HomeMy WebLinkAboutHomestead_Scheller %TATE FORM!!!4.1R:/,t141 IRF SInILB FORM TS-IA
ANTONIO BY!r!TL BMRD OfVIMUren.ry.n PRESCRIBED BY nit DEPARTMENT OF LOCAL MW[RYMIS.'r FINANCE M/.I.1r24.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 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 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 tecene the
benefit and to provide additional identifyinu information necessary to allow county government to better monitor homestead
filimw This information will be kepi c nfidential and can only be acee.sed 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
Taxpayer Name Property Address
Scheller, Brian P/Angela M
RI Box 119-2
Haubstadt IN 47639
3381
Brian P Scheller
12901 S Pine Tree Dr State Parcel Number LeEal Description
HAUBSTADT IN 47639-8666
1111.1..1111_1_1_11_11_11_111._111._11__
26-22-14-300-001.765-024 COUNTRY VIEW EST 15 D-2
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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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Arian Pau \ Sc haIle_J
tg Address(number and street,city,state,and ZIP code)
0 [ame as praperry address
IZG01 3. P Irte _ Dr. Haubs - rl-6 , IN �-I -llo39
Spouse First Middle Last
AYI,/ckOa- 111G\fle. CaSLvn the I\e_i-
Mailing AdfMss(Number and street,city,state,and ZIP code) agar=as property address
I2101 3, Pi/,a_ Or- \ow skc&d±7 IN LI-llo3ci
_ —_ _ _
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 Sicnatauc as._ Date
ill Y
�, �
CLAIM FOR HOMESTEAD PROPERTY TAX 5,
CREDR/STANDARD DEDUCTION � ��C
� �������� JUN 0 4 2007
Piasrnbed by the DepeNnent ol local GoverrurierK F'vance
� INSTRUCTIONS: See ieverse side fa filing instruetions.
. �A�' �Sk;p'j �:�;`��.`y�� y'#5..:.:vlrn d1 �:.�.,a rt zw..Y-et:'CERTIFICA7IQN'STAIEMENT{.�:, �� � �;^�,,r�$ .-_.r�li,._L6 °t�-r�.�'�:3 "a'.ii$'.
,i�y�r�. M"11:�:1 1/.T•'Ra<l�Y..�J.Y�.U'�'�3..�f'Sfe:4ta.�n.i' ._ . . ....�. . _ A�.4..2
5 n .. .._ .... .,.. . c _ � _ cz �H .. � �ca.:.> n .s .?f.,..e'� ..+
M' � 11 U-11�–� P� �-..ftxm–� SL�c� wrv �. UNTY��IDITOR
I e T ��— n+.l ��,���� R. _ to� certify that on the 1 st day o arch, 20_
I(We) ocwpied as our prinapaf place of residence the folbwirg des d real property for which a Homestead Property T� Gadit is hereby dairtied:
�I (We) owned ❑ Ne buying urMa crntract
Have a benefidal interest in the entiry that is IiaWe for the property taues m fhe properly and that owns the property w is burng under a contract
rc Gry'e�g om m�tracL Fea Si�le oxnefs rema
rtemrders of6ce w,ae wmaa is recaaed
?^:�'m.��.�.��`d�e�-e�E'�'�3�`�s'i��'€k�ta "✓�iAYi=.
Camb Ta�rtnldp
Parcel nurnber
Legal dexnpUon
ac. - � � ,�-1 �3oo.�f o
H arry portion d iha'es'EerNal sWCNre a Ihe WM
of Ne praperty utiFmd tn Wuduce inmme.
Caunry
one (t ) ecre
I hefeby cerlify ihe above sfatements are W e, mrrect arM cortplete.
sete. ZlPcade)
�. _ _ T_
Recud number � Pege
town. fovnshiA)
Is tha praperry in QuesUOn:
❑ Ree� moaerty � Modle rbma (LC. Q,.,-n
surtounds Uial sUWUra is usetl lo produoa trwome. des�ribe �ha use and portion
Signahire