Homestead_Whitten STATE FORM 53564(U/LAO) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS X04 ritiscanwo ante.DEPARINIEVI OF I1MAL othiitmatha EOANCE IC -I.I-n24.1
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 becomes
Princeton, IN 47670
•� FILED more 1344-2009 there is more incentive than ever the homestead fraud.Homestead deduction fraud rift'causes higher tax bills for to all;P therefore,
cei eft e,
HEA 1344-?009 requires taxpayers who receive the hamestead sandard deduction to srrify that they are eligible to recent 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.
APR 18 2011 PART l: PROPERTY INFORMATION -
.. _ C • . , - Taxpayer Name _.Location Address -__
Whitten, Kevin R/Stephanie A
GIBSON COUNTY AUDITOR A ' 10280 S 290 W
FT
0 BRANCH IN 47648 _ °
7350 1111 I � � II illI 01111111 1101111111111[II ill 1 I3110i1 fi
I U II Kevin R/Stephanie A Whitten
- 10280 S 290 W
Fort Branch IN 47648-9101
II'IlIlrIItIII3111IIIIillI' 'lllIiIIiilliIill'III"Ililll'I'Ii"I State Parcel Number Legal Description
26-18-34-400-001.676-024 / PT SE 34 311 12.16 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.
i__ _petit_j;TAxpAXERINF'ORi■lAT1ON___ ._
Owner 1 First - Middle ,last
.. -C-Al 1 lk) GO q I 7 L A)
•
Mailing Address(number and street,city.state.and ZIP code) - Same as pm address
/0J& o -S. 021.d �' FoRt QR � C l4 _rN L7611 F
.
Spouse / First /J - Middle / / ) , , - Last
Mailing Address(4lumber and street,city,state.and ZIP code) Same as property address ,
/O go 5 2-5O W. FOR / ell ( M. 2/U zi-?..( be
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 ma be liable for back taxes and substantial financial penalties. �
a�^3`t\ CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
a
J� �� Siate Porm 5<73 (R2 / 5-92)
�=� �.
INSTRUCTIONS: See reverse side lar liling instrucfions.
FOFiM
HC10
YEAR
iiWe) vi� A�X� W certitytFlStb c�ie st �'g�A6.�t�.19
P P P P 9 P P Y P Y Y
.) occu ied as our rinci al lace of resitlence the Ilowin described real ro ert for which a Homestead Pro en Tax Credit is hereb Gaimed:
'�Q 15 1995
(J I(We) owned ❑ Are buying under contraa :
❑ Have a beneficial iNerest in the eniity ihat is liable for Ihe property �axes on the property and that owr.s ihe proq�rty or is buying upder a contract.
II buying on contract. Fee Simple owner's name
Recorder's oflice where contract is recorded
PROPERTY DESCRIPTION
County Township TaKing tlisVici (city. lown, :owi
Parcel number ( Legal description Q
� � - �6� � `� � �� � � �- .
II any Donion of the resitlential slmaure or the lantl not e.ceeding one (11 aae thal immedia:ely surrounds that stmcture
ot the propeny milized ro protluce income.
�/-/rI-.3�� -�/.���-o� 5�
Recortl number � Page
-- 3-1� 1`�l•1� I`�C..
ro produce irxome. desaibe me use and ponion
ASSESSOR USE ONLY TRUETA7( ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (')
Otherlano (p) I
Totai land (line 7 plu5line 2� (3) I �
Dwelling (a)
Residential improvemems
Garage Il5)
Other impmvements (6)
Total impmvements (line 4 through line � (7) I I I
Total value (line 3 p�s line 71 (g) I (
I hereby ceni(y �he above i5 Vue. Correct. and Signawre of Assessor I Date signed
complete.
�ying ac;ion - Signawre of Audi�or Date signed
19_Payt9_
Lesser of 7/2 Homestead
Valuation or 52.000
DEDUCTION ALLOWANCE
�
Date s+ ed
�