Homestead_Maikranz (5) STATE FORM 53569(8318-10) TRFASORER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1
•
IMPORTANT NOTICE TO'HOMESTEAD PROPERTY OWNERS
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
aka higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
s dard 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. r
PA' .1: PROPERTY INFORIMIA ION _ .
Talpaser Name Properly Address State Parcel Number Least Description:
Jeramia 1 Maiklanz 10525 S TRI CIRCLE LN 26-23-01-200-002.097-024 TWIN OAK 20 1
IIAUBSTADT IN 47639
Complete and return to: I®IIEJll]I IONI 71 BEEIR17�BIm�ml Ill MUM
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON LN 47670 IIJ lu Wl Ill
T.' t V t% ON - ..
Owner 1 First T/` •/f�� Riddle '////////�/ / - •.. Last
t/GrQ/4l/!ti V71 ✓� /4! %/C ra/7z
�+aling Address(number and street,city,slate and ZIP code)
--77- // / rte as poverty address
/0525 S - T. • C,'rc% I? /��4 bl4)olr, -X V 7C3
- First `�-- Middle Last
/ /�?/7icn (/G1 ;7e o_iirez .7z
Mailing Address(number and street,city,state and ZIP code) �j�/ Same as property address
/05.25 S Xy' Crc-/e Z7 Ma-“ifita-0/f L. V71.32
• PART 3: CERTIFICATION •
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 1 Signature Date
- ,
. -i— . .. . . -
CLAIM FOR HOMESTEAD PROPERTY TAX
�' CREDIT/STANDARD DEDUCTION
` ' State Fortn 5a73 (RB / 7-07)
» Rescnbed by �ha DapaNneril aF Laal Govemment Finance
INS7RUCTIONS: See reverse side /or filing insLUCfions.
m� FORM YEAR
�� Hcto
���� �
� .
��e� certify Nat on th8� ay oi �20_
I(We) ocwpied as prindpal place of residence the fdbwing described reai property fw whi omestead Roperty T i �e aimed: .
/I(We) owned ❑ Are buying under contrad GIBSON COUNTY AUDITOR
Have a benefidai interest in the entity that is liable fw the property ta�ces on the property and Uat ams the property w is buying under a contract.
Ii buymg om m�Vaq, Fee Simpie rnvnefs rmme
Recordefa otfice where canUeq is
Counry
TamsWp
Tadng district (cify, town, fownshiP)
Racord number � Paga
ra�c r� L cnP r� Is ihe property in question:
� - 0�2 4
CC�J�' ' OC ❑ aeai v�aam. O Mua�e Fwma pc s�,.,.n
If any portion of the residerNal aWClure w Ihe land not exceedirg one (1) acre Ihat imm�ately surtounds Ihal slrucWre is used to protluce Nwrtre, describe ihe use arM pation
oilhe WopertY uUOietl b Produca incame.
Coun�y
Tavnship
t hereby certify the above sfatemenfs are W e, correct and complete. Sip\nawre of
\ i/
i sc�umae.e,a�tar.�+�.�aua�oae� . —7
Land not ezceeding 1(one) aae immediatety
wrtoundirg residentiat improvemenLS.
Other Wnd
TAaI land (line 1 plus line 2)
Dwemrg
Residentiai imprwements wMnuaily
Assessed Mobile / Manufacdred Home
Garage
Other improvements
Tdal improvemenLS (line 4 thiough line 6)
Tdal value (line 3 phs Gne n
I hereby certiry the above is We, corteG, aM
complete.
Vaifyirg aCion - Sipna Wra ot �tor
��)
(2)
(3)
(4)
(5)
(6)
(�)
ie)
Signawre oi 0.5sessor
,�r ;
signed (monN. daY• Y��
Date sipned (moilh. tlaY. YeaA
�.-� � � � •
pay 20 _ qs�ppp for 2007 pay 2008 42,000 for 2010 pay 2011 � �
Lesser M 12 qq.000 for 2008
Homestead ValuaGm PeY 2009 47.000 for 2011 pay 2012 � _
a 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of,4iditw --. � , Date s9ned (mmfh, daY. Y��1
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