HomeMy WebLinkAboutHomestead_Speedy STATE FORM 53569(83/8.10) TREASURER FORM TS-I A
APPROVED B:,-STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6.1.1-2222-8.1
• IMPORT • NOTICE TO HOMESTEAD PROPERTY OWNERS .0L-= '
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
__Ilzauses_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 t `a " `' "2°'°
Taanaver Name Prober-1Y Address State Parcel Number J,epal Description:
Royce R Speedy 205 S WALTERS ST 26-19-18-303-000.767-026 WALTERS ADD 327PT
Fr BRANCH IN 47648
Complete and return to:
NONE B{lY LLpp11®® pEVm11Um1IOM
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
z'. k PART 2:TAXPAYER INFORMATION a J a yl'
Owner t /� First Middle Last
(/10tiC Vl6 F3�2� s�«43y
Mailing Address(comber and street city,state and ZIP code) (��/
I jt Same as property address
a06 wA4fERs Foy 429-.4.-e2� 976 Yir-
Spouse First Middle Last
Mailing Address(ra nber and street.city,state and ZIP code)
Same as property address
Social Seartty Number(last 5 digits) Drivers License/State ID Number(last 5 digits) slate Other(please specify in Part 0 below)
•
r R a ,.:.-'d. Vii._:' r 1; .-:> _ -
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 prcperty. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or
sham?table for s and substantial fina 'al penalties.
1pg,tatue Data
FILL
• Nov 7 7r12
- - - -- - - - frttn. - - - .I
GIBSON GUUNI Y AUQITnjt
�� CLAIM FOR HOMESTEAD PROPERTY TAX
�' ' CREDIT/STANDARD DEDUCTION
"., � Sfate Fortn SI73 (R4 / &00)
INSTRUCTIONS: See reverse side (o� fi/ing ins6uctions.
I (INe) 6L�
I(We) occupied as o principal place of residen the follow' d scribed real property for which a H
❑ I(We) owned ❑ Are buying under contred
�iave a beneficial interest in the enlity that is liable tor the property taxes on the property and Nat
f bv�'vg on contracL Fee Simple ownefs name
Recobefs ofiice where contraG is recordetl
FORM ry� YEAR
HC10 � ` /�7 a
�.a v
certify M2T on
County TamsMp Tacing Eistrict (city, fown, township)
Parcel number . Legal d 'p'on
If arry portion ol Ihe resiCenfial sW cture or the land rwt exceeding one (1) acre that immetlia surrountls Nat sWCture is
of Ne D�operry utilized to praduce income. •.
IRecord number
of March, 20_
is h by davned:
DITO��
underacontrad.
, IPaqe
produce inmme, desttibe the use aM pntion
t ca�M+ �°. a�+a.wr: ��a -+*.,s-sRa:..�.s.F .x�s.i+ar
c..�"�'� "i �- �'��'�'�'�"'"�r � TRUELTAX �' ASSESSEDdVflC:UE s pHOMESTEAD� �:'� NON=RESI�ENTIAL,� �:
��'��i ��.,�SSESSOR�USE�ONLY'� � " �'VALUE a � `t"AT-;1009"OEaTiN �yALUE'� �;�.e � VALUEa'°'' '
as.� x�.d.i:.f a.:i.�.......�:e�. 3r ��Ts.ati�r a.aL::-:� r� .,L"'aE.�
Land not exceeding t(one) acre immediatety -� (�) "'� '-��� g^ . �'�s,G-
surrounding residential improvemenis. .�„p�"`y�� �¢ r'�-
O�her land `�'��`"'� `� a����
. �2> - ����-��
Tdal land (!ne 7 plus line 2) �3�
Dwelling (4) �`��`��' �
�������� �
Residenlial improvements � 5����. -� `� .
� r
Garage (5) Y ��'�,��"� ' �s
- a2�.r�«��r: '� .-�.. -
�!;�-.^""'`+'-;..• .
Other improvemenls � (6) �j���7r+�„� �kM1'-�3..3v��^'-�?.r�
%G���.".if�'�6'�9
To[al improvements (line 4 fhrough line � �7�
Tdal value (Gne 3 phs line � (g�
I hereby certify the above is We, corted, and Signanre o(ASSessor oaie signea
complete.
Verifying aGion - Signaiure oflwditor Date signed
�i�.ar�`.��r"�'`,,�-`3���'��,.,�3t`��"i.�;�'�?�P'a'.STAN�ARD`'DEDUCTIONALLOWANCEc.��7,Z��i'��-�;s�t �'�i�``:k�'%5�°�'"-�+'."..Y�_ `e
20_Pay20_
Lesser of 12 Homestead
Valualion or $6,000 $
SlgnaNre ofAuditw Date signeA