HomeMy WebLinkAboutHomestead_Chambliss • tIAIE FORM MN IR1 AW 1 TPrALUIEA FORM TS-1A
ArTROvED 01,P.M BMW Or ArriENrx.Y.rr IPISRISFD aY nit DEPARTMEN(f LOCAL OAWRNMFAT FINANCE ll'VI.I_JI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homesead uandard deduction.As the receipt of this deduction becomes
IL incentive more beneficial.there is more inceive than net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2000 requires taxmen.who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying infomntmn necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Department of
2p11 local Government Finance will use officials this information to create tools that will help county ocials eliminate homestead fraud.
OCT 2 g PART 1: PROPERTY INFORMATION
C , UNTY Taxpayer Name Property Address•
_ Chambliss, Charles E/Terry B
GIBSON CO U9 fi®fl 12437 S Owensville Rd
Ilaubstadt IN 47639
9598
Charles E/Terry B Chambliss
12437 S Owensville Rd State Parcel Number Legal Description
Haubstadt IN 47639-8651
I I I I I I I I I I I I I I I I I I I I I I I I I I I u l l n t l l l n l l 11 t t l l 1 l E 11'I t l l 11 AC
26-22-15-100-000.362-024 004-00362-00 PT S W N W 15 4 11 11.89
4/
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last/ P
Ci4OL I/Gel £O,is - c 1-1-4,m L il JS
- .tg Address(number and street,city.state,and ZIP code) Same as property address -- ----—- — -_.- --
Spouse First Middle / / Last
{ ry 13 K Sl CK ,_,_,�C( .-A4- w.. b ,l ss
Mailing Address(N ber and street.city,stale,and ZIP code) I r�ravne as property address
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
unlawfitlly,he or she may be liable for back taxes and substantial financial penalties.
Owner ignature Date
�< RIR
e.E °. CLAIM FOR HOMESTEAD PROPERTY TAX
s' `
CREDIT/STANDARD DEDUCTION
,�:-��� State Form 5473 (R2 / 5-92) �
�bu
INSTRUCTIONS: See reverse side tor /iling instiuctions.
�_.�; 11 �' ' \,�
1
1 ,. �_ �� !IIr
MAY 17 1993
I 1We) L. . . iJ ... certify that on ihe isl tlay of March, 79!—
/s) occupied as our principal place of residence the lowing described real property for which a Homesiead Property Taz Credit is hereby Gaimed:
U I(We) owned ❑ Are buying under con[ract . ' . .
❑ Have a beneficial interest in the eniiry thai is liable for the property taxes on the property and ihat owns the property or is buyin9 under a contraci.
� CONTRACTRECORDED � � - ' -
It buying on contract, Fee Simple owner's name - .
Recorder's office where contract is recorded Recortl number Page
PROPERTY
fown.
Parcel number Legal de9py(ption V
��I - cQo3��, �� �l.v N I,i1 I S- y-11 q.�s�H-�,
If any ponion of ihe residential struaure or the land not ezceedinq one (1 � acre that immetliatey surmunds that structure is usetl to protluce income, describe the use and portion
ot the pwpetly ulilized to produce inmme.
". (//LO -Olof ��o�-/�C..(_/-CAL/ol�X4l7J�F.YI �
� PROPERTY OWNED BV CLAIMANT IN OTHER COUNTIES - '
Counry Township Counry Township
�eby certify the above statements are true, correct and complete. S�i9/namre ciaimanrt I
/� L
Adtlress (number and sVeeL city. state, ZIPooOe) -
v RK 1� (3S /�{au�sr�r- .L �! �l i �3%
�� ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VALUE VALUE- VALUE VALUE
Land not exceeding 7(one) acre immediatety �
surrounding resideniial improvements. (�) � � �
Oiherland (p) �
Total land (line 7 plus line 2� (3)
Dwelling (4) .
Residentlal improvements
Garage (5) .
Other impmvemenis (6) �
Total improvements (line 4 fhrough line � (7)
Total value (line 3 pLs line � (g)
I hereby certify ihe above is Irue, corrett, and . Siqnature ot Assessor Date signed
complete.
Veritying action - SignaWre ot Autli;or Date sgned
" � STANDARD DEDUCTION ALLOWANCE �
19_Pay79_
Lesser of 1/2 Homestead
Valuation or 52.000 S
SynaWre of Audi;or Da;e signed
r�- 51�-