HomeMy WebLinkAboutHomestead_Gilles e STATE FORM 53560(0.3/9-10) TPFA V Frx FORM TS-IA
APPROVED BY STATE BOARD OF AttODVIS EM PRESCRIBED BY 11 LE DFYAMTMEAT OF LOCAL GOVERNMENT FINAWE IC 6-1.1-234.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670- more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
FIT HFA 1344-2009 requires taxpayers via receive the homestead standard deduction to verify that they are eligible to Matt the
ill L L\ ,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.
APR 2 5 2011 - PART I: PROPERTY INFORMATION
Taxpayer Name Location Address
C � rc'—![� Gilles, Kenneth W/ 1Sara '
GIBSON COUNTY AUDITOR 12378 S 200 E
_ HAUBSTADT IN 47639
' 3085 °
Kenneth W Gilles- II-IIIIIIIIIVIIIOVIIl 111111 VIII ill lliII1110111111111I1-IlhI VIII 1111[1 1 R II
. 123785200E
Haubstadt IN 47639-7972
IIIII'IIIIIII"IIIIIIII'II'119 119IItIIII'II'IIIIIIII'll"IIIltltl State Parcel Number Legal Description
- 26-23-16-400-000.214-024�WARRENTON 25PT/26PT/2728PT
✓ PT NE 16-4-10 COUNTRY AYRE 6 PT
c.
This form. MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
-,'-- PART 2: TAXPAYER INFORMATION
Ov. I First , A / Middle - - Last
�eN � �th VV Ay N ? - GI I2...S
Mailing Address(number and street.city,state,and ZIP code) Same as property address
11.37 °6 S /Oa FAsA I-k nub tn81 IN `i1to 39 .
Spouse First Middle Last
•
si\ KRA � At/ IV Iles
Mailing Address(Number and side,city.state,and-ZIP"code) - -- u -- f'Same'as property address ._ _ . __ - _
Id% 3 1 % S 2O0 ;_Asl H>ic LTr.' IN ` lilL39
.
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
, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
S�ate Fwm Sa73 (R6I403)
Prescribed by the Department W Local Govemment Finance
INSTRUCTIONS: See reverse side /oi filing instrucfions.
Q�� FORM
�' HC10
\�'�\:
YEAR
I(VJe) ( � Omm n,e �,� ��a � �(]/,(�[..��(J/ �w(y wat on the 1st day o( March, 20_
I(We) occupied as our principal place oi residence the following described real properry for which a Homestead Property Tac Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under wniract �
' Have a benefidal interest in the entity that is liable for the property taxes on Ihe property and that owns lhe propeRy or is buying under a wnVaU.
I( buying on conVact, Fee Simple ownefs name
office where contraG is remrdeA
Counry
Tacing distritt (city, fown, township)
Recard number � Pa9e
P%ar�ce/jl number �^�� Le9al descnption Is the pmperty in queslion:
v(J y—QQ ���� �YJ ❑ Real property ❑ Mobila Homo (I.C. &1.1-n
H any portion of Ue resiAenGal sWqure or the land not exceeding one (7) aae Nat immediately surtounds that SWdure is used lo produce inmme, describe Na use and portion
ot Ihe properry uGlizeA W produce income.
TAiI/IT�I/L/f�
�
��;�isz`���»����.a�"��,�__�..-.�� `,.a?ROPERTI!:OVIVNED'9YCLAIMANT,IN�:OTFiER`COUNTIES:Fr�.;���'�,����:,,�?%�t��d:;<�'�^,u-?S�=y
County Tavnship County Tavnship
I hereby certify the above statements are We, correct and complete. Signature ot Gaimant
dress (number and street, cit}; stafe, ZIP code)
��'�'i' �,�w"�'i� �"`� ��3�*5��� �TRUETAX ���. ASSESSED VAIUE �-HOMESTEA�� � NON�RESfDE1JTIAL� ���
��;�ff��F?��,_-��ESSOR�USE ONLY P .�' ' VALUE��i ; � �"ATc100%:O #TN.� +c..r �_uy,VALUE�� �+��r'�VALUEj,�y:.y+�`3�-�
a.� .3.w .. 9i2��5.°."�,�,. .,r.��' 3�' � �._.�_..�,._-,.,"y'" 1"�
Land not exceeding 1(one) acre immediately (' � �� ��� ��z,n 5-'y'K.y_�`� j��9
surrounding residendal improvements. �s � 5,�� .��S �+.�. �.,.
�2 ?."�P -i3'Oft.-�.�-"&1..::
�^ir'r..sn .i[;'SqF• .
Otherland (Z) ;�,°��'��.���s•-=�`�+?�
�r.k�",} „"� ..+Y�^•:Ya:L
Tdal land (line 1 plus line 2) (3)
T .Z �.3 �tJ� ��yV.�`
Dwelling �4� '� 4 +3L^l /� Yjfi"�.-af M1 ,�
Residential improvements or Mnually �''� �����-�`��"`�'"�'� ���'-��
Assessed Modle/ ManufacWred Harce �'�.�- - ���1 �+'�'` `ET
Garage (5) . ,�'S: l , ' _�a��
4
x4`�3't�,_ `-',...n:t
Sv.. �a'aa,• :-;�t� .
Other improvements (6) .��j���s-'j,'���.✓`�+±{.��
•. iR� i'it�"3'1Y..�T� �{
Tcial improvements (line 4 through line 6) (��
Total value (line 3 phs line n (g�
I hereby certi(y ihe above is We, corred, and Signature ofASSeswr Date signed
complele.
Verifyi� aUion - Signature oflwtlitor Date siqned
'.'_���-x_���K;:_`�-„-�i.�pu��i�����-'�`_',-wSTANDARU'.DEDUCTION AL'COWANCE� �iP,,?,�;,�, �:%t�.�'"`�.'`�^i�'�*�`�'.✓�,i'�'��;x.�y �-
20 _ Pay 20
Lesser of tr2 Homestead 5
vauanon w 535.000
Signature otlwdHw � Date signed