Homestead_Plunkett STATE FORM 535691R315-10) TREASURER FORM TS-IA
APPROWD BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC61.1-22-5.1
- - IMPORTANT 'NOTICE TO 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
uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
s andard 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.
- PARTI: PROPERTYIN ORNIA ION
Taxpayer Name Properb Address State Parcel Number Leeal Description:
Scott W Plunkett 9846 S WATERTOWER DR 26-18-36-200-002.188-024 WATER TOWER PLACE 18
HAUBSTADT IN 47639
Complete and return to: I®II001nlllID111IIIDIIII]I�HI D D DllDllQllie��IQI®
— , GIBSON COUNTY AUDITOR, 101 N LYIAIN PRINCETON IN 47670 1 LL91W-I _
PART?: TAXPAI'ER INFORNTA'I'ION
Owner 1 First Meddle Last
Scoff LUaYn� Pt.unk�e -
Mailing Address(number and street ciy,state and ZIP code)
Q B Y c a. �x-t.�e� r Or. �aLks c(+-as wit/ 1(7 631
.
• First Middle Last
( pr, \ - - L. n n Ql Onk-e4
MarTmg Address(number and street.dry.state and ZIP code) I I Same as properly address
.- . •
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and crrect and that he or she is eligible to receive the
homestead standard deduction on this property. Each u•.ersigned also understands that,by claiming additional homestead deductions unlawfully,he or
she may be liable for back taxes and substantial fir a -- penalties.
er 1 Signature I Date
PART 4:ADDITIONAL. INFORMATION ,
. •
FIL9±'
NOV 7 2012
GIBSON COUNTY AUDITOR
�� � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ SIaIe Fortn Sd73 (R6 / 1-03)
Prescnbed by Ihe Deparimen� of Local Govemmen� Finance
INSTRUCTIONS: See revcrse side lor /ilinq inslmctiuns.
a�
�
FORM
HC10
YEAR
��e) �X �(.��! T �-L��%JX///r�".L� certiry� alon�the[lstday�ardi,�20_
,,,I���(((///lllyyye) occupied as our principal place of esidence ihe following described real property for which a Homestead�Properiy T� Credi�kis here� daimed:
:L�Q I(We) owned ❑ Are buying under contract II r ,(�(�6
Have a beneficial interest in Ne enlity that is liable for the property taxes on Ihe property and that owns ihe propert�`bi-is buying4hhFi�r a contract.
If buying om m�irad. Fee Simple ownefs nama
Remrdels olfice whwe conVad is recpded
Caunty
Tamship
�, r�� /!' ny �` I � aescn on �
/ / Cl (1 �!�U d Dl (l QItC
If any pwtion ol Ne residentiai sWcWre w Ne land not azceeding one (1) aae
of the property utilizetl to produce income. ,
ising ais (ciry,
I ihe pm',
'imme0i sujq�dsNat
rr�,
� �a �
Record number ,
fownship)
Page _
�queslion: �
Rez� proaert�i ❑ n+oCi�e liomo u.c. s,.,-n
ire is used to D���e income, Cesaibe the use antl partion
�,�fv� ��A ES R E�ONLY�`�"�e��3'xTRUETAX �3j ASSESSEDVALUE�'{sHOMESTEAD�"`�� NON-RESIDENTIAL "' '�
_ 3
�"`�+i` �' > �i � �°�-�VALUE�E°' i + � /1T t00Ye OF`TTV ��) �VALUE� - -�iVALUE�;�"�'^�
s „-2.. � � ..a°�A.c.�%:&�',.'�'�.�.. �v3cx.*3'�.'s�(SU'. .�t.t. -.3� b.�. ,rn..w.a.,�� 'siRi4*`t.,....,
Land not exceeding 7(one) acre immediately �-°��� ;�'y �� j"�" �.�-=��q��
surrounding residenlial improvements. �� � �> ��;'_t'����,:;���,�
Other land (2) ��` ��F'�x�"t`�+,s..�' �� �
,.�����"�
TUaI land (line 1 plus line 2) (3) �
"'r`=sc.��'-c3 '� rr�
Dwelling (4) �� ���:.a�`-c'� t�c'�Y� .�:;
Residential improvemenLS or Mnually ' ��`��- �����
f�ssessed Mobile / ManuhacNred Hwrre y (5) N�, �����,, ��t��
Gara e �� ",. 1{�
�ti-�.., �-.� x��k. �
Other improvements (6) :�€�c�"���'y��=
?%`'�L��-: �'€;`:`�
Tdal improvemenfs (line 4 through line 6) (��
Tdal value (line 3 plta line n (g�
I hereby certify the above is W e, corred, and Signamre otnssessor oate signed
complele.
Verityirg action - SignaWre ofPLtliror Date sgned
'��,d�%�:n'�,:�:f!?`��e��3`„'-�-_._9't'����STANDARD;DEDUCTIONAL•LDWAHCE;;w�,"�^..,,¢�,"��i'�."-".�r� ,-'�ShE�?�'.,��.`v.�i.<',-S�x,�'-�
20 _ Pay 20
Lesser of 1/2 Homestead $
vauanon or E35,000
Si9nature of Auditor � � Date signed