HomeMy WebLinkAboutHomestead_Thomas Y. • STATE FORM 535eo(R3/t-I0) • - TREASURER FORM TS-IA
APPROVED HT STATE BOARD OF ACCOUNTS.1® , PRECRIRCO BY THE DEPARTMENT OF LOCAL GOVERNMENT FINAV(F.IC 6-1.1-2111.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY 8WNFaRS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
• Princeton. IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore, ,
• I L J ' L HEA 1344-2009 an p ovide-a taxpayers who
ti yingi information the anon ece standard allow con to government that they are eligible
ni monitor receive the
benefit and to provide-additional identifying information necessary' to ollow county govemmrnl to better mommy}mmcstead
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.
PART I: PROPERTY INFORMATION •
APR 6 2011
Taxpayer Name Location Address
C.J Thomas, Jim/Grace
701-703 CENTER -
GIBSON COUNTY AUDITOR FT BRANCH IN 47648
8024
110111�1111
Jim/Grace Thomas II_I�III_�III III I III III 1.0111 n10111 DI DIUn_II_III�I_ III II DI�IIII
701 S Center .
•
Fort Branch IN 47648-1703
i'Ill'Illtill1'111'1"1'I'1111'1I1Iillliillli'llllill'I"11'111 State Parcel Number Legal Description
26-19-19-101-000.781-026✓PRITCHETTS ADD 244
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.
-r 1---,_____.__-_-----._..____ AR.T:_T.A PAIEI 1NFORNIATIION - '-- — -- — --
OM.. . I First Middle last
Mailing Address(number and street,city,state,and ZIP code) [mrte as property address ",
-� o / , S =Crier 5+. • .
-
Spouse Firs[ Middle Last
ra,c� P
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address - '
es
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is n ue and correct and that he or she is eligible to
receive the homestead standard deduction oo 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 Signature Date
weM xc m is�v
ReuriheG By Stata BoarO af Taa Commissioners
To & Filed in OuD�iwte
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 � 9 ✓
SEE BACK FOR FILING INSTRUCTIONS OC/� O O� b' �0'O
-�� �Y � KJ� _�c_ t
�(We) �—T �� � certify that on the 1st day of
arch, 19�, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit �is hereby being claimed:
I, (We) fd owned
O are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �-�-n� County ���-�- Township
Taxing District (Cit�Town, Tow�fiip)c ��• �^-'"`--��
Parcel Number ' or legal description shown on tax statement:
�/�-�-t LO ir+-��. � '� �/ � f � � � PD`
If buying on contract: Owners
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
0/1 . � /1 .. . _ � _ ,
County Township
ire � St�t /O�ress Ciry. State antl Zi0 �e
�� � � � � g ��� ��
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Lantl ,�i � � � �
Residential Improvementsg Dwelling
.IUN 2' i97° �arage
Total
Other Improvements � � ���u,2�
To'� Improvements - Line (�plus (7) 6$�I�($)
I��y certify the above is true. correct. and complete.
.-
True Cash
Value
(i) (0 3-0
(2) —
(3) l0 3 0
(q) � °
(5) 3 j- o
(s) .� � e
(�) —
�8� >>�—
Signawre o� Assessor / / U
�� - ACTION BY AUDITOR -
�, ��' /�`%��
Assessed
Valuation
a i o
� /o
�s�
�a
Homestead
Valuation
Z i o
�
�— 30 — � 9
Daie
G -.z 7- � � i
Date:
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