HomeMy WebLinkAboutHomestead_Snyder STATE FORM 5)5t UI610) TREASURER FORM TS-IA
• .-.- APPROTD BE STATE BOARD OF ACCOUNTS,NXN PRESCRIBED By THE DEPARTME\'E OF LOCAL GOVERNMENT MANE IC 6-11-224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street
Princeton, IN 47670 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 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
0 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.
APR 7 2011 PART 1: PROPERTY INFORMATION .
C ,� Taxpayer Name Location Address
Snyder, Antosie B
GIBSON COUNTY AUDITOR - 402 N Church
Fort Branch IN 47648
2450 -
mill 01I(_ I III I [ l!II I IIII 0111�I mmo1II3III1/II1 II mom II II Antosie B Snyder
402 N Church St
FORT BRANCH IN 47648-1131
IIII'ItIIIIIIIIIIIIIIII'IIII'I'IIIIII'lllll'lllllll'I'IIIIIII"II State Parcel Number Legal Description
26-19-18-301-000.681-02V PT N SW 16-3-10.29 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.
l PART 2: l'AXPAYER INFORMATION
ov. First Middle Last
•
77� � frITC 8 5A75/,6� .
Mztlmg Address(number and street,city,state,and ZIP code) Same as p petty address
•Spouse . . Firstl Middle Last
__ Mailuig Address(Number and street,eity,state,and ZIP code)_-_ ` _ -. -----—— --OSa i a property iddreS 4 _ __.----- -- __
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
.2I I I I I I I I • Szat
PART 3:CERTIFICATION
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 .r..• . Each undersigned also understands that,by claiming additional homestead deductions
unlawfully, ,e or she may be liable for back . d substantial financial penalties.
Owner I Si attire - Date
. _.,
PreSUi�CO BY Sla!e DoaiC o� la� CAmmissioneis
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�
✓
SEE BACK FOR FILING INSTRUCTIONS
/}����� ���^,•(� I I- c06g 1- OQ
�,�') ��"� `� `^� "' certify ihai on the 1st day ot
M....,n, 19� I, (We) occupied as our principal place f residence the following described real property for
which a Homestead Properiy Tax Credit is hereby being claimed:
I, (We)'LI owned
❑ are buying under contract
❑ have a beneficial interest in th^e ta�xpayer
Property Description in °�a�Couniy �� ' `�"�^^�+� Township
Taxing Disirict (City, Town, Township): • �
Parcel Number or legal description shown on tax statement:
Q� . ��'� SW'y 18-3-ro ��5��
If buying Ofl contract: Owners name ��ee s�mo�e o.�c�i
Coniract recorded in Recorders Office - Record No. S Page ��
If any portion of the residential structure or the land, not exceeding one (t) acre thai immediatety surrounds that
struciure is used to produce income, describe the use and portion o( the property utilized to produce income
Any other counties in which individual oevns or is buying real property: County Township
the above statement is true, correct and complete.
' Individual either ov✓ns or is buying under a contraci thai provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer. F�� L� �5��
- FOR ASSESSOR'S USE ONLY - �j,��,� Y��—S
� Au�►�t��. J
Land not exceetling 1(one) acre imrnediately
surrounding residential improvements
Oiher Land
Total Land
Residential Improvements
Dwelling
Garage
Total
(�l
(2)
(3)
(4)
(5)
(6)
True Cash Assessed Homestead
Value Valuation Valuation
Other Improvements (�)
Total�rovemenis - Line (6) plus (7) equals (8) (8)
I hereoy certify ihe above is true. correct. and complete.
Signam�e ol nssessoe
- ACTION BY AUDITOR -
Henroved: �IV'`n"`' � ' ��
Da:..
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