HomeMy WebLinkAboutHomestead_Waite sTATE1OPt Wtic/sent TREASURES FORM TS-IA
APPRm'ED AT RATE MVOOI ACCOONTA ry PtrgNBm BY Tilt DEP.ARfl T(i LOCAL CAVERNslrxr FNASCE le 6-1.1.22-A
Gibson County Auditor
101 N Main RI PORTANT 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 nee for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi conlidentinl and can only he accessed by authnmed county officials.The Ikpanntent 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 I
Waite, Patrick J/Nancy J ��
RI Box 127 1
_ _ _ -�_ -. ___ __ __—_-- -Ilaubsadb1N.47639. — `- -.—_
9577 ' /J •
Patrick J/Nancy J Waite �/
12917 S Scottsdale Dr State Parcel Number Leea1 Description
Haubstadt IN 47639-8680
26-22-14-300-000.799-024 004-00799-00 SCOTTSDALE ACRES 1.573
IIIIIIIiiiitilittilltillitioliellt11111111 III utI nt III AC,
Spouse First Middle Last
Mi4C y tT ire Q110;;1e
Mailing Address(Num r and street,city,state,and ZIP code) a'Same as property address
1a-9175ScotJs4/4 br, vr4uSs %c#U 4Nb 3'7
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elieible 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 I PtuaLA Date
II
��` "�" � CLAIM FOR HOMESTEAD PROPERTY TAX
� \�° CREDIT/STANDARD DEDUCTION
• ���i� Siate Fortn 5473 (R2 / S92)
•-}4�r�,7-�i �
fi
INSTRUCTIONS: See reverse side lor /iling instructions.
FORM
HC10
YEAR
� CERTIFICAT�O STATEMENT. "
I(We) �- F �/ G // �� ��� certify that on the 1 st day of March, 19_
I(We) occupied as our p� cipat place of residence t following described r property for which a Homestead Property Tau Credit is hereby claimed:
❑ I(We) owned � Are buying under contract �
❑ Have a beneficial interest in the entity thai is liable for the property taues on the property and thai owns the property or is�dy��ur�er �o�,
�� .�-_
� CONTRACTRECORDED �
If buying on contract, Fee Simple owners name
Recordets omce where contract is recarded R number e
,�cn�� �Oti. sv
r.1.� �OFi
PROPEflTV DESCRIPTION y
Counry -� Tovmship Taxing disMct (ci , m , towns6ip) '
/ S� �.� S � �v -
Parcel n mber legal description �
_ o�9y_ do -
If any portion ot ihe resitlential sirucNre or the lantl not exceetling one (1) acre that imm�atey sunounds that sWCture is used to protluce income, describe the use and ponbn of
Ne property utilized to produce income.
�'� - -- s` - - o
� PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township � �
�igra of Gaimant ��
ereby certify the above statements are true, cortect and complete. � u
Addreu (number antl streeL ciry, stafe, ZIP coCeJ . � �
-.�2i ,(� /a7 �a�.G�a.iud� ��. y�� 39
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding t(one) acre immediately (� � � ' .
surrounding residential improvements. "-
Other land (2)
Total land (line 1 plus line 2) (3)
Dwelling (4)
Resideniial improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 Ih�ough line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certity the above is true, correct, and Signamre of Assesor Daie signetl
complete.
Veritying action - Signature of Autlitor Date signetl
� STANDARD DEDUCTION ALLOWANCE "
19_ Pay 19 _
Les of 7/2 Homestead � _
alu � n or 52.000
i
Siqnature of Auditor Dat signed
� �-y--ma