HomeMy WebLinkAboutHomestead_Ward • • STATE CORM SNA IRt',NI TREASURER FORM TS-IA
APPkOVEO BT.,'tit BIRD OF ACC MLN1S.:on PREYIDDE BY Till DEPARTYE.YT(f LOCAL nostrNMrnT FINANCE Ic I.lr-RI
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
. 6 more beneficial,there is more incentive than eser 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 receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'Ibis information will he kept confidential and can only he accessed by authorized county officials.The Ikpanmmn of
Local Government Finance will use this information to create nails that will help corms'officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Ward, Sandra S
701 E Ulen ST
Fort Branch IN 476-IS
7714
Sandra S Ward
701E Ulen State Parcel Number Legal Description
FORT BRANCH IN 47648-9796
I uIIlll11rllllll1l11II11I1I1I111111II1Imtt'It,II 11111111 26-19-18-302-000.832-026 011-00832-00 H ILLCREST 59PT
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Sa h,dra- Sue tiJa r
•ilbtg Address(number and street,city,state,and ZIP code) -- — - -- — — - use as property uddi&s — — - — ._ — _.
70/ F u /e-/ .c-f• ford- .8 1-a it ch --tit Y 7 4 j g
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please spstify in Part 4 below)
Sow
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 Signature
FOflM HC 10 1979
hescriDeO By State Baard ol Ta. Commiuionen
io & FileO in DupliWte
CLAIM FOR HOMESTEAD PROPERTY TAX CAEDIT FOH YEAR 19 �� �
SEE BACK FOR FILING INSTRUCTIONS D�I_ oo83a-O0
�(We) °�� �-d- ,-�`"�---���--- a- _ Y sa-.^-.�-'-ti S• 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) ❑ owned
O are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �-��-. County �-�--�-�-�- Township
Taxing District (Cit� Town, Towwsk+p): � - �n-.-.---<�-
Parcel Number or legal description shown on tax statement:
\ �,��P D�.� � z- � q w�'�
If buying on contract: Owners name �'� "nip1e °'"ne`�
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: County Township
�hereby certify the above statement is true, correct and complete.
' 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 tazpayer.
Land not exceeding 1(one) acre immediately
surrounding residential improvegien�
Other Land � � � ��
Total Land
Resieential Improvements �t 191g_
:�RY.9�.�YU:7[:7
Dwelling
� / //�`k ^� Garage
/ �� "' , Total
� -1 <j/������
Other Improveme AUDITOR
Tr�' ImprovemeNS - Line (6) plus (7) equals (8)
I i1leby certify ihe above is true. correct. and complete.
Signamre ot Assesmr
SE ONLY -
True Cash
Value
(�) ) o�,Lo
(2) —
(g) � � sLo
(4) �-i�-cTZ"a
cs>�ao3o
(6) �Sf--c��
(�) !
Assessed
Valuation
3 � o
3�v
h� 7L ��
Homestead
Vatuation
3 S`o
� o �
�8> � ��� �-
- ACTION BY AUDITOR -
5-3�-7R
oa:e
Approved: �',�"• �� Date: � '�, /9 %�