HomeMy WebLinkAboutHomestead_Schmitt STATE FORM 53569(R3/S-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-1.1-22-6.1
- IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS - tt
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
�auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
ard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
s. Id
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.
PAR 1: PROPE'TY INFO'\IATION a
Taxpaser Name Property Address State Parcel Number Legal Description:
Beth A Schmitt 177 E 1025 S 26-19-31-400-001.029-024 PT S 31 3 10 .688 AC D-9
HAUBSTADT IN 47639
Complete and return to: I®{IOD]I100mlllVEID{m®IFII1ilhmll]It.HERO
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2:-TAXPAYER INFORMATION I
Owner 1 First Middle last
B TO A . S GHM l T-T
Mailing Address(number and steel city,slate and ZIP code)
I 4Szme as property address
I 7 7 E {O255 El .6s—rA 0- IN 24 762),
Fist - Middle Last
Mating Address(muter and street.city.slate and ZIP code)
Same as property address
Social Security Nunter(last 5 digits) Drivers License/State ID Number(last 5 digits) Foe Other(please specify in Pan 4 below)
PART 3:'CERTIFICATION r I
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.
Ovmer I Signature Date
PART 4:AUDI"ITONAL•1NFORMAT10N
-
.
FILED
• - - JAN 2013
iiitetS-
GIBSON COUNTY AUDITOR
a%�"'�°„ CLAIM FOR HOMESTEAD.PROPERTY TAX FoRM YEAR
sa�� CREDIT/STANDARD DEDUCTION riCto Q�'
.�.,��� State Form Sa73 (R2 / 5-92) � - � ��—�
INSTRUCTIONS: See reverse side /orliling instructions. �1j� �
e) �•� � �.�lXl/h�LJ�1 -- certify ihat on e 1st day of Mar�/cYh�. 19�
x' oc ��ed as ur prin�iqal ��gsidence the following described real property for which:a Homesiead Prope �2Y�dii �(gpK ��c�3(r�eil:
F. .11� � y AU I UK
I We a3afTe3— ❑ Are bu in n8er contract ..
Have a beneficial interest in ihe entity ihat is liable for the property taxes on ihe properiy and that owns the property or is buying under a contract.
CONTRACTRECORDED � � -
It buying on contract, Fee Simple owner's name � ,. � . ,
Recorder's oflice where Contract is reCOrded flecord number Pa9e
PROPERTY DESCRIPTION
Counry
(ownship)
Pareel number Legal d tion
��{ - o loa9 S��, 31.-3 - lo ,�g8 P�
If any portion of the residential strucwre or the land not exceeding one (1 � acre that immediatey surrounds ihat structure is used to produce income, tlescribe the use arM ponion
ot the property utilized ro protluce income.
�'�-/9 �i � -��0�9-���
ASSESSOR USE ONLY � TRUE TAX ASSESSED � HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE � VALUE ..
Land not ezceeding 7(one) acre immediately
surrounding residential improvements. (�) .
Other land (p)
Total land (line 7 plus line Z� (3�
Dwelling (4)
Resideniial improvements
Garage (5)
Other improvements (6) -
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby certify the above is true, correct, and signamre of Assessor Date signed
complete.
Ventying action - Signature of Autlitor Date siqned
Autlitor
STANDARD DEDUCTION ALLOWANCE
19 Pay79_ (
Lesser of 1l2 Homestead
� Valuation or 52,000 S
�
Date