HomeMy WebLinkAboutHomestead_Harvey (2) STATE FORM 51562(R2/609) TREASURER FORM TS-MI
APPROVFD.BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1
fr..-
e ABa a W) o t f O 0 {Y . ..
Individuals and married couples
are limited to one homestead standard deduction. As the receipt of this
'eduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
�auses higher tax bills for all; therefore, HEA 1344-2099 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 Loca
•GoSerninent-Finapce will use•this information to create tools that will help county officials eliminate ; •
homestead fraud. . . . -
PAR I: PROPERTY INFORM ', ION
TalDaver Name PrdoErsv'Address State Parcel Number J.enl Deviation:
David Harvey R 1 Box 222 (y� 26-19-19-204-001.297-026 007-01021-00 INDIAN HILLS 57
Fort Branch IN 47648 .� D-27
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
IintifigiI3qaViiMM INFORMATION .
Owner 1 First Middle Last
NAV.= J Siregory I—�cz.rvey
Madvg AOdress(number and street,city,state and ZIP code)
Same as property address
7f337 S , 4 s E. r4-4 13rrxnch , ±n) , Li-709L4 8
-.
Spouse __-_-. . _ - _ __ .__ Middle -.
ShCLnn6 fl 'Re m et - at v el
Mang Address(number and street,city.state and ZIP code) Same as property address
1537 S . LS F. ill ch . f. Li ege
-
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.
O.me I Signature ; Date
. - - Ir II a ADDITIONAL O QICbS. -
AO
CLAIM FOR HOMESTEAD PROPERTY TAX
'� " CREDIT/STANDARD DEDUCTION
\.� J State Fortn 5473 (RS / 10-01 �
Prescribed by the DeparhneM d Local Govemment Finance
INSTRUCTIONS: See reverse side (or filing insfr�ctions.
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3 i i� i� ��''
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MAR � 8 2003
r�t-an'lHe7}"st�day, of t�4err�;2U_
f�e) �/- �ccnN �p� iK i, r+ u� �.,..
1(We) occupied as our principal place oi residence lhe followin9 described real prope or which a Homestead Property 7ac Credit is hereby daimed:
❑ I(VJe) owned ❑ Are buying under contract �
, Have a benefidal interest in ihe entity that is liable for the property taxes on ihe property and ihat owns the property or is buying undar a conVaG.
I( buying on contract, Fee Simde owners nama
County
contrad is remrded
Tavmship
I Ne residentlal aW dura w Me
util¢ed tn produce income.
mcc.eedi(g one (1) aca Nat imi
S�
Record number � Page
Ta�ing disVict (tiry, town, township)
I Is Ne property in queslion:
❑ Real property ❑ �bile Homo (/.Q bf.f-7�.
wrtounds Ihat sWCNra is used to produce income, describe the use antl portbn
�'G �9-i g-o?o ��/. ��� ��
20 _ Pay 20 _
Lesserof 1/2 Homestead
Valuafion or $6,000
$
SignatureofNWita � � � �� IDat�n�0^ �P�
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