Homestead_Seiler (3) STATE FORM 53569(R3/8-t0) TREASURER FORM TS-IA
APPROVED B94 STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22.8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS l3 4
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
•.luction becomes 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 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.
PAR I: PROPER Y INFORMA ION tn.v.
Taxpayer Name property Address Slate Parcel Number yttal Description:
Phil R Seiler 705 E WALNUT ST 26-19-I8-304-000.025-026 HOLCOMB ADD
FT BRANCH EN 47648 ��11 7 pp 19P((T/2OPT2]I PT/22PPTnpp pp
Complete and return 10: IIIW�IG tlY QVIrI!I LL4FIOWiBlf9113 L�I iLl uiwiiFlCJutmutiiu wliF
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
Owner 1 First Made last
-PH I I_ R06ele t Stl L CPS
Mailing Address(number end street,city.state and ZIP code)
K)Same as property address
- Spouse First Middle Last
51LL (tea SEILC�
Maihng Address(number and street,city,stale and ZIP code) X Same as property adorns
•
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
� R��
CLAIM FOR HOMESTEAD PROPERTY TAX
r� � CREDIT/STANDARD DEDUCTION
State Form 5<73 (R2 / 5-92)
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m
INSTRUCTIONS: See reverse side !or liling instructions.
FORM YEAR
HC10
, . _ . -:,,CeAnFrCnnoH srnr�o±T;' "::cr-�'�T' *`m .'. '�"9 � - :_ . - _
�_ ' lt,A �t 11 �1'� 41
� �WQ certi�ty [Fiat o the'lstada �of�March, 79_
�'e) occupied as our principal place of r ence the following describ d real property for which a Homesteadl�(QpertyrTaiy�oit is hereby daimed:
u111v L �
❑ I(We) owned ❑ Are buying under contract
/;
❑ Have a bene(icial interest in the entity thai is liable tor ihe property tazes on the property and that o� the properry or isbuying under� contraa.
�� `--� . �_�:� : .,.�e �
�� �,� _ :.. r_ .., iu!70R l
�.:., . , . . � . -- _ - � CONTRACTRECORDED';-,. .�_ .�;, r :'..,,�.e �_.:. -.;,_.:�.,,e'
. .. . .•�_._ . . ...... w...
If buying on contrad, Fee Simple owner's name
Recortler's oHice where contratt is remrded
Townsftip
ponion offfie resitlen6al structure orihetand not
property ut�izetl to produce income.
Record number � Pa9e
- �PROPERTY�DESCRIPTION ". ° . . ` '. - ��.� �; ... . �:'� ' � - -� � �
Tazin is �cl , town. rownship)
� � P-� �a�
one (7) aae that immediatety surtounds ihat swcture is used ro produce income, describe the use ant
� � ASSESSOR USE ONLY �. �UE TAX ASSESSED NOMESTEAD . NON-RESIDENTIAC ..
. , - VALUE� VALUE VALUE VALUE-�" �.
Land noi exceeding 7(one) acre immediately - ., .- ' �
surrounding residential improvements. � (� � � �
\ -
Oiherland (p) " - " .
Total land (line 7 plus line Z� (3)
Dwelling (4) ` ' . . � �
Resideniial improvements . �
Garage (g) '
Other improvements (6) �
Total improvements (line 4 through line bj (7)
Total value (line 3 pLs line � (g)
I hereby Certify Ihe above is irue, correct, and Synature of Assessor Date signed
complete.
ifying adion - SgnaNre of Auditor Date syned
STANDARD
19_Pay19_
Lesser of V2 Homestead
Valuation or 52.000
3
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