Homestead_Smith (23) STATE FORM 53%9(R2/809) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY 110E DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1-22-8.1
DM'PO:RTANT NOTI'RE TO H'O-MFSTEAAD PROIPBRTV. 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.
'pauses higher tax bills for all; therefore, HEA 1344-2099 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: PROPER 5 I\ ORMATION .
Taaoaver Name Property Address State Parcel Number / Legal Description:
William E/Virginia R Smith 700 S Center 26-19-19-101-000.731-026( 011-00731-00 PRITCHEITS ADD
Fort Branch IN 47648 v 245PT
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PARTA$11L C}1tINFORMATION :.
Owner 1 First Middle r Lest
L.L.
WI ,q m E6 Loh RD -57/7-et
Mai Address(number and street-city,state and ZIP code) I lerSarne as property address
70o S. Cc'vTeg Sr. Foer Aen,veh . r -4 7( V8-!
Spouse Fast Middle Last
Jr w {
►A`/rRG- IN) R IRO Se, 5 /A
Mai Address(number and sveel,lay,state and ZIP code) [i al Same as property address
700 S. ( e, -T-&R.. 7; Co RI*
homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or
she may be liable for back taxes and substantial financial penalties.
Owner 1 Signature Date
-
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
t smm rarm strs Rt7 � s-0�
Preacnbed by ihe Depertrrient d Loml Gwertvne�rt Feunce
INSTRUCTIONS: See ieverse side (w (Jing ins6uct6ons.
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FORM � �
HC70
I(We) " l` V V A�ltil� (!�— i/Wi �1 on he sl�l y�ofjb2yd% N7_
I e oca ed as aa �r � g
(W ) pi prinapal place oi residence the toDOwing d "bed real property for which a Hanes� Property Tmc Gedit is hereby daimed:
❑ ��"'e) °w"�° ❑^�e b"yi^e �^der co"raa JU N G$ 2007
�Have a benefidal inffirest in tt�e entiry that is IiaWe for Ne property haxes m the properly and that o�ms the {xoperty w is buying under a contract
tt b�ryciB om m�trad. Fee Si�le wrtiers reme
oi�Ce wt�ere carNeC is recoded
Tovrahip
disUiti (clY• lown.
Remd number � Pege
�'�`9-/9 /d-�`�� ;c,� '' �� � o M���,�,,.�.�,.,_n
H arry portion of Ihe ieside� struWrte w the Imd nd omeedirg one (11 aae that'unmed�ataly wrrounds ihal ia uaetl fn produoe'vroortie. describe the we and P�n
d Ne property uG5md b produca uimrne.
20_Pay20_
Lesser aF 12 Homestead
Valuatim or 535,000
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