HomeMy WebLinkAboutHomestead_Meadows - STATE FORM 53544(R3It-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF NYOUNTS. 4 . PRESCRIBED BY THE DEPARTMENT OF LOCAL CAYFA\MENT FINANCE IC 61.1-$3$.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt-of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud 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
T T E D benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information rill be kept confidential and can only be accessed by authorized COtwN olficaals.The Deparmlrn[of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. ,
- - PART 1: PROPERTY INFORMATION
APR B 2011 Taxpayer Name Location Address
C.J.f ,e.�; Meadows,John W/Jennifer S -
v �V 302 W Strain •GIBSON COUNTY AUDITOR
Fort Branch IN 47648.. •
2149 -
John W/Jennifer S Meadows . 111111II�Li LII 1111111 LIIIi011 111111 @ 11111]II_IllIL II ILII LI LII011-I0lli liii
302 W Strain '
Fort Branch IN 47648-1332
IIIIIIIIIII'IIIIIIIIIIIIII'IIIIIII'I'III'I111'III'II'IIII ilduI State Parcel Number Legal Description
. 26-18-13-403-000.721-026✓PT SE 13-3-11 .23 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.
I
PART 2: TAXPAYER INFORMATION
Owned 1 First •'Middle Last
John WAY1vE f`2EROewS
Mailing Address(number and street,city,state,and ZIP code) R- ame as property address
302WST AINST
enni-Per Sup? .MER COUS.
MaiIu Address(Number ind s tr e e t,city,—stare,andZIP code)- ' • ____ _ -_ ame as property address. • -". "— - — __ _ -
.
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 wner true ' Date
�` �`ST„`° CLAIM FOR HOMESTEAD PROPERTY TAX
'�
1 �° CREDIT/STANDARD DEDUCTION
� ,
r State Fortn 5473 (R2 / S92)
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INSTRUCTIONS: See reverse side 7or liling instructions.
FORM
• HC70
YEAR
CERT FIC TION STATE ENT • �
II(We) Certiry Ihat th 5 a�
I occu � d as our principal place of idence the tollovn g described real property for which a Homestead Property �a,,�xAC�/redQit " h claimed:
I(We) owned ❑ Are buying under contract _ - 111'�1 V'� ����
❑ Have a beneficial interest in the entiry that is liable tor the property tazes on the property and that owns the prope or is buying un a contr ct.
CONTRACT RECORDED y s��p!TOR
�f buying om m�trad. Fee Simple ownefs name -`
Recortlefs office where contract is recorded Record number Page
PROPERTY DESCR TION -
Counry Township Tap isirict ity, 1a t ship) ,
Par nu r Legal deuription
l-�����-p .
If any portion of ihe residential structure or the lantl not exceeding one (1) acre thai immediatety surtounds Nat sWCture is used ro protluce income, describe ihe use arW portion ot
the properry utilized to Praduce incnme.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Caunry Tovmshi Counry ' Township
'Signa[ure tclaimani �
sreby certify the above statements are true, correct and complete. � �
`�Atldress (number and streef, pry, sfale, ZIP code) '
-3oa �� ST�A-�a Sz. � .�ieh�l >>✓ K7�'�
` ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately (�)
surrounding residential improvemenis.
Oiherland (2)
Total land (line 1 plus line 2) (3)
Dwelling (4)
Residential improvements
' Garage (5)
Other improvemenis (6)
Total improvements (line 4 thiough line 6) (7)
Total value (line 3 pWs line 7) (8) �-
I hereby certity Ihe above is Irue, cOrreCl, and Signature ot Assesor Date signed
complete. �
Veritying action - Signature of Audiror Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _ � ..
Lesser of 1/2 Homestead S
V ualion or 52,000
Signature ot Auditw ��^� � _ Q Q