Homestead_Meny (7) STATE FORM 53569(R3/8-10) TREASURER FORM TS-IA
APPROVED B1'STATE BOARD OF ACCOUNTS_,2009 --_ _ -, _ PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-l-1-22-5.1
• - IMPORTANT NOTICETO 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
it uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
s a 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
E 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.
PAR d: PROPER ' INFORMATION-
. •
Tiipaser Name - . 7.7. - - Property Address • ' - - Stare Parcel Number Leeal Description: -
Stephen I./Rita E Meny 2472 W 1000 S 26-18-35-100-000.152-024 PT NW 35 3 I 1 2.06 AC
HAUBSTADT IN 47639
Complete and return to: I®1I0ME1111 ll [ll01l IC m111000EIf m01Dl®
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN.47670 '
' , !PART 2:TAXPAYER INFORMATION
_
Owner 1 First Middle Last
STr P�{riv c ovis yf1E.v/
Mailing Address(number and street.city,state and ZIP code) 1
X Sarre as properly address
a97Z co /000S /zit oaf 771-v7— /,v, f743ff
First . Middle Last
•
•R I TA . b//29,-/C fife•.,?
Mailing Address(number and streel city,state and ZIP code) ri+ Sarre as property address
a `f7a IA) Locos # 4-/5J'iX1 Li"Z6399
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
PART.4:ADDITIONAL 1NFORMIATION _ _
i._ . . . .
FILED
NOV 7 2012
GIBSON COUNTY AiJDITOR
�. �.4 CLAIM FOR HOMESTEAD PROPERTY TAX FoRM YEAR
d�A ` CREDIT/STANDARD DEDUCTION r+cio
�..;
:� � -, .
' State Form 5473 (R2/1-90) -
�'°�• � INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT DO� �D/v �'�
'(We) l�L� 4– certify that on the 1 st day of March , 19
I(We) occupied our principal place of re idence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: . �] I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is lieble for the property taxes on the property and that owns the
pro�ert�o�s b�nc�it under a contract. �/ I /Q �s. /� _ �� /r� � �
CONTRACT RECORDED
' -""' � PROPERTY DESCRIPTION
�
town,
Parcel Number Legal Description _ _
� 4-� 00 I�2- O D 7�I- N 1t� 3S -�3 - l 1 �� �� ci--e�
If any portion oi the residential structure or ihe land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe ihe use and portion of the property utilized to produce income.
� . ; //70 �? „ ,?/900 � -
ASSESSOR USE ONLY ._ TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
Land not exceeding �(one) acre immediately
surrounding resideniial improvemenis (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
�Residential improvements Dwelling � �(4) -
Garage (5)
O[her improvements (6)
Total improvemenis - line (4) ihrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true,
correct, and complete
1989 Pay 1990
Lesser of t/2 Homestead
Valuation or $2.500
Signature
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992
Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or $1,500
NON-RESIDENTIAL
VALUE
19—Pay 19—
Lesser o( 1/2 Homestead
Valuation or $1,500
�