Homestead_Turner STATE FORM 53569(R3/13-I0) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FLNAMCE IC6'Ir'.22.9.1
. - IMPORTANT NOTICE TO HONIESTEADPRO.PERTY OWNERS
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
standard deduction to verify that they are eligible to receive the 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 Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
PARTI: PROPER Y IN ORMA ION
•
Taspaver Name Property Address State Parcel Number Less!Description:
Susan K Turner 1837 E SR 68 26-23-09-100-001.389-024 PT NW 9 4 10 1.21 AC
HAUBSTADT IN 47639 00.'9f11 p(f��II7'f�
Complete and return to: I�IIUl]IIIDl®IDif W 1I I 10111111111111'i FUW III®
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
.
.
Spouse First 'Addle Last
%ur e�' -At 5a-n // .
Mailing Address(number and street,city,state and ZIP code)
Same as proPeNY address
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113-7 C 5,e dg l-k.Js{adi _7-Ai it 76 jy
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is tole 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
• - PART 4: ADDITIONAL INFORMATION
FILED
NOV : 5 2012
GIBSON COUNTY AUDITOR
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / 592) .
FORM
HC10
YEAR
�lD16/
INSTRUCTIONS: See reverse side lor filing instructions. �� • �
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CERTIFICATIO STATEMENT � �
I(We) . . certity that on the 1 s day of March 19_
I(VJe) the follovring described real property for which a Homest Property T�.�C it is h by imed:
1
❑ I(We) owned ❑ Are buying under contract � 7! �, _ .�_�T�o
❑ Have a beneticial interest in the entiry ihat is liable for the property taxes on the property and ihat ownsthe property or is buying under a contrect. .
CONTRACTRECORDED - �
If buying on conVact, Fee Simple amers name
Recordefs oHice where coniracl is recorded Record number Page
PROPERTY DESCRIPTION
Counry Township ' � Taxing distria (dry, town, townshipJ �
Pa�lau er— Legaldescription G � — _
\JCl � /V �
If any portion ot the resWential struaure or Ne land not e:ceetling one (1) acre that immediately sunounds that swcture is used to protl.xe income, tlescnbe the use and portion of
the ProDerry utilized m praduce income.
-o33-a9- av-a%,� _��
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Sig ture o anl n
�r by certify the above statements are true, correct and complete. �// �ti/�
- dd ss (number and st2el, ciry, sfate, ZIP wde) ' /
•!?.2 BOa- / 73 CS N'Gi.�'-� S�f /il/ �/ 7 G 3
ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
, VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately (� �
surrounding residential improvemenis.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements
� Garage (5)
Other improvemenis (6)
Total improvements (line 4 through line 6) (7)
Tolal value (line 3 plus line 7) (8)
I hereby certity the above is true, correct, and Sig�ture ot nssesar oate signed
complete.
Verifying action - Sigfature oi Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead c�
V ation or $2,000
SgnaWre of Autlimr Date signed