Homestead_Heuring STATE FORM 53569(R3/&10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-13.I
I°-° ',° IMPORTANPNOTICE TQ'HOIVIESTEAD,PROPERTY OWNERS, ¢;"
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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
eauses 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.
Tamaser Name Property Address Slate Parcel Number Leval Description:
Barbara L Heuring 1008 S MAIN ST 26-18-24-204-000.305-026 BRENTON 5
Fr'BRANCH IN 47648
Complete and return to: 11111111111111E10101111111111M111111111111.11M
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 g a
✓•e T i . 1 s .yt-.r..* yns ..': K'~. - r s1► i 7- �� �,trt'.�'T+ .:3I�', i*A .•d'�ii.H T,r9'.t•P`. jti ,.
Owner t Fast / Middle q Last
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Mailing Address(number and street oty,state and ZIP code) I v/game as property address
/ doh' S . Va.,:I ST, Ffic ro, c_1) d. 417EY3
spouse First Middle Last
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Mailing Address(number and street,city,state and ZIP code) 1 as property address
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Social Secunly Number(last 5 digits) Diner's License/State ID Number(last 5 digits) State Other(please specify in Part 4 below)
...;..—;"l:e> '1°.' : ..` r rf1*.,f" + 1!''. W4 PARK3 CERTIFICATION " I itir ,, . M°
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
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t^, sY ;', i' i 4 r'r Ot.PARTt4;ADD1TIONA?'INFO'MA- ION
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FOFM MC 10 19i9
Prewi0e0 By Sfaie BoarO al ia. Commissfoners
CLAIM fOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 191L
io Be FileG in Duplicate
SEE BACK FOR FILING INSTRUCTION�//_OD ��/� OO
�(We) `��1I �/�-�- �`h-e-Q�-'�-- °�- • certify that on the 1st day of
oiarch, 19�, I, (We) cupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial in�,e-/re�st� i�n the taxpayer
Property Description in /�-�^'�-� County � Township
Taxing District (�ify; Town, Township):_ ��" �
Parcel Number or legal description shown on tax statement:
. .�� O ��—r..� �
If buying on contract: Owners name �'� S1np1e °w"et�
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
hereby certify the above statement is true, correct and complete.
$heet Atl4re55
Counry
Township
y�
Ciry. Staie aCa Zip Cooe
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land � � � � �
Total Land
Residential Improvements Dwelling
JUL 3 i979
Garage
� ����u�� Total
Other Improvemenis � AUDITOR
Tr��� Improvements - Line (6) plus (7) equals (8)
f�by certify the above is true. correct, and complete.
True Cash
Value
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Valuation
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