Homestead_Young (5) STATEfORAl 53561(R3/5-l0) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.I 22-B.I
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IMPORTANT NOTICE TO•HOMESTEAD,PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
5 duction 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 receive the benefit and to provide additionai 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.
ARTI: PROPERTY INFORMA ION -
Taspas'er Name Property Address State Parcel Number Leeal Description:
714 KENNEDY DR
Michael T Young 26-18-13-101-001.112-026 CANDLELIGHT VILLAGE 17
FT BRANCH IN 47648 D-4
Complete and return to: !Ri IIP.M uh111Id0[111GOAIIl:Il0IllJfl1!OIOUlJ[I1[IIIf fIJf1llll
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
}, .< PART 2:TAXPAYER INFORMATION . . . .
Oanes
I Ens, Hidd!e Lact
/ )/ 1-( °X Yd 4}6--
Mailing Address(number and street city,state and ZIP code) Same as property address
I . 1
Spouse First Middle Last
/awn '-N younc
Mailing Address(number and street city,state and ZIP code) 4.
! I Same as property address
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Each undersigned certifies,under penalty of perjury,that the above and foregoing information is True and correct and that he or she is aNgitla,.,:,;-,:r tea
homestead standard deduction on this property.Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or I
she may be liable for back taxes and substantial financial penalties.
Owner 1 Signature -Date
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'r �
� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slale Form 5473 (RB / 4-03j.
Prescri6ed by the Department of Lacal Govemment Finance
INSTRUCTIONS: See revcrse side /or liling ins(ruclions.
`�1
FORM YEAR
;—y � � HC1� (� , �
!�
� 1�i � �---� `'
� �e) � � �certify tFiat��.the�tst dayof+March, 20
iw�"`^' .t.�,._ .T�., —
I(We) occu ed as our prin ' al place o( sidence the foilowing descnbed real pmperty (or which a Homestead P,roperty�Tac Credi( is hereby daimed:
�I (VJe) owned ❑ Are buying under contrad �
' Have a benefidal interest in fhe en6ty that is liable for the property taxes on the pmperty and that owns the property or is buying under a conVaU.
If buying om m�iract, Fae Simple owners name
Remrde�s oifice where mnvaq is remrded
a-.5�y,n. s�� s• aa':. s
: '�'F_c. _��c�'..�x;F}��'7,.�_.@a,9�y�?>h'
Counry Tavnship
Tm�ing district (rity'fown, townshiP)
Record number � Page
nPar.cel n1umberr� 1 ^ �%� Legal descriplion � Is ihe pro in quesUon:
.! �� `^ v� l ��} � W �aal p oDerty ❑ Mob'la Ho o p C 67 7-7)
If any portion of Ihe residenilal sWdure or che land not exceeCing ona (1 � aae Nat immediatey wrtounds that s W cture is used tn protluce income, describa Na use and portion
at the propwty utiiaed to produce inmme.