Homestead_Doty ' MME FORM•3M'IB:r YMI TRFASIAL/1 FORM TS-IA
ArrgnEO BY',TATE BOARD OF'MOUNTS_20N PVSAmm BY tilt DEPNtTYRVT OF LOCAL GOVERNMFT7 FINANCE M VI.t-r4.1
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 dcdunion.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
• HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verity that they am eligible to recehe the
benefit and to ptw'ide additional identifying information necessary to allow county gmrrnment to better monitor homestead
filings.This information will he kepi confidential and ran only be accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create muds that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
— Taxpayer Name Property Address
Doty, Brenda K Tact/J°o S
— .J.-Ia-NrccTOGfF
I laubstadt IN 47639
10887
Brenda K Doty
1438E 1200 S State Parcel Number Legal Description
Haubstadt IN 47639-7933
Itln'Intllllnnillitinlnll ltlnn11tuflntllrll Flt It till 26-23-08-400-000.256-024 004-00256-00 PT SE 84101.543 AC
PART 2:TAXPAYER INFORMATION
Spouse//,,��//JJ
�J First Middle Last
/(FNa I k 4071
Mailing Address(Number and street,city,state,and ZIP cock) r7-Same as properly address
/Vile' /°J S ///,�u6srif• 7 Z &7n37
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may ., liable fo�ck taxes and substantial financial penalties.
•
� __ �
�
d.�; ^•�, CLAIM FOR HOMESTEAD PROPERTY TAX '• _ FoRM reaR
�;T"-y ^ CREDIT/STANDARD DEDUCTION
� ' State Form 5473 (R2/1-90) ,
,' '°�• �� INSTRUCTIONS: See reve�se side lor �iling instructions. -
CERTIFICATION STATEMENT AUG O 2 �991
I(We) � .� certify that on the tst d�fi�AafrA�' �
`� p��
:(We) occupied as our principal place of residence the fo ing described real property for wfiic'hDl�Omestead
Property Tax Credit is hereby claimed: u�i 1vve� owned ❑ Are buying under contract
� Have a beneficial inter"est in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contracL�� n ,� „p q�
a��`
CONTRACT RECORDED
If buying on contracl. Fee Simple Owner's Name '
Recorder's office where contract is recorded . ' Record Number Page .
f�:Ti]»:i�Io]�Y�;113 �[�7� 1
County
Parcel Number Legal De�c p[ion
Oo4-oa�5l� � �� -`��ID I.i�C (�C
If any portion of the residential structure or the land'not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use nd portion of the property utilized to produce income.
� �l �3-r�� �O -�-a� -�� :
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County �Township County �
_ �—
certify the above statements are irue, correct and fgnatUr
. ' � ���
��tre���C�ity, s t an Z�de) /�39
f
� ' � -
ASSESSOR USE ONLY TRUE TAX VALUE , ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately �
surrounding resideniial improvements (�)
Oiherland (2)
Total land - line (1) plus line (2) (3)
Resideniial improvemenis Dwelling (a) �- - -
Garage (5)
Oiher improvemenis (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correcl, and complete
Verifying Action - Signature of Auditor Date Signed
( 1989 Pay 7990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991
Lesser of 1/2 Homestead
Valuation or $2,000
1991 Pay 1992 19 — Pay 19 —
Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or 51,500 Valuation or S7,500
Signature of Auditor/ � (� _�/� I D�at� ic
� � Mm� �,.J � Y�.t.i� . o O