Homestead_Wade (5) STATE FORM 53569(RM-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-5.I
•fir «•�< '' IMPORTANT.NOTICE TO HOMESTEAD PROPERTY OWNERS r l`.
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
• !eduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
auses.higher tax bills for_all; therefore;.HEA 1344-2009 requires taxpayers who receivethe'homestead -
standard deduction to verify that1they are eligible to receive the benefit and td provide additional identifying'
information necessary-to'allow count}_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 r/‘
homestead fraud.
1"-" ,PARTI-PROPERTY'NFORMATION
Taxpayer Name reopens Addeesy State Parcel Number Lend Description:
Ronald/Patricia Wade 1001 S LINCOLN ST 26-19-19-103-000.823-026 LOWES ADD 17/18
FORT BRANCH IN 47648
Complete and return - - IOBIIml VIlllff111n000.110ff10®IIll11I[ llllB u1U1111
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
- PART 2:TAXPAYER INFORMATION • - ....id - .
Owner 1 First Middle Last
ROn (� !
FOflM HL 10 19i9
Nescri�ed By Staie BoarO of ia: Commis5ioner5
To Be FIeO in DuD���ate
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19 7 9
. ✓
SEE BACK FOR FILING INSTRUCTIONS O� r� ��a3 _OO
�(We) `�-�" �— i��'�"-�-r—�- '
the following_described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
O have a beneficial interes in the taxpayer �,/
Property Description in � County �/�+ Township
Taxing District (2it�TOwn, Towr�sHip): �� %3/�-s—r-<L..
Parcel Number or legal description shown on tax statement:
�0-�4 C�..e..c : / s� �- / �
If buying on contract Owners name �`� 9tnp1e °w"a9
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.
% 'S�9na�� " `C(L'l� St��Oe/ �1
County
Gry. S�are
Township
Cooe
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. ihe taxpayer. _
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immedi
surrountling resident��ov�men�
Other Land �
Total Land
Residential Improvements JUN 2�! 1979
� Y'i /�����CRi(i
r/ AUDITOR
Other Improvements
True Cash
Value
��� ��Lo
(2)
(3) � �O
Dwelling �4� �°
Garage �5� �—�3 S�
Total (6> '�°'
(�)
T'' Improvements - Line (6) plus p) equals (8) (8) 1l�7va'
I�by certify the above is true. correct. and complete.
Siqnawre ol nssesmr �� J
Assessed
Valuation
a�o
oZ SLO
Homestead
Valuation
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oate: � 7
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