HomeMy WebLinkAboutHomestead_Henderson STATE FORM 53560(P18-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCO11YTS.707) YRFSCatorn BY TUE DEPARTMENTOF LOCAL oosnR NEYT FINANCE IC 611334.1
- Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and marred 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 hills for all;therefore,
FILEDHEA t and t o rhids
additional idwtifying information necessary to allow cowry govemmenl b bener monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized cowry otScials.The Deparmtent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
_ APR 2 7 2011 •
Taxpayer Name Location Address
Henderson, Charles H/Joyce A
�V\ 1324 E WARRENTON
GIBSON COUNTY AUDITOR
HAUBSTAOT IN 47639-9529
11539
Charles H/Joyce A Henderson 11111 i 1_DI11111110 I110101101110I011011100110I 1[11111 1111 11E10111m1111H
1324 E Warrenton RD. - '
Haubstadt IN 47639-7941
ttlllllllll"1111"'III'_I_Ilil'I'lilt'I'llllllll'llll'I'llllllllll State Parcel Number Legal Description
26-23 e17-200-000.442-024/PT E NE 17 4 10 1466 AC
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This4form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
�----------�---- PART?: Tw\PAt R INFORMATION --------
OI.. . 1 - .First Middle Last
CtlR( uas REs-s-E--R-T • HE NH"? soil
Mailing Address(number and street,city,state,and ZIP code) R'Same as property address
13 a4 E WRRRENt i od Rp fr(Ak) 13 01)71 i.t4 4-703
.
Spouse First Middlel Last
ouC., L AAA I }-cEtAPE-V< Se d
Mailing Address(Number and street,city,state,and ZIP code) - Same as property address
I3 alb E. v\\ RSRER-rot, •K7 AiRu55-re■9T It[ 47039
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
�
FOPA1 MC 70 7979
Preuri0ed By Sute Boartl ol Ta� Commissioners
CLAIM FOA HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�
i��'^`�a.�,�"-�,.�
:{
��We' .
iarch, 19�, I,
which a Homestea
To & FileG in Mpliwte
fi° SEE BACK FOR FILING INSTRUCTIONS
Do �— 4D�o?-Gd�
zr- Q- certify that on the 1st day of
ipied as our principal place of residence the following described real property for
� Tax Credit is hereby being claimed:
I, (We) ❑ owned o?�o - �3 -/%�� -G�- 5�-d�aS�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer �
Property Description
Taxing District (Grfy-iewn-Township):
Parcel Number
If buying Ofl contract: Owners name «ee simple owner�
Township
or_legal description shown_on tax statement: . _
L�}. � �_ /?�E y / 7- 5� � / o /,.�G�-..w
ContracY recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
I hereby certify the above statement is true, correct and complete.
�
l
County Township
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY
Land not exceeding�n ) re i�d te
surrounding residen i o e
Other Land �
Total Land •'� � 1 IQ%9
Residential Improve�ts
�i�� �
AUDITOR
Other Improvements
Dwelling
Ga ar ge
Total
Improvements - Line (6) plus (7) equals (8)
�y certify the. above is true. correct. and complete.
siyeu/� o� Axsesso. � .—
U
Approved:�_lL
True Cash Assessed Homestead
Value Valuation Valuation
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