HomeMy WebLinkAboutHomestead_Perkins (2) STATE 1KM1 M Ir/YMI nnEsa%tA FORM r IA•
4 KTeIMPORTANT NOTICE TO HOMESTEAD rP PROPERTY OWNERS I_
/ Gibson County Auditor
101 N Main
_ PRINCETON IN 47670 IndividuaL,and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than es er for homestead fraud.Homestead fraud causes higher tax bills for all therefore.
0 HEA 1344-21709 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying informntmn netrsan to allow county government to better monitor homestead
filings.'Ibis information will he kepi confidential and can only be accessed by authorized enunty officials-The Da-penmen,of
Local Glwermnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1:PROPERTY INFORMATION
Taxpayer Name t/ Property Address
_ The Allen C Perkins Ltd Ptnsp /
606 E tJlen
Fort Branch IN 47648
7705 (/
Allen C Perkins
FORT BRANCH IN 47648-9706 State Parcel Number 2 Legal Description 1
1r1u11ntltllntlu llndtlrInlntIllnnilulinullrrrrlirl 26-19-18-302-000.733-026011-00733-O0 HILLCREST 47PT 1
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last 7,-,-_,K, /,45-
erg Abbdress(number end street,city,state,and ZIP code) CL�5 me as properly address verj
5
.--------
Spouse Zes K�E First •»-7 Middle 2Ki ni5 Last
ir:j--' r zer/9-45 F C
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
— — — . 5=— . _ _ _ �__ _. — _ _ _. _
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 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 I S' u Date
.
•
STATE FORM 53569(RM-09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-8.1
e IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
-L 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: PROPERTY IN ORMA ON
Taxpayer Name Property r /s State Parcel Number Legal Description:
Allen C Perkins EIn 26-19-18-302-000.733-026 011-00733-00 HILLCREST 47PT
Fort BrarietTN 4
APR 2 7 2010
Complete and return to:
GIBSON COUNn�pt't 101 N MAIN PRINCETON P4 47670•
•
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
/VC CC—/v CIZ JK/ t)CS 1 • / Ej�/,cic\/S
Maeing Address(nurrter and street,city,state and ZIP code)
I ✓J3nE AS property address
o 6 £ U4.enr 6i 7 oIr ,,247yvcif _,(Liz/ 27476 94g
First Middle
Last
C e"--/g 5 C,
Madug Address(number and street ary,state and ZIP Code) Same as properly address
Social Security Number(last 5 digits) Drivers License State ID Minter(last 5 digits) Stare Other(please specify in Part 4 below)
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 Signaure Date
PART 4:ADDITIONAL INFORMATION
•
i / � I
� '
Q� ny0
t �CL/AIM FOR HOMESTEAD PROPERTY TAX
"''"" '�CREDIT/STANDARD DEDUCTION
` , State Fortn 5473 (RS / 10-07)
p° Prescribed Dy the Department of Local Govemment Finance
a\„ O INSTRUCTIONS: See ieverse side lor filing instmctions.
1(We) l��X/j�,_I/ (///�1(�(/1tX�
I(We) occupied as our principal place o( residence the following d�,a�
❑ I(We) owned ❑ Are buying under coniract
�lave a beneficial inierest in the eniity ihal is liable for the prop� .xes
If buying on contract. Fee Simple owners name
RemNels atfice where contract is remrded
Tavnship
`'�� � /
FORM � YE ,
HC10 �
b3
+
' �ENT':.-. '•.
_ _ _ certify/qp�nlh�l�0�of March. 20_
prope� 'iome ead Property T�c Gedit is hereby Gaimed:
�/
/ and �' �t��� 8 . byy�ly�er contract.
�
r� :,� . . -ti y.
}.• Sp , -,?z.. -i� _ _ -.
Record number Page
_� .
Tming
P/a/�`el u�ibe^ �� L np � I e O�oOertY in question:
7►1 �^ �eal pw0erty ❑ Mobile Homo (LC. 57.1-7)
�d0
If any poNOn ol �he resi0ential strucWra w ihe an nol exceeding one (1 ue at mme iately surm nds tha� swcWre is used to protluce mcome. desuibe lhe use and poNOn
ot the properry uGfized to produce inwme. -
a�-�q-��-�a-��. 7 33-oa�
CouNy
Tavnship
I hereby certify lhe above stalements are We, correct and complete.
(number and street, city, stare, ZIP code)
_ �
a`�^�-.E` �''"� �AS ESSOR SE ON YS �'"c ��,� �. �+3TRUE TAX � ASSESSE� VALUE HOMESTEAD' . s� 4sR,'}NON RESIDENTIALk !"�-�
�Svt.`'9L.?.�'�i�--°�:i: �..,�:-.:�°".-�._,.�--eR'?.�s�.�.,.s.�._AVALUE�� ��AT100%OFTN ��VALUE��?'�3�y,�:.:..VALUEn�-��a"�Lsi�''
Land not exceeding i (one) acre immediately `- ,�� f`''i.�` �� �-. �� �;-,-> �' � � `'
(1) ;'� ,C��'t}x + .i°„n`ah..;.
sunoundingresidenlialimprovemenLs. „�,y.,s,rw 4.�,�;`y...,-"==?'.,�,�*
��$ � _ ; -
Other land (z) �y.��x r �+�. ,��
TUaI land (line 1 plus line 2) (3�
Dwelling (4) .zj""tfy' �4Eassr ��'�d�'-{_"`�. 'S
Residential improvemenLs �--
,-.�wC*a- � `:=,�` r -.:-rfr.c
Gara e �' � "�=�' � �
�9 (5) �`��i.a�`3`�y���,�5
. 'a, T s�..,� - �.
Other improvemenis (6) � � '�.- � �� '.
-- ':3'sct;�.:.r.-
Tdal improvemenLS (line 4 through line 6) (7�
Tctal value (line 3 plus line � (g)
I hereby certiy the above i5 Vue, cortect, and Signawre of Asseswr Date signed
complele.
Vuifying action - Signature of Fwdimr ' Date signed
20_Pay20_ I
Lesser of 1Y2 Homestead
Valuafion or 56,000
S