Homestead_Edwards (3) atV£1MFM tR/FMI IRE/SULFA FORM TS-IA
Artsw En BY MAIL IXMPDOF'CO'!WIC.Sir PP,Jnm BY TIE DFRAATMEYr OF LORAL GOVEVIMINT FINANCE M FI i-r4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344--3009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to recehe the
benefit and to provide additional identifying information nece.sary to allow county government to better monitor homestead
filings.This information will be kept confidential and ran only he accessed by authorized county officials_The Ikpanntent of
Local Gorcmment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Edwards, Darrell/Alison
9751 S Watertower Dr
HAUHSTAD'r 16147639
7237
Darrell M Edwards
9751 S Watertower Dr _ State Parcel Number Leaal Description
-- --HAUBSTADT IN-47639-8843 — - --- — - ----
Irinllrtlrllunlltlrlulnitlnlnlnlullulrlurrllnlrll 26-18-36- -002.301-024 WATER TOWER PLACE 11
0,1o0
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
feel 01aX _ tdtuards
rg Address(number and street,city.state,and ZIP code) WI Same as property address —
9131 5. UiocerFotmer Or. Etaulo5tad+ , Tll _ L-1 1(o 39
Spouse First Middle Last
f}lis�n IVIcotpi Beal- EdWQrd1c
Mailing Address(Number and street,city,state,and ZIP code) . 14 Same 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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature —a Date
•
CLAIM FOR HOMESTEAD PROPERTYTAX
CREDITISTANDARD DEDUCTION
� State Fpm Sd73 (R6 / 4-03)
Presaibed by Ne Departrnent of Local Govemment Finance
INSTRUCTIONS: See ieverse side /or filing inshuctions.
FORM �� YEAR _
, HC10 �
N�� �.... , _
- . _i�^'� � � �• :�'.: � '-'ly ac?°+4 '_'k
��e) � �U � — certify that or���lsf�da� c��ch, 20_
1(We) occupied as our principal place of residence the following described rea prope or w i a Homestead Property T�c Credit is hereby daimed:
'QQ I(VJe) owned ❑ fve buying under contract `—y„� ��
a ��
- Have a benefidal interest in the enGry that is liable for the property taxes on Ne property and that owns the proPerty or is 6uying un er a contract.
_ _ . GIBSON COUNTY nun�rna
If byrinq om m�uad, Fee Simple owners name
Recordefs office whera contrad is recortled
Rewrd number � Page
Counry �{/ ' ✓ To.vnship T' islricl (city, lown, fownsh' )
�
Parcel number 7 ' Legal descnption Is the properry in queslion:
� � d-� � d� ❑ Real property ❑ Mobile Homo (I.C. 6�f.7-n
I( any ponion of the resiEenUal sWcWre w the land not exceeding one (1) aae Nat immeAiately sunounds that structure is usetl lo produce inmme, desttiba the usa antl potllon
of the properry utilacd to produce income.
� al�- I$- ���- ab3-6oa .3o I-�ay I
Land nol exceeding 1(one) aae immediately
surrounding residen6al imp�ovements.
Oiher land
Tdal land (line 7 plus line 2)
Dwelling
�Residentlal improvements or Mnualty
/issessed Mobile / ManuFactured Home Garage
Other improvements
Total improvemenLs (line 4 through line 6)
TUaI value (line 3 plts line �
I hereby certify the above is W e, corred, and
comptete.
Verifyingaction-SignaWreofiWaimr /
20 _ Pay 20 _
Lesser of 1/2 HomeYead
va�uauo� w 835.000
(�)
(Z)
(3)
(4)
(5)
(6)
I�)
(B)
ofASSessor
S
Date signed
Date signetl
aflwdrior n" � � Date signed
0 �