Homestead_Trask •
•
AF%WE tw Oay t4BC viol IREASUaEF FORM 13-IA
.APPRCWED BY,IATE BMMnF MTR:AT.S.9M PafYpIBEP BY PIT DEPARTMENT'S tacta GOVE44M11.T EB:A\cEM 6-I.I-2.24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 recent the
benefit and to provide additional identifying information necessary to allow county govemtrlent to better monitor homestead
filings.this information will he kepi confidential and ran only he accessed by authorized county officials_The Depanmealt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
• Taxpayer Name Property Address
Trask, Jerry W Sr/Anita G
207 W Williams
Fort Branch IN 47648
2536
Jerry W/Anita G Trask Sr.
207 W Williams State Parcel Number Legal Description
Fort Branch IN 47648-1049
�t�tt��ttr�t��ttt�tt��tt�tttr����t ttt�tt��t�tt��t rt�rttIII tttI 26-18-13-404-000.337-02611-00337-00 SYMONDS 202PT/203PT
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
=mss tl� Aof
big Add ' own. and street,city,state,and ZIP code) n Same as property address
Spouse First Middle Last
fir' 771-c4
Mailing Address(N mbcr and sweet city,state,and ZIP code) Same as property address
J0 2 Z./
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 Si - Date
a• ^�•�
e�'=' � CLAIM FOR HOMESTEAD PROPERTY TAX
. CREDIT/STANDARD DEDUCTION
i��' "
.�: ��� State Form 5a73 (R2 / SA2)
�si.
INSTRUCTIONS: See reverse side for liling instructions.
FORM YEAR _
HC10
„_.� �
� IC�Q ._ Q i4.�1
�i �We) �ln,/ �" ��1./N..I.C,Q�. __ _ certify thai on� ot�1�ter/E�l�p�
�) occupied s ur prmcipal ce of residence the.following described real�property for which a Homnestead Property Ta�c Cr��B1E§y�laimed:
❑ I(We) owned � Are buying under contract ��`� /�
❑ Have a benefici - im r�,ir�he�Ti[� ��at is Iiabie tor the property taxes on the property and ihat under a contraa.
It buying on
Recortler's
�
Counry . Township
legal description
CONTRACT
PROPERTY DESCRIPTION
town, township)
strucNre or Ihe lantl not ezceeding or� (1) acre ihai immetliately wrmuntls that strucNre is
�ce inmme. ��
praduce income,
Page
Ne use and portion
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTIES
Couniy Township Counry Township
�eby certify the above siatements are [rue, correct and complete. Si namre ciaimar
Atltlress (number and sbeef. aty. sfafe. Z/Pwde) _ /�
O •/J
ASSESSOR USE ONLY TiiUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (��
Ocher land (p)
7ota1 land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvements .
Garage (5)
Other improvements (6)
7otal improvements (line 4 thiough lina � (7)
7otal value (line 3 p6s line 7) (g)
I hereby Certify the above i5 Irue, correct. and Signature ot Assessor Da,e signed
complete.
Verityi�g action - Sgnature ot Audiror Date signed
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