Homestead_Parks - • STATE FORM 53St (53/&IB) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ArroIMS 2IXi PRESCRIBED BY THE DEP.ARTM T OF LOCAL CAVERNMEYFFFNA`YE IC 6-3.1-2241
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married 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 bills for all;therefore,
_ HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
FILED 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.
PART 1: PROPERTY INFORMATION
_ APR 19 2011 • Taxpayer Name Location Address '
Parks, Stuart E/Kathy A o
0 COUNTY LINE RD
GIBSON COUNTY AUDITOR HAUBSTADT IN 47639
2949
Stuart E/Kathy A Parks ' 11-11111. 1111111101 III .1111111111111.111 011011111.11111111111:1 Ill 111111111111111111
2366 W 1300 S
Haubstadt IN 47639-8669
State Parcel Number Legal Description II I1 I nl,I n,l l II IIII I III II nl,I II I dl l,lu,l IIIIII,d
26-22-14-300-000.239-024 /PT S SW 14 4 11 2.61 AC D-2 ,
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
r 1 PART 2: TAXPAYER INFORMATION
First Middle Last
57-,....)14.g7 6:DwA-R3 setts
Mailing Address(number and street,city.state,and ZIP code) 'Same as property address
a31e(c Li 119095 a4LA6sri4-07 -1- ,i `17(, 5
•
Spouse First Middle � Last
rk V 41 d .Z/C-3-
-. Mailing Address(Numbef and stree4 city,state,and ZIP code) _ -. .- —-_ - —_,_-E:8ame as property address'—' - — —- ___.
2364 Cd 1300s /IAo t 7 • ,J 4/77G3 5-
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
unlaw dilly,he or she may be ' bee for back taxes and substantial financial penalties.
(�, , .tune �L� Date
..•n�3 CLAIM FOR HOMESTEAD PROPERTY TAX -
d�^ 4 _ . .. . _ _ .' _
� � : CREDIT/STANDARD DEDUCTION .
;� State Form 5473 (R2/1-90) " ' `
�'°�• � INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
�/ r� � i �
,
4 p� �•' it�T ���� �
1-, a � �' �!�'
� .a...3 a.
I(We) �,�(� �. �K�'��/�i �certify that on th �1st d�a�y f Myayr�c,h �, 19 G�
h(We) occupied as our principal place 8f residence the following described real pro"- "pe�(�rr" ��Qf}3omestead
Property Tax Credit is hereby claimed: ❑� I(We).owned . ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
� property or is buying it under a contract.
CONTRACT RECORDED'
If buying on contract. Fee Simple Owner's Name •
Recorder.'s office where contract is recorded Record Numbec Page .. '
PROPERTY DESCRIPTION
Description
xing District (City, town, townsfiip)
<�.� IL/_LJ—�l / �U
If any portion of the resideniial structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER
Township County
I.hereby certify the above statements are true. correct
Address (Street. number
ASSESSOR USE ONLY
state
T
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately �
surrounding resideniial improvements (�)
Other land (2)
Total land - line (7 ) plus line (2) (3)
- Resideniiai improvements Dwelling - - � (4} - — � - � - — —
Garage (5)
Oiher improvemenis (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
7 990 Pay 1991 7 991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or �7.500 Valualion or 57,500
Signature of Auditor ^ �� _ � Date Signed