HomeMy WebLinkAboutHomestead_Cox (3) STATE FORM 53569(RIB-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1"-8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS -
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
cl--'uction 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
standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
information r ecessary-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 infotmation'to create tools that will,help county officials eliminate
homestead fraud. "
PAR I: PROPER V ,`FORMATION
Taapaser Name Property Address State Parcel Number Legal Description:
William A Cox Jr. 10712 S OAK RIDGE EST 26-23-02-200-001.879-024 OAKRIDGE EST 11
HAUBSTADT IN 47639 D-10
Complete and return to: I®hIDD]®001 m0]mm II mfIIIIMI ®E1_f uIE
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
. PART 2: TAXPAYER INFORMATION
Owner 1 Fist Middle Last
W1IIIa-.1• • A C0X J 1—
Mailing Address(mmber and street.city state and ZIP code) (fin /r property p ,� s �` �T )
/ 0 7 / Z S Da /c st l r Ir (/ s /I �(�' ail.Y/f address
T'4r. J Y/- `17(9 3?
spouse First - . . . middle Last
N1ieiaZa Maureen - Cox
Mating Address(niter and street city,state and ZIP code) Same as properly address
1071a , Oca- Ridge E54449 Ficw.46 sfad-I :1. N S/7G3 cj
_ .
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.
Owneer/I Signature Date
PART 4: ADDITIONAL INFOR\IA'EION '
- - .
•
�. � ' . . .; . .. ...... . . . � : ' . ,. ;� a NONRFSIOH�iIAL e
i' .:. r:. " � . . v n >:1` �'� TfBJE�TAIC . z. �AS� VALUE �'�' F�1¢STEAD'� ��t '�' .
��at r ASSESSOR USE ONLYk .: •'. t aS .1�. ;r� �E,t ..� ; AT 700%OF TN � f ...,iYALUE �'i= '"�'c'&'1F.�?Y'�'.VALUE,t.. _'"""�.'.:+�'s.�« r.:::
�t � . .�n : . . � .....
Lffi1d nOt e�flg 1(pIB) eoB imnledately '( '�'" �'h y��°�.. � } :?7s''' F� �2
s�arrnmd'vgresiden6alimprovefr�enis. ��) :y.l��`}��„�.��`�r�+6��iy:��^�df �?
�
Other land T e` ���s:
(2) �.. ,rif,:.T:y',.
Td� land (li�e 1 pkrs fire � ig)
n,�< u �X�n � � � �:; .� �, �urs...
Resdential'vnprovert�rrts arMrwally ��� �4� -"ru 1,°`:�`��t�'�.a:�:�'.�.��ts�..1 `s.�.����K F
Assessed Ma6Bel AlarnAac4aed Flort�e � � "1' -s�r�i�"�y�,�,� +t��:f �j�"�'."y�'�y"4
� �5) �.,K�'.�,*�,�.s�.°�.�a�d�rl�.a����f:4a'�'y'�
;e
/ F `. i J 1 �'
QI�ICf Qf1�lOVEff10f��$ l6� : �.'Fii�.'^n:E
Tdal 'vnprovemertis (�rre 4 tivou� 6ne 6) m
Tcfel value (I'ure 3 pds 6ne n (g)
I hefeby cerhfy ihe above is true. mtred, ard S�e�a of AvmsQ Dafe sipned
�mp�te.
vei�ymp aaim - Si�pmme N hidimr Dele si�d
� � � � �`.:'.,��,STANDARDDFDUCTION/1LLOYVAMCE �",di`' r� `:�'`':v .� �;�:i`�'i...6.F°*ti
20 _ Pay 2(1 _ .
lesser of 72 Homestead
Valuation m E35.000 S
Si�a➢aa dAWitv �° �
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CLAIM FQR HOAAESTEAD PROPERTYTAX
CREDIT/STANDARD DEDUCTION
s� r� s+n tar i s-ou�
Prasobed by tha Depertrrent of Lo�l Gorerrvnart Franoe
�NSrRUCnoris: s� �re,� s;ua �, m�y ��auao�s.
:",: '.��..�_ . ,,.,.._.. ,.,,.. �•, :c�xnF►cnn
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APR 1 6 2008
I(We) /TJ ` / iC. - cer6fY ihBpB6m6I t�Od20�aV�d.81�R
I(We) oocupied as aa prmapal place of residence Me foBowirg d real property far which a Hm�estead Propaty Tmc C.redt is hereby daimed:
��(We) owned ❑ Are bymg unda mntrad
Have a benefidal 'v�feRSt ui the entiry that is liade Ax Cie property tazes m the popaly and tl�at awns Ihe property or is buyug urMer a cantracl
;:: 1;.. � r - i'� C�ITRACT;I�CORDm�'i': ;d�. :. -�`i�i '-'4.2 � '.r'3:.'4r; � �'f .�:"'�/iy)��.."ii-.�s:
tt buy"rg on cmtracl Fee Sinryie ownala ivme ...
t�mdefa olfice whae m0'atl is recorded Rernrd numher Pege
�/SL
Paroal nmibar
N erry portion of ihe "
d fhe praperty bj
TaMShp
Wuchae artl�e Imd nal
ce u�mrtie.
l(p ' G7 J —DoZ —�V �
r�uuc.uun� �.� - � . : �r .;
T�mg di9tiY (dy, 6�an. fowns/up)
.LY 74-� l��/ I Is Me y n '�P�PenY ❑ Mahik Fiorte (LC. 61./-7) -
9 ( eue Mat inmed�e�y svrtau� tl� is ueed b P� swane. dex�be tln ine aM puEOn