HomeMy WebLinkAboutHomestead_Hayes STATE FORM,!,a it/',MO TnrAmUUA FORM TS-IA
A.rRmaIMPORTANT'NOTICETO PILMAIDED BY THE
OPERTYLOVINERS II,.
Gibson County Auditor
1C1 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
A more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills fix all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction no verily that they are eligible to receive the
benefit and to ptueide additional identifying information necessary to allow county government to better monitor homestead
filings_ this information will be kept confidential and can only he accessed by authorized 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
Hayes, Anthony R/Shirley A Belcher
Francisco IN 47649
4836
Anthony R/Shirley A Hayes c
Francis sIN�47649-9171 ���l J sO State Parcel Number Legal Description
26-13-31-200-001.478-004 002-01478-00 PT NE NE 31 2 9 2.00 AC
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D-10
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
A ion-l-o is V R . N p yE (-)
tilk g Address(number and street,city,state,and ZIP code) - —— — 0-Some as property eddres -- - -- -— - — - —
3591 Sot TN (n o EAST- - FRANerSc ='Au . I-11 (04+9
Spouse First Middle Last
S NTRLEy A - /4H1Es
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
3591 SouTH (pso E Hsr - T=RArJessee DO , '- 9l0 4 9
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.
Owner I Signature Date
•
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Forth 5473 (R215 -92)
r lfi
INSTRUCTIONS:. See reverse side for filing instructions.
FORM
►— HC10
YEAR
CEPdIFICATION STATEMEN _
I (We) &jgAhA t day of March, 19_
I (We) occupied as our principal of residence t e Ilowing described real pr rty For - Pro, ., redit is hereby claimed:
..,,rrrrkk t-.
❑ 1 (We) owned ❑ Are uymg under contract C slow ''
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number ,
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township)
Parcel umb
- -
Legal descrip
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce e, describe the use and portion of
the property utilized to produce income.
A
P OPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
.ereby certify the above statements are true, correct and complete.
ignature of cl imam
Address (number and street, city, stale, ZIP code) N 407
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
aluation or $2,000
S
Signature of Auditor I \
'`/� —J
Date signed _
— /