Homestead_Parrish STATE FORM 53569(RIB-10) TREASURER FORM TS-IA
APPROVED BY SFATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-222-9.1
IMPORTANT NOTICE TO H OMESTEAD PROPERTY-OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
Ocauses 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.
PARTI-PROPERTY-INFORMATION
Tatpaver Name Property Addresy Slate Parcel Number 'Areal Description;
Maudie A Parrish 14 W RED BANK RD 26-18-24-201-000.197-026 LAGRANGE ENLG 216PT
FT BRANCH IN 47648
Complete and return to: 1111111011QHiE'i1riMIIIIE MEIHliCu'iL11101iu111ff
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2:TAXPAYER INFORMATION ..
Owner,1 First /� / / Middle D Last
inALA--Cry /7 JnJE1 r�— / A22(51%
Marling Address(number and street.city,state and ZIP code) i>l Same as property address
Spouse First Middle Last
Marling Address(number and street city,state and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number(last 5 digits) State Other(please specify in Pan 4 below)
� d • --... _ ._ • reARx4aRTincAx49N:;a
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 Telephone
y
///Q Q V
Spouse Signature Date Telephone
:...."J • '•.•. . ,_. n, .?t_. I! ' a IT 1,-^OITIONAL.INFORMATION 3i. _�'df • • `'i#� � ;r"•re >>3
JL i i
•
NOV 7' 2012
0II3bON COUNTY AUDITOR
�R.�' CLAIM FOR HOMESTEAD PROPERTY TAX
d .
`�-`" � CREDIT/STANDARD DEDUCTION
S y State Form 5473 (RS I f0-01)
�b� Presrribed by the Department ot local Gavemment Finance
INSTRUCTIONS: See reverse side Ior filing insVUC�ions.
Za_ .s: . i +t' r ., ';_ - ._... .� . . -� � .
. -_„_. .,•�._. ��'. � - ' �CERTIFICAiION
/
FORM YE _ �
HC10 rf� 2'
�
1(We) �/�1,1.L% /(i � /- i.Ql(/z,[ ,� �� certify thal on the 1st day of March, 20_
I(We) o pied as our principal place of residence Ihe (ollowing described real property (or which a Homestead PropeAy T� Credit is hereby Gaimed:
❑ (We) owned ❑ Are buying under contrecl
, Have a benefidal interest in the entity that is liable for the property taxes on the property and Ihat owns the property or is buying under a wntract.
-:_�T".-l:..:v.i�.,�'n ,.. ._.>'-_ ��'?C:'.� " "_' r''.. "CONTRACTRECORDED,': ,..'�r',,. _ ;. . ,..._ __.._ . �
If buying on contrad. Fee Simple ownefs name
Remrders office where con�rad is rewrded
Counry Tavnship
Parcel number Le al de:
�'QQ� 7-
If any portion ol lhe residential sWcWra w the nd not
of the properry uUlized to produce inwme.
� acre that
I Rewrd number I Page
, ,A: _�:t . -� �". . .- . _ . ' _ .. .
I Is ihe pmperty in question:
❑ Real property ❑ A,tobiie Hwno (I.C. 67.1-7)
surmunds thal swcture is used lo produce income, desvibe Ihe use antl portion
i:�-'''. �� '`�`-�.�'+F '-'.,??' 1� �� 3;.-; �- -�� •pROFERTMOWNED BYCLAIMANTiN OTHER"COUNTIESF_, -; �: T � �fi;".4 -- ., �,r -rx '-_:+-:.
�
Counly Tavnship County Tavnship
I hereby certify the above statemenls are W e, conecl and complete. Sig. a� e o1 claimant � �
�dress (numberand street, dty, sfafe, ZlPcode)
'`� i�''�� ASSESSOR USE ONLY T�-��' �'�-� '�yTRUE TAX ��ASSESSED VALUE HOMESTEAD :� j NON RESIDENTIAL�.�. -?
��'�.1.��� . !.S_zn-.. ` �' -. :.x VALUE. z � '� AT 100% OF'.TTV , . VALUE�',�z M ,E � ?VALUE ..._%�'a?���'=
_ .-_ . . .. -- - ` ' - '.. �.. . .- _ . _�
Land not exceeding 1 (one) acre immediately �= � � �` � �.'' ` �.�'', � � � f � - ` -'•
7 vs+. �:-..,. . � -:
suvounding residential improvements. ( � �` ? ..'-.�t �'>rs,':-�.- �; �r.,. �� , :
Otherland -`*`� 'f�'�� Y
(Z). . v ' c`p �?:
Tctal land (line 7 plus line 2) (3)
�. �... �Yy��� .
�w2��fOg (4) , d �Fr�,�-% �� y •9✓T.�
Residential improvemenis � h-`"s'� ' �h'y'�.�''
ri�' ��7'��`a.;� `��,�t� �=x���;
_ Garage (5� .� �, L� �°-'r'Y'�'�� �*--�. .
._- �,� ,r:,-;
��•= . �:� -s � _
Other improvements (6) '}? ' . � ��'�� �`'� `
:� ;icc;.°: ;::�..
Tdal improvements (Irne 4 fhrough line 6) (7�
Tdal value (line 3 plis line � (g)
I hereby certify the above is W e, cortecf, and Signawre o(,�sseswr Date signetl
complete.
Verifying action - Signature of fwditor Date sgned
��.c��`ii�s:.`_� �, ��M �-_iP � z. -�� i'.:-r ar:-t �xSTANDARD.DEDUCTION'ALLOWANCE "''c'zs'i t'e, °-t..._ �.o'L_ � �:r-�''ux�,. �tfk-�4 ;� -
20 Pay 20
Lesser of tY1 Homestead
Valua6on or 56,000 5
Sgnature of Fwdilor Date signed