HomeMy WebLinkAboutHomestead_Smitha STATE FORM 53569(C'/9-In) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.122-S.I
=r ; ; IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS tF .*
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Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
uction 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.
°'-- PARTI: PROPERTY'INFORMATION° " :*ti-yaf5,S';
Taaoaver Name Property Address State Pa reel Number l.esal Description:
Danny Ray Smitha 101 S WILLARD ST 26-19-18-303-000.417-026 EASTVIEW IPT2PT
FT BRANCH IN 47648 I
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
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PART 2:TAXPAYER INFORMATION 4■44'' Ta :'3't ;e
Owner I First Middle Last
Daring ��7 1-77-'1h Mati g Address(numbs and street,city,state and ZIP code)
Warne Same as property address
10/ 5. W.•//arej Si-. F/ er n c/t ,I ti Y7 6Sier
Spouse First Middle Last
Mailing Address(number and street dly,state and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number(last 5 digits) State ' Other(please specify in Pan 4 below)
kaf•- ::<., :,. - t. : PART 3:-CERTIFl •TION• - ` u'.:. ',1T'_poi bflr.,.diF,IOr.. .t ; +.; ,.n
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
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FILED
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GIBSON COUNTY AUDITOR
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E= q CLAIM FOR HOMESTEAD PROPERTY TAX
� -�1 ; CREDIT/STANDARD DEDUCTION . '
,. ;�y , � State Form 5473 (R2 / 5�92)
INSTRUCTIONS: See reverse side toi liling instiuctions.
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��pR 231996
I �We) _��(„X/_��_ �_ �i%W�.l_/\./la� certify that on-the �,Id14Ef�rch. 79
.�) occupied as our principal I e of reside c the following tlescribed real�property for which a Homestead Property Tax Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract _ ,
❑ Have a beneficial interest in the entity that is liable for ihe property taxes on the property and that owns the property or is buying under a contract.
- � CONTRACT RECORDED - � �
If Wying on contraCi, Fee Simple owner'S name . ' . _ . . , .
Rewrder's oHice where comraci is recortletl Recortl number Page
Coumy
' PROPERTY DESCRIP'fION
Township - . Ta<ing district (
Parcel number Legal description
C� � �-1��� rl-C�O "
If any portion ot t�e resitlential stmcmre or Ne lantl not exceetli
of t�e property utiBzed to protluce incame.
a
acre that immediatety
town,
produce income, describe Ne use antl portion
ASSESSOR USE ONLY � TRUE TAX � ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately ,
surmunding residential improvements. (�) -
Oiherland (p)
Total land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvements I
Garage �5�
Other improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � �g)
I hereby Certify ihe abOVe is �rue. Correct, and Sgnature ot Assessor Date signed
complete. -
�ing aaion - Signamre of Auditor Date signetl
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19_Pay19_
Lesser of 1/2 Homestead
Valuation or S2.000
STANDARD DEDUCTION ALLOWANCE
S
af Autlitor — I Date si9ned _