Homestead_Lasher STATE FORM 53569(R3B-l0)
APPROS'ED:Y STATE BOARD OF ACCOUNTS.20139 PRESCRIBED BY"INEDEPART LENT OF LOCAL GOVERNMENTREASURER A,S'CE(CORM TS_I1
I tiM 'Oe A - NO IC `UUEIR t[Lt , o "0 ,R YOWNt SRS
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
Scauses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
tandard 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.•
. MaktIl8 'R 4 ,'4" p . Tp o -
Tasmaeer Name Property Address State Parcel Number
Leoal Description:
Howard U/Ruth W Lasher I2274 S 525 W
CYNTHIANA IN 47612 26'22-17-100-001.762-024 PT SE NW 17 4 11 .52 A
D-2
complete and return to: Hil IMI]IIIIMI1E1111111111110111111Llu11131111.1111
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART g3 Rautunn INFORMATION •
Owner 1 First '
Middle
last
oLo Qrd lirban Las\e-r
Mailing Address number and street. ,state and ZIP cotlV
Sams as property address
Last
u �' We---\--,V r • - • La_ s },,� -r .
Mailing Address(number and street,city,state and ZIP code)
`
Same as property addresSecurity
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 1 Signature Date
r—RA jUCL bi, Kcu )—J - ;B"' 1 a-3\ 1 a
ADDITIONAL INFORMATION
. FIT
•
• .. DEC 3.1 '21 ?
•
°
bRSDUN GOuNTY AUCI7C7,
, R,
a%�'
E °f CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
, �� State Fortn 5473 (F2 / 5-92) � �
,.�. _
INSTRUCTIONS: See reverse side /or /iling insUUCtions.
• � � � . - � reernnwr�nu cre
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t(we) . �`(.���C,� � /. ceihty�ia� on{tne�tst[ciay �f March, 19_
� � -: • T.,
�e) o upied as our principal place of residence ihe following described real property for whic _ U, estgad,Prtip"e'rty faz Crec� is hereby ciaimed:
I(We) owned ❑ Are buying under conirad � . _
❑ Have a beneficial inierest in the entity ihai is liable for_ the property taxes on ihe property and that owns ihe pmperty or is buying under a contract.
� � �� ' CONTRACTRECORDED • " �
�( 6uying on contract. Pee Simple owner's name � , �•
Recortler's office where contract is recordetl Recortl number Page
County . ' Township
P cel nu er Legal tlescription
= l�l �-�
It any portion of the residential stmcture or the land not exceeding
of lhe property utilized to produce intome.
Y
0
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PROPERTY
Yi
■
- ' Taxing Aistncl (6ry, fown, foWnshlp)
, . . r � --/ , S� �
ihat immediately surmunds that strucNre is used to produce income, describe the use and portion
� PROPERTY OWNED BY CLAIMANT IN OTNER COUNTIES � �
County Township County Township
eby certify ihe above statements are true; correct and complete. Signawre of ciai m
�
Atldress (numberaridsfreef, ary, sfare, ZlPmde)
j � � y ��0
ASSESSOR USE ONLY � . TFUE TAX � ASSESSED HOMESTEAD NON-RESIDENTIAL.
VALUE VALUE �VALUE � VALUE �
Land not exceeding 7(one) acre immediately
surrounding resideniial improvemenis. (�) � �
Otherland (p)
Total land (line 7 plus line 2� (3) .
Dwelling (4)
Residential improvements _
Garage (5) ' .
Other improvements (6) -
Totai improvements Qine 4 through lina � (7) I
Total value (line 3 pbs line 7) (g)
I hereby tertify Ihe above is tme, CorreGt, arNi SignaNre of Assessor Date signed
complete.
Verifying actlon - Sgnamre ot Audiror � Date signed
- � STANDARD DEDUCTION ALLOWANCE � �
19_Pay79_
Lesser of 1/2 Homesiead
Valuation or 32,000 �
Sgnature of Audi;or � Date signed
_` _ _ .�-_ _ ` . " - _ - - f
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