Homestead_Kifer STATE FORM 53569(RI/8-10) - - -- . _ TREASURER FORM TS-IA ,
APPROVED BY STATE BOARD OF ACCOUNTS,2009 - PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.122-8.1 '
,,''- ' ° IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS '7
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this .
a°duction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud :
IN/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.
IC PART PROPERTY:IN FORMATION 5 `fatesw "71.4"" 1,.. :i;+?
Tasnes'er Name Property AddreS5 State Parcel Number I.ewal Description:
Rachelle L Kifer,-. , 704 TRETTER PARK DR 26-19-IS-302-000.389-026' TRETTER PARE 8
• Ff BRANCH IN 47648 +._! Y� �..«
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Complete and return to: "
j�I�Il01t1!!Ip�IIIILIIIIIMI@ I[GI[1911311 ►1;11[OBlpll Ip]tElU
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
M: zhirer4.• '• 1 • PART-2: TAXPAYER INFORMATION:,:;:1::: .a:'. X4 3.ge[vw,nieg a,
at_ Middle - last
Mailing Address(number and street,city.s and ZIP code) i Same as properly address w '-
yn4-1 Tce { -er s `�R r-f efanch Lin �P1te 4 - - -
� �.
Spouse , First Middle - Last
.7 r
Mailing Address(number and street,city,state and ZIP code) Same as property address •
Social Security Number(last 5 digits) Onvers License/State ID Number(last 5 digits) State Omer(please specify in Pan 4 below)
ir2`n^:' ` ,-.' Y .:..'' 'i-.- -PARUL.Fi ,WIC;TIO 1 :1. :3t> 1- 2::=a .~ F4k
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 I Signature Date
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J DD1T1 IVALP.FIA TIONA6, • , f. ,t<,' `t.a.2=',. 1ja,,,,r' eA
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da s CLAIM FOR HOMESTEAD PROPERTY TAX
���� CREDIT/STANDARD DEDUCTION
� State Form 5473 (R2 / 5-92)
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yu
INSTRUCTIONS: See reverse side !or Iiling instructions_
FORM
HC10
VEAR
i�we� certify that.on i�ie tst day of`M�ich` is_
) occupied as our principal place of residence ihe foll 'ng described real property for which a Homestead Prope�jy,r� x r iti�yu eby Gaimed:
11t"IC � �
�(We) owned ❑. Are buying under contraci .
❑ Have a beneficiai interest in the emiry thai is liable for the, pmperty taxes on ihe property and that owns th�operty or ispuyi� under a�ontfdct.
It buying on contract, Fee Simple owner's name
ReCOrder'S OHice where tontraa is recorded
Township
ParcelOnumqe� �� �7 � _�j,� al description
I b ..�v�i i J \
If any portion o( the residential sWCture or the land not exceed
of ihepmperty uviizetl to produce income.
/G - ' ; t"�: ..r- : :'t!rr�..
Record number Page
PROPERTY DESCiiIPTION
one (7) acre that immediatety wrrounds that sirucmre is used to produce irxome, describe Ne use antl portion
� ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE � VALUE
land not exceeding 1(one) acre immediarely ' � �
surrounding residential improvements. (�)
Oiher land (p)
Total land (line 7 plus line 2� (3) �
Dwelling (4)
Residential improvements
Garage (5� �
Other improvemenis (6) "
Total improvemenis (line 4 through line � (7) I
Total value (line 3 p�s line � (g)
I hereby certify the above is irue, correci, and Signature ot Assessor Date sgned
complete.
Venfying aaion - Signamre of Auditor . Dare signea
�
19 _ Pay 19
Lesser of 7/2 Hon
5
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