HomeMy WebLinkAboutHomestead_Thurston STATE FORM 535c9(N/&10) utast-ant FORM'IS-IA
APPROVED BY STATE BOARD OF COUNTS:MP PRESCRIBED BY THE DEPARTMEVI OF LOCAL GOVERNMENT FLNA`I E IC 6-1.1-224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTI' 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.
a HEA 1344-2009 requires taxpayers who=ChM the homestead standard deduction to verify that they are eligible to receive the
eAl 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 Deparunent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
MAY 19 2011 PART I: PROPERTY INFORMATION
Taxpayer Name Location Address
Thurston,Adam K/Lynden N I lb g) 1900 S
—GIBSON COUNTY AUDITOR J� 8 w
/ HAUBSTADT IN 47639
3071 - I II I I II
Adam KThurston ll lull) uiii1111_still�III_�lll Ol�ll_Il�ull�ll_ll-1011011 011 ll�l 011�ll.101011 ll
1681E1200S
HAUBSTADT IN 47639-8047 °
III IIIII II IIIIIIIIIIIIIIIIIIIIIIIIt1IIIIIIIIIIIIIIIIIIIIIIIIIIIII State Parcel Number Legal Description
26-23-16-100-002.191-024 PT NW NW 16 410 2.553 AC
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.
•n PART 2: TAXPAYER INFORMATION / .
Ow. t
First ' Middle Last
v�l` vs_o.. y ■ kv rs I„w.,
VI
Mailing Address(number and street,city,state,and ZIP code) I Same as property address
Swim. rT]4ZA First
1 _ . _ ( r Middle M � Last L
'<. Mailing Address—umbel and street,city:state,and ZIP code)—_\1``/1 ..��/ __ _ anae las Property address --- _ _._
}�LcJ
, Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible F
receive the homestead standard.deduction on this property. Each undersigned also understands that,by claiming additional homestead deduct:o
unlawfully,he or she maybe liable for back taxes and substantial financial penalties. - rk_J
°" CLAIM FOR HOMESTEAD PROPERTY TAX Ol FORM YE'°`R
CREDIT/STANDARD DEDUCTION HCto �
su�e Fam sa�3 �Re r�-0�� i^ i`1
�..,. � Prescribed by 1he DepaNnent af loral Govemment Finance VC
INSTRUCTIONS: See reverse side /or fi/rng insWctions.
� M�e) �'� l` °t \�� L/���ISC- �l y�-wL2-�A'�'t / certiry that on the 7st day ot March, 20_
-�
I(We) oaupied as our prindpal place oi residence the following described real property fw which a Homestead Property Tac Credit is hereby daimed:
[] I(We) owned ❑ Are buying under contract .
�ave a benefidal interest in M�e entity that is liable fw the property taxes on the property and that owns the properry or is buying under a contract.
If Wyu�g on conitact, Fee Simpe ownels reme
Recadefs office whete oontrad is recortled
Counry ramship
fown.
Recortl number I Page
Parcel numbe� I legal descAplim O I Is Ihe proper�ry- 7in�question:
_ y�nqel property ❑ Mobile Home (IC 6-f.1-�
If arry porlbn af the res'qerNal sWdure or Ihe Wnd nd exceedirg orre (1) acre Ihat immedialely surtaunds �hat re is used b pmduce incortre, EeSCribe Ure use and portion
N Iha propeity utiGZed b Produce inoome.
a �-a3-��-�c� -cb�. l 9/-Qa y
._ , . . .. . .
„ .�
Land not exceeding 1 (orre) acre irtmediatey � ' -' ' . ' �
surroundirgresidentialimprovements. (�� � -
Other IaM (Z� . .
Tdal Wnd (line 1 plus Ime 2) �3�
Dwellirg (4) . � '
Residentiai improvements w Mnualty '
Assessed Mobile / ManvFadured Home � ,. . � -
Ga2ge (5� . _- . .
Other improvements (8) . ... ..
T�al improvements (Gne 4 through Gne 6) �7�
Tahal value (line 3 pl�s Gne 7j �g�
I hereby certify the above is true, corred, and SignaWre ofAssessor Date signed (monN. day, yea�
canplete.
Vaifyirg adion - SignaWra NAudifnr Da1e signed (monN, day, yBa�
� • ' � � � • •
� pay 20 _ qs�ppp tor 2007 pay 2008 42.000 for 2010 pay 2017
Lesser a( 12 qq �pp for 2008 pay 2009 41.000 for 2017 pay 2012
Homestead Valuation $
w 43,000 for 2009 pay 2010 40,000 payable after 2072
SignaWra of Pt,Qtd Dale s5ned (manlh. tlaY•Y��