HomeMy WebLinkAboutHomestead_Hames STATE FORM 53569(R2/8-09) TREASURER FORM TS-IAI
APPROVED BY STATE LARD OF ACCOUNTS.21109 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1
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Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
'ruses higher tax bills for all; therefore, HEA 1344-2099 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive the 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.
PAny 1: PROPERTY 1,N FORM VIEM •J;.
Tuuaver Name Property Address State Parcel Number Least Description:
Box 6062 A� J
W C Haines 26-19-32-101-000.4 2-024 004-00492-00 MACK CURTIS 11
Evansville IN 47719 x
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
�.�' .x..� _ _ • _ - -:liarfirikirigiiiiPiltaffi INFORMATION: �.,. *.� '-'ass ',it.;75$ :it :r
Owner I First Middle Last
•
/
{ - �;t�r i `Co
Mating Address(number and street ctty,state and ZIP wda)
6,74e) E 3 s e if 0 k r,1 e 2 / 4 . K Same as property address ,^ L(72 3 7
Mary Address(lumber street.city,slate and ZIP code) Same as property address
•
Social Secuily Number(last 5 digits) Onvefs License State ID Number(last 5 digits) see Other(please specify as Part 4 below)
TBS:Ai RWIS PaR)T3�CERIT�I�FIC4�.F1-0,
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 Telentvne
5,101/ (
!
•
• FILED
MAY 5 2010
‘I77.0-5
GIBSON p( JN�AUDITOR
� mp
a"� t CLAIM FOR HOMESTEAD PROPERTY TAX
��- �" � CREDIT/STANDARD DEDUCTION
S , Slate Fwm 5673 (R5/ 10-01)
��° Prescribed by the Department oF Local Govemment Finance
INSTRUCTIONS: See reverse side /o� (iling ins(ructions.
�' ;�`:` ^ .-�/_':�-. � _. . .. � CERTIFICATI
7 I % • r , �I �,
JUL 1 �; 2002
I (We) iii_J . ( . /�i.Q��(i /�iiiR3J�N'l.��HOdiTU��ch. 20_
I(We) occupied as our principal place ot residence the following described real property for which a Homestead Property T�c Credit is hereby Gaimed:
�I (We) owned ❑ Are buying under coniract
Have a benefidal interest in lhe entity that is liable for the property taxes on the pmperty and that owns the property or is buying under a contracl.
.'"c�>.�G.�-t*;%:._.., ...t�:�� a �Y`°: .�. -..,.-'.r�.`._�CONTRACT�RECORDED:`. °�:,.�.,, ' , � . .
a.
If 6uying on conUaa. Fee Simple owners name
RemMefs ofice where wnUacl (s recorded Record number Page
Counry
Tawnship
fowq fi
...- _?-_`�;+s�.-. - .. � . �
Parcel num r Legal des[riptian Is the property i queslion: �
� .�� �Real pmperty ❑ Mobile Homo p.G b 7. f-7)
If any potlion ol lhe residenlial structure w the Wnd not ezceeding one (1) aue �hat immedia�ely surmunds Ihal s cture is usetl b produce Income, desaihe ihe use and portion
of the properry uGlized to produce income.
v—Q�ii�
�-T=".�v sks.z : wa ... . . . .. .
q''t� tASSES50RUSE ONLY �'--2 } ; � �"TRUE-TAX � ASSESSEDVALUE . �HOMESTEAD� .. �y +yr�NON-RESIOENTIAL° ��" ��
a �'"„4i:i�...'�e�t>�`a-.?-..a � ". . ..L�iy� _ ...� _� si � ,...,r ��.., � . V.4LUE;. .� . -;AT 700Yo�OF TN :. ..i�.VALUEr'',�, . -, ��s � �-s :VALUE�' .,:..y �id s`.
Landnotexceedingl(onejacreimmediately � ' :=��tF�:;` ''� �4 ,a'�y.';;:
suvounding residenGal improvements. ( � - ,;,.�, f,.:.�,,. ; y,.,.� �.,�„'�=, -
f ." _
Other land (p) ' j'F,'` "�;:c;,i,.a:
..�^+ -
Ta1al land (line 7 plus line 2) (g)
Dwelling (4) . .: E � ° p.;K y.w� � ...;.
Residentialimprovemenls �� "-�'"'��'-�rr''z k'�`ti'ax���L
-�. �-�„�t^ -
Garage �5) ;=s;'-2i'�'�t��n��,��3�i`5 x�s,o.:
:?-.. .s..+_�::?�.'�_.. _.�'=:.5 ..
' f f
Otherimprovemenis (6) � � ,,.`,,;,`;.�.
Total improvements (line 4 through line 6) (7)
Tdal value (line 3 plus line n (g)
1 hereby certiy ihe above is We, wrred, and Signamre ot assesmr oate signed
complele.
Vaifying ac�ion - Signature oflwditor Date syned
'-�e�:;'R�_ � �'.`�:.s:-rtr��'<`, .,-,-,�.>e.'k .a�.:�"�STAN�ARD:DEDUCTION�ALLOWANCE - ''�',..a� s..�� ��.r �..:{,'..'-�-.
20_Pay20_
Lesser of 1!2 Homestead
Valuation or 56,000 S
Signaturo oflwditw Date signetl