HomeMy WebLinkAboutHomestead_Mayer (4) MATE FORM!Kt.ICf)WI TPEASUIIR FORM TS-IA
ArFKIAtn nr'LATE nMRO M ARTUATS.9r." rrrgRIB[O BY THE UFPARIxtiJT OF LOCAL eiWERMMENT FISANC'E IC 4EI- -ll
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple-: are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tat bills for all;therefore.
HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to eerily that they are eligible to mcene the
benefit and to provide additional identifying informmwn necessary to allow county government to better monitor homestead
filing..This information will be Leo conlidemial and can only h accessed by authorized county officials.The Ikpanment of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Mayer, Jeremy S/ Melissa C
403 1:MULBERRY
FORT BRANCH IN 47648
2927
Jeremy S Mayer
403E Mulberry State Parcel Number Legal Description
FORT BRANCH IN 47648-1635
26-19-19-101-000.694-026/ 011-00694-00 PT NW 19310.57 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
02rcnn SCOtk I'AC; r
g Address(number and scree[,city,state.and ZIP code) Same as property address
1
03E mulb rr9 Sf F'� grcknOrl N 41c0 b
Spouse First Middle Last c_h
Mailing Address(Number and street,city,state,and ZIP code) 40Same as property address
4o'a € rn14 b ea^ r9 Sf \4 roc-anon to Lt-1(09b
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 Si_ tare Date
r
�� YEAR
� ; CLAIM FOR HOMESTEAD PROPERTY TAX - � FORM
CREDITlSTANDARD DEDUCTION r'' `' '
HC10
t ✓ S�atc Fonn i175 (R614-03) � ^ . . . ,
. Presrii6zd by lhe Oepartmen� of Local Govemm_N Finand �. � � � .�
. INSTRUCi IONS: See revmse side fnr lilin9 ii�a�iur.linns.' � � � . - . . � . . . �
- — _ .�.. . -r • • n.�L� J' . .
i
� M�e) � � � certify th�w the 1 st ay of March, 20_
i ,�i�
I(We) occ i as our princi lace of residen e the follrnving descdbed real pmp � or which a Homestead Proper y�c Eet� hereby daimed:
❑ I(W � ned ❑ e buying under coniract � " � , Q�BS�N COUNTY qUDITOF.
' Have a benefidal interest in the en6ty tha� is liable for the property taxes on the property and Ihat owns the property or is buying under a convact.
it buy'u�g on conVad, Fee Simple ownefs name
Rewidefs office where conVaa is remrEed
CounTy
TamShip
D//- Cn� 9� d� � .
II any portion W IAa residentlal struqure m �he land no1
ot Ne property uWiied :o Oroduce income.
Counly
//�i — /O Ilsthepm
rj
one (1) acre Ihat immed�3;e���nds Nat
'S
I hereby certify the above statements are frue, correct and complele.
�dd�e�s (numbera� s(rcet city, sfate, ZlPcrode) � _
County
�
�'
Rewrd number Page
;..i;a. '�;?^�'� -rT,;�a"C _
fownship)
I
�i queslion:
Real property ❑ Mobile Homo (I.C. 67.1-7)
fure is usetl W produce income, describe Ihe use and portion
Twvnship
)� �� �f hi" .' h"1 �j�j tl s � 1i�F �.� Y i - '; . � . . . _
e��e'�s''� �`' ASSESSOR�USEONLY� ��' �� -y.� �� TRUETAX -ez ASSESSED�VALUE �HOMESTEAD �-".� NON=RESIDENTIAL""� ��_
•�'1:.�^�+$c'3' :'y9 .a_Tf.s�+::1�.,� .`.�_-'i.�RY .—�c �'.�.�`••VAI:UE , .._ATa100%OFTTV� ni-��VALUE�r.?'.�.� �¢'i_�-'-.,ar.L��.+VALUE::+�,�{ ��.-w �<
Land not exceeding 1(one) aae immediatety � (� � ' =,.�T^'��q-�;�k��az} j�-�rp � ri�
surtounding residential improvements. . ' �.���;c���.,.�yy', � .;� �� ;
Olheriand � . Z . �`�-�'��.s�H �`
l ) �,.�-���f�,���
iaYe.
TUa� land (line 7 plus line 2) (3�
. . Dwelling (4) .-� s-- i v^t's � � . Qt.'� . �.. :
y r
ResideMial improvements or Mnualty � `'� t€``�3` '�z' 'ae '"��"°`i
Assessad Mobile! Manu(adured Home Gara9e (5) . i�` $y,�.,�,� y�-�,�- ���'y :
'�''1T,.�s� �._ ��.WY.'.e='
Otherimprovements (6) t'�"...��s` „�` ��-�
-�1i�%li�r� 4:i'.
Tolaf improvements (line 4 fhrough line 6) �7)
T�tal value (line 3 plus line n (g�
I hereby ceffl(y Ihe above is INe, CORed, and Signature of Assessor Date signed
complele.
Verifying action - SignaWre of /wditor Date signed
�-�,'�'-i'�.'_'�+. ��. t'?'>.�'.,-._;tt�� 'is'tir`_•'.�m -- :;STANDARD.DEDUCTION�ALLOWANCE. �, .:�...a�'>,v.sr�:i�'�'"'.,,_ .«f;?�5�<.n,��ja�'�'�..._yc:-:
20_Pay20_
Lesser of v2 Homestead
vawauon or $35.000 S
Signature of fwditor ' Date signe0