Homestead_Rupp STATE FORM Meg(1hI O) TREASUREA FORM TS-IA
APPROVED BY STATE BOARD OFAI(OUNIS,30% PRESCRIDN W
BY THE DEPARTMEAT OF LALcOVtX MENT FINANCE IC 61.1332.1
/ 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.
FILE I, HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
•
benefit Thand is o mrm
o nuidtoe n a ddwiiltl i obne a l k epidet ncotinfindg e ninformation necessary a ccto e ssaled low b y c oaunutho rgizewd e mmcoty too 5bceitatlesr.monitor p homestead
f
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
MAY 1 � 2 11 - �, Taxpayer Name Location Address
- C.J. Rupp, Christopher K
V tStnssow
GIBSON COUNTY AUDITOR . HAUBSTADT IN 47836
9810
Christopher K Rupp IIi111IC11llIiihi ll11111111111111111Ir1111111011[i1111I111111I1111Ii111111il111111lI
12017 S 50 W
Haubstadt IN 47639-8808
111111111111111+1111111 111"11111111111111"11111 I1"III' State Parcel Number Legal Description
26-22-13-200-000.529-024/'PT NE 13 411 .798 AC •
o
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.
, F • _
1 `// First v Middle n n fast
Mailing Address(number and street,city.state,and ZIP c ) / Same as property address
22&/ sso � �t �� y���,
Spouse First Middle Last
•
•
Mailing Address(Number and street.city,state;and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) 1 Other(please specify in Part 4 below)
1 - I 1 I I I I I I 1 I ISM
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 t;.es and substantial financial penalties.
Owner I Signature Date
�� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ Slate Fwm Sd73 (R6 / 4-03)
Prescribed by �he DeOartment of Local Govemment Finance
INSTRUCTIONS: See revcrse side /or /iling Inslmcfions.
FORM YEAR
�i��a� �i
� I�j �
� 1.�/ �L�' 1Lf'
' i �. �
�(We) - ceNty that on the-1st day;of March!20 ,' �
:�t�n..^-i/!n'�.. •�._•:-rv....�
I(We) oyeupied as our principal pia oi residence the following descri d al pmperty for which a Homestead;Property.Tac.Credit is hereby claimed:
! / I��OJJIV l.� .�, n . . �
D�.i (We) owned ❑ Are buying under contracl
, Have a benefidal interest in lhe entity that is liable for ihe property taxes on the pmperty and that owns �he property or is buying under a contraU.
If buying on conVaq, Fee Simple ownefs name
Retorders ofice whaze conUaq is remrdetl
Caunty
7awnshiv
Tating
Record number � Page
Parcel number Lega description Is il� pmpIeyrry5iy quwtion:
0 o y-«,�5� s� � t N P � 3- v-� / � —u Real Droperty ❑ Mobila Hwno (I.C. 61.1-�
If any portian af Ne resiCentlal sWCture or Ihe land not axceetling one (1) aae lliat immeEiatety surtounds Nat sWCture is usetl to proCuce income, desaibe Ue use and portion
of Ihe DroPenY util'¢ed tn produce income. �
, �
�re�.� vi�
"%xx•"�"-��"x .4�+±� �-s�%�' �-
� A5SESSOR�USE ONLYw'` "�= • T�UETl+X�� ASSESSED��4ALUE �HOMESTEA� NO—NkRESIOENTWL �
�r�?,f�4', . ����� y��r,���n ����� � ��+VALUE��� :: AT�100%�.OF�'T7V� �L�?�VALUE�� ���„�VALUEz,��,'�
Land not exceeding 1(one) aae immediatety "�°x �F-';• �r'��'e�^�•F
surtoundin residentlalimrovemenis. (�) ���: KE>''}�� �
9 P �a�� �°'�i =
ONer land (p) ��' �- � -;� �
:������r!�-_�__+'�_'
Tota1 land (line 1 plus line 2) �3�
'� t-,>v�v
Oweliing (4) � �4
�� #i 3�+,:.4
Residen6alfmprovemenborMnually �"-�^''�`� ��'`�� � Y
Assessed Alobib / ManufacNred Hvne (� � � �,��.� r�
Garege 5 .�ie��"�.��'���'� �!a�v��
�'�+ "-
Other improvements (6) �p?'��€ � � a
�_ a._
Tdal improvements (line 4 through Irne 6) ���
Tdal value (Gne 3 plis line � (g�
I hereby certify fhe above is W e, coned, and Signawre otAssessor Date signea
complete.
Veritying action - Signature of ALdimr Date signed
r— -. ..,. ._ . -
��r�r��q'�l'.,:.�.a",;�*::�7�4y`��l`���?`z`'�"�.=`STANDARD':DEDUC'lION'qLCOY1IANCE�`?�`e:,+n.�z;'�;�,���� s.z.'"�`x���'�i_6;�'-`�`a,yxx:;�w
20 _ Pay 20 _
Lesser of tf2 Homestead $
vauauon or 535.000
SignaWreofAuCitw " Datesigned �