) occupied as our principal place of re� ce the following described real property for which a Homestead Property Tax Credit is hereby daimed:
❑ 1(VJe) owned ❑ Are buying u er contract .
❑ Have a beneficial interest in the entiry that is liable for the property taxes on the property and that owns t ract.
GIBSON COU T AUDITOR
CONTRACTRECORDED
to protluce'u�come, descritie ihe use and portion of
IN OTHER COUNTRIES
ASSESSED I HOMESTEAD
VALUE VALUE
ALLOWANCE
� i 8 � y�l S� �
NON-RESIDENTIAL
VALUE
signed
3