HomeMy WebLinkAboutHomestead_Smith (7) •
STATE FORM 53500(U/8-10) - tlrA IIRER FORM TS-IA
APPRO.TD BY STATE.BWRO OF ACCOUVIS,SW PRESCRIRIO BY T1IE DEPARTMENT OF LOCAL GOVERWENT FINAN Et'611 33-.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 hex-antes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
FILE]) HFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible Co receive the
benefit and to provide additional identifying information necessary to allow county goverment.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 m create tools that will help county officials eliminate homestead fraud.
APR 2 5 2011 PART l: PROPERTY INFORMATION - •
- - Taxpayer Name Location Address
Smith, Dorothy
rV\ 592E 1025 S
'GIBSON COUNTY AUDITOR HAUBSTADT IN 47639 •
2786
Dorothy Smith . 1111ID 11(1IIDIIII11IIII_I10111hl�III01EIIDIuIII011I IIII[llJI�DII�IIIlIIII
592E 1025 S .
HAUBSTADT IN 47639-8040
I.IfIIIIIIfIfI111"'tIIIIIIIIfrtI1111rt111It11llllll111 111111" State Parcel Number Legal Description
26-19-32-101-001.058-0244/MACK CURTIS 46
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
First Middle o Last
a
Mailing Address(udmber and stmt,city,state,and ZIP code) ca Same as property address
•
•
Spouse First! Middle Last
Mailing Address(Nnmb r and rrei city,state.and-ZIP code) —' _ _ 'Same as property address—_— - - _
.
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. ,
°wn 1 Signature - Date
•
n.
} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm 5473 (RB / 4-03)
Prescribed by the Department of Local Govemmem Finznce
INSTRUCTIONS: See reverse side Ioi filing inslmcfions.
FORM
HC10
YEAR
I(4Ve) �/ LO � - ceNry thal on the 1 ay ch 0
I(We) occupied as our principa piace oi residence Ihe foll "ng described real property for which a Homestead Pr e� it i�y ai :
❑ I(We) owned ❑!ve buying under contract
� Have a benefidal interest in ihe entity ihat is liabte (or the property taxes on the property and that owns the property orysbt�yirl� �i d�nVaU.
I11 1
If 6uying on conVad. Fee Simple owners name
County
ol
Counry
where contraq is remrde0
���/ ITamshiD�
�v
Tmting dislrict (rJty, Iown,
�iaso�ac%uNTV �w��•
Remrd number Page
�'S."n``�.rraST'"-����4-`�r�_�'��
� ('AlA //.!%/%j �
/� �' � iegai aescnpuo�� �� I Is the property in ': V
f1:'1 ^n
(/IV ��� Real property ❑ Mobile Homo Q.C. 67.1-�
:idenUal sWaura w Ne land not e:ceeding one (i) aae Nat immeEiatety wrrounds that sWCture is used W produce inmme, dasai6e the use and portion
to produce inmme.
� i i - �c �r �
County
I hereby certify ihe above statemenls are W e, conect and complete.
dry,sfate, ZlPcode)
of
Tawnship
�`�`�-- �F A E R USE ONLY. :��,�'� z� TRUEaTAX�� .ASSESSED�V�ACUE. � HOMESTEAD - 3 NON=RES�DENTL4L � �
t��:;�. ,,, ���,�: y„� .�� � �VALUE`"-�� a,.ATz100�/'OF�T.N T' �VALUE� ��.�, '�_'''...VALUE � �K�s�;�
+-�. .. Ar.,'i? -� �SCV.., r
� � x�,,�3'��'�`c�'���`�
Land nol exceeding 1(one) acre immediatety � ;�"' „ �"[',,�
sunounding residential improvements. ( � s� t��t,�,t�7,.X�����:�
Oiher land (2) ���r, ��•y+�%� ��
-L ..3"'�-o.r�ec �.y-�v�'�
Total land (line 1 plus line 2) (3)
9 ( ) �� a�7S ��� �N � �'C``'�EL�
Dwellin 4 1µ . .t . ^t
Residential impmvemenffi or Mnually '�`"^� ��
Aasessad Mo611a / ManufaGUrad Hmie �~`�'����
Garage (5) � ,�_ 'tC°„^��'�`�'-s< a'u�"n
�� k�'`�.��'�x �
'; �•;�� �. �
Other improvements (6) `=:�;,�,r�.',���
!._z-s-?:p �s
Tdal improvemenis Qine 4 fhrough line 6) ���
Tttal value (line 3 pha line n (g�
I hereby certify �he abOVe is We, corred, and Signan�re ofASSessor Date signed
complele.
Verifying action - Signature aflwditar Date signed
20 _ Pay 20 _
Lesser of 1l2 Homestead
v9qanon w E35.OQp
Sgnature
$
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