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Home My WebLink AboutHomestead_Modafari • STATE FORM OIMIR: •+nl • TREASURER FORM 3IA APPROVED BY ST QE 110110 Of ACYTA L TI.9m PREgNam BY LIE DEPARTM:N.TOf LOCAL r OVZPNMrta EIXA\CE Ica-1.1.^J.1 Gibson County Auditor 10(N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead yandaal deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 13-14-2099 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to retene the benefit and to provide additional idemifyinu information necessary to allow county government to better monitor homestead filing.This'affirmation will he Lept confidential and can only be accessed by awhnri,ed county officials.The I)epanntent of Local Gmemment Finance will use this infomution to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Modafari, Jemma M 1959 S 725 F Francisco IN 47649 4633 Jemma M Modafari 1959 S 725 E State Parcel Number Leea1 Description • Francisco IN 47649-9080 Itlttlltttitlltttlttlitlttitittlltttlttltllttttltirlt it tlr1tl1 26-13-20-200-000.052-004 002-00052-00 PT NE 20-2-9.830 AC PART 2:TAXPAYER INFORMATION Owner I First Middle Last e YY] I'YlEta M vrt- III od f'a H / farg Address(number and street.city,state,and ZIP code) -_ - - --- Et-Same-as property address - -- 996- 7,,26 ett- jv, Iv 76 y9 Spouse First Middle Last Mailing Address(Number and street,city,state-and ZIP code) [J Same as properly address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) say PART 3:CERTIFICATION 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 Form 5473 (R2/1 -90) INSTRUCTIONS: See reverse side for tiling instructions. CERTIFICATION STATEMENT A �Q� ,400 S.Z -ate FORM YEAR HC10 Ln I (We) �r}RmvY„e� "s�� o� certify that on the i�ldjy AL 1. (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: We) owned ❑ fti:'/AA'b10nt9Qjder contract Have a beneficial interest in the entity that is liable for the property taxes on the,,.prgpPrty_and that owns the property or is buying it under a contract. QquiclJ,�'. i ,4W_C At IDITDR y CONTRACT RECORDED If buying on contract. Fee Simple Owner's Name Recorder's office where contract is recorded Record Number Page I:j:Te1:jy:IIlWo1 i I:kor *1. County Town" Taxing Di 'ct ( ity, town, township) Parcel Number Legal ription oo - 6COS Ac — If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc- ture is used to produce income describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY County Township I hereby certify the above statements are true. correct and Address (Street, number. city, state MANT IN OTHER COUNTIES ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements Other land Total land - line (1) plus line (2) Residential improvements Dwelling Garage Other improvements Total improvements - line (4) through line (6) Total value - line (3) plus line (7) (1) 1991 Pay 1992 19 — Pay 19— Lesser of 1/2 Homestead (2) Lesser of 112 Homestead Lesser of 1/2 Homestead Valuation or $2,500 (3) Valuation or $1,500 Valuation or $1,500 (4) - - - - - Signature of Auditor 0. (5) (6) (7) (8) 1 hereby certify the above is true, correct, and,complete Signature of Assesor Date Signed Verifying Action - Signature of Auditor Date Signed STANDARD DEDUCTION ALLOWANCE 1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19 — Pay 19— Lesser of 1/2 Homestead Lesser of 112 Homestead Lesser of 112 Homestead Lesser of 1/2 Homestead Valuation or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or $1,500 Signature of Auditor 0. Date Signed 5- Io -q rl)