HomeMy WebLinkAboutHomestead_Sims • s1A1EInR 37.0,IFCrfwl TPIASVE£R FORM?}IA
.A?Pluw'ED PT',P.M WIARDM Ar"Ye'.,i.,Yr PRr1nmm BY no DFPARMCVT(F IItAL GOVEI.YMrftr FINANCE MsI.I-224.1
Gibson County Auditor
101.N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to or homestead;tandani deduction.As the receipt of this deduction becomes
i more beneficial.there is more incentive than ncr for homestead fraud.I loniesread fraud causes higher tax bills for all:therefore.
• HEA 1344-209 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infom:mmn necessary to allow county government to better monitor homestead
tiling..This information will he 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.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Sims, Ray W/Joann G
RI Box 2 C
Francisco IN 47649
4640
Ray W/Joann G Sims
7176 E State Road 64 State Parcel Number Legal Description
Francisco IN 47649-9209
�t�tt��ttt�t��ttt�tt��t�tt�t�t ttt�t���ttt�t�tt�trt�t��tt�rtt�� 26-13-20-200-000.610-004 CCO'-OO6tt)-OO FT NE 20.z-9.697 AC
PART 2:TAXPAYER INFORMATION
Owner 1 - First Middle Last
RAY VJIAI5to &l SImS
g Address(number and seam.city,state,and ZIP code) — --- - -- Same as property oddress - —— -- - --- -
7/713 E. ST /gout- log- rg, AI e_ / seo , /n/. At 7/, 9-7
Spouse First Middle Last
r./o +JN (,114 bvS SItiS
Mailing Address(Number and street,city,state,and ZIP code) []Same as property address
7/ 7G i. £T, ✓QoutE lad )) rkitelsco ; IA! • L7699
?&
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation is true and correct and that he or she is eligible to
" receivre 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
• L •
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
a
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R2 15-92)
INSTRUCTIONS: See reverse side for filing instructions.
I(We)
napp 9485
certify that on t @�ESi`day Merch.`79 $
e) occupied our principal p. .Ve of residence the following described real property for which a Homestead Prope/rtyy Tax Credit is hereby claimed:
l(We)owned ❑ Are buying under contract
D
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is IITOR
n under a contract.
CONTRACT RECORDED
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County I Township County Townshi"—..
certify the above statements are true. correct and complete.
state.
ASSESSOR USE ONLY
PROPERTY DESCRIPTION
County I Town
��
NON - RESIDENTIAL
VALUE
Ta.ing ict (C y. town. ;ownship)
Parcel number Legat - iptio n
Valuation or $2.000
! E.
Q0 _a-j . �q
It any portion of the residential structure or the land not exceeding one
I1I acre that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income..
Total land (line I plus line ZI
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County I Township County Townshi"—..
certify the above statements are true. correct and complete.
state.
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements.
I (1)
Valuation or $2.000
Signature of Auditor
Otherland
(2)
Date signed
Total land (line I plus line ZI
(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 Assessor
I Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2.000
Signature of Auditor
Date signed
FAI