HomeMy WebLinkAboutHomestead_HillCLAIM FOR HOMESTEAD PROPERTY TAX
- s : CREDIT/STANDARD DEDUCTION
` State Form 5473 (RB / 7-07)
��u ` Prestnhed by Ihe Departmeni af Local Government Finance
INSTRUCTIONS: See ieverse side for filing instnxbons.
FORM YEAR
HC70
Y
j.sJ
i�we> � TC.v U � ^�" ��' T--r�� cer�ry ma� o e 1st day of March, 20_
I(We) occupied as our prinapal place of residence the fo ovring es �bed reai property for which a Homestead Pmp '�by daimed:
,� I(We) owned ❑ Ne buying under contract GIBSON COUN7Y qUDITOR
Have a benefidal interest in ihe entiry that is Iiable fa the property taxes on Uie property and that owns Me property or is buying under a con6ad.
If buying om m�traci, Fea Simple mvners nama
Recadere ofGce whera conUact is
number
Twmship
le9aldescnp6on
IRecord number I Page
- • •
Tadng disUict (cdy o• . fo Np)
;��. . a�or
Ils Uie property�uestion:
I property ❑ Mabila Fbme (/C b7.7-7)
If arry porlion of the residential stn�cture w Ihe land not ezcaeding one (1) acre ihal immetliately wrrounds ihal struclure is usetl lo produce income, describe Ihe use a� portion
of ihe property NiGZed b produce income.
•• •
� � .t � �
� � . •
Land not exceedirg 1(one) aae immediatey �� '
��� � •.
suvounding residential improvements. -
Other land �p� ' • �"' �
TUaI land (Irne 1 plus line 2) (3�
ResidentialimprovementswMnually �emng (4) '?�.N,��r ..�� Y�.�
Assessed Mobile I ManufacWred Home � r-�„ �::
Ga2ge (5� - *• a -.�` 4 ti ..«-;
Other improvements (6) :-'.'.,�` " _
Tdal imprwements (!'me 4 through Gne 6) (7�
TUaI valua (line 3 pl�s line � (g)
I hereby certify the above is We, correct, and 55nature otASSessor Da�e signed (month, day. year)
compiete.
Verifying action - SignaWre of Auditor pate siqned (monN, day, yea�
zu _ pay 20 _ qs,ppp for 2007 pay 2008 42,000 for 2070 pay 2011
Lesser of 1l2 qq.000 for 2008 pay 2009 47.000 for 2011 pay 2072
Homestead Valuaqon $
w 43,000 for 2009 pay 2010 40,000 payable after 2012
�TAIEHI0.Na�WIM=/fwl � lWASUAFAW0.V3U
MiRm'EI�PTA+LEMIMOFMYYw iR:�� PU9W�R�6Y91C�EPARMEVIOFLMAIGfniLNRFTfO:�]fFIfK1='J.1
Gibson County Auditor � � � � �
101 N Main � � � � � � � � �
PRWCETON IN 47670 InJi��idual. and m�;rieJ coupb arc Iimi�eJ �o nrc homcueaJ eta�MaN deJu.iion. As ihc �mtip� of ih� Jedunan beconree
� mere beneficial, ihrrc is morc incentne than aer for M1omesteael Gawl. Ilomesread fiauJ causo M1�her ta� bills for all: there(at.
HEA 134i-?009 requves uapacers r.ho receive the hanesteed sundarJ ANuctian m rerily du� the} am eligible to recenr �M1e
benefit ani m pra�idr mWi�i��ul idemiirin'�� fniwma�wn ��ee-vn �o allw' aounp� gmrmmem ro Mucr munitor Mmesmad
Bli��.'flus inlnmulim x�ill M AryM cmtidenli�l anA can nnly Ma aem: uJ br aulMrizeil rounq� nlTicials. Thr IXyanntm� of
Local Gwemmcm Fiiu�rce will u.e this inimmation m crcme wuls �hai will hcin rounn� ulTicial. elimii�atc hwncsrcad fraud.
1916
Steven A Hill
1199 Hootowl Lane
PRINCETON IN 47670-8147
���n��n��i��n��n���ui�n�iu�����n���n����n���n�u���
' ,,,,;
�`� :�%- _
�/ 1 �
digiU)
��' `
�
sWlc. and ZIP cak)
�`f— �c�--1 -��
ID Niunbcr Qac� 5 digits)
��"���
R 4 Bo.r 2»
i
Princcmn I��i7670
I
Leoal Descrintion
PLEASANT HILL 26/27
i
�lGL-
.uN��Wr."awo.; —__ r ".__ _
Other (pleue speci(y in Pan 4 below)
, ��
V e-3�,une :u propeny addres�
O�hcr (pinsc spccify in Pan» bciow�)
D-17
undersi�med certifies, under penalty of perjury, that the above and foregoing informatiun is we and cortect and that he or sGe is elicible to
;e �he homes�ead standard deduction on �his property. Each undersiened al>o understands �hat, by claimine additional home�::tead deductions
.-full}•, he or she may be liable (or back taxes and substantial financial penalties. �
1 Si�.mat�ut
S � �o ���
`�
i