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HomeMy WebLinkAboutHomestead_Bartley (3) STATE FORM 53569(R3/5-10) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.132-8.1 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 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 uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead st- ndard 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. 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. • PARTI: PROPERTY T'FOR,MATION Taxpaser Name Property Address State Parcel Number Legal Description: Louise G Bartley 5308 E 1250 S 26-23-13-200-001.863-024 PT NE 13 4 10 2.00 AC HAUBSTADT IN 47639 D-10 Combine and return to: ffl hIUU 11�®IIII®©fP1O1171 INEICa�IrlMf11lJp GIBBON COUNTY AUDITOR, 101 N MAIN PRINCETON II2N 47670 if IlilL IILII I! IWltl47PlJ PART 2:TAXPAYER INFORMATION Owner I ii First Middle R/I�/ Last L oLtt s p S giggil`.L y Wing Address(number and steel,city,state and ZIP code) , � me as property address .5J oY � I - O S Middle Last neccASed Mailing Address(number and street,try.state and ZIP code) I Sarre as property address Social Security Nimber(last 5 digits) Drivels License/State ID Number(last 5 digits) state Other(please specify in Part 4 below) - - PART 32 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 Date ( ) PART 4:ADDITIONAL INFORMATION FILED • NOV 9 2012 GIBSCN COUNTY AUDITOR CLAIM FOR HOMESTEAD PROPERTY TAX CREDR/STANDARD DEDUCTION � s:re r�, s�n Ra i so� P�rscnben by ihe Depazirtienf aF L«al Gv+ermiaC Finarp� INSTRUCTiONS: See rever.ce side /a fiing instructinns. O V --, FORM �`. --�. -- - , YEAR D , Hcto �_ i. , ..ai � .�.� .—_ �_ DEC � c '.. � � M�e) � certify thal on �he tst�a Tot M�,�20_ I(We) ocxupied as o�a prmapal pla� o:: esidence Ne fcNOwiry descr+S . m�i �.op�:!y for which » Hmwstead P���fsYh�eby� �aimed aI(We) owned ❑ Fre buyug unda contrad JHave a benefidal interesl "m the entity fhat is liade for Cie property taxes m ihe popaty and tl�at owns fhe property w is buymg under a contract . � ' . - ' ' ' : CCNiFACT.REGC'nDED�:� • . _ .• . M buyv�8 om m�bact. Fee Sirt�le awvie/a'mme Rarnrdels afFCe wlere caNafJ is recwdad Record numbar Page `�di Camry 7omsfip Ta�g �D�`-,�/�� 3-rIC� �� /3-� /o U��,�p H arry pation d 1he r�siderNal sW Wue a IM IaM nal m¢eedirg one (7) acra that inme�dJ�eJy amasds fh d Iha Ropany iaczetl m momww :�m,r�e. OS A ii ��dG-a3-�3-�m-ooi8G3-oa� - �'- � l � lor�n. fornddP) ^ � L�� �y /f, ' � � a��,: �R� �.,y � Mm�e �ma p.c s,.,-n 1 is u�d to 7�duce'r�mme. desaibe Ne � ard paftion � ___'s7AMDAR71.0!=:+l;r�,'10l1 cJ:LnyaNCL __ - — . � _ _— �_ _ _ � � I 20 _ Pav 2b __ � — �---- _ Lesser ot 12 Hortcs�rrrl � Valuatim or 535.000 I S