HomeMy WebLinkAboutHomestead_Alvis SIVVE FORM!"M 1R`/WI. 1RFAAIAEII FORM:}IA
Attu so lit STATE FO OOFAtt[UNTS.SrM EAPXAIBED BY Tilt oprARnetrOE LOCAL CAw'rrNMEFT FI:6SCE IC 611-r-st•
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deducion becomrcs
more beneficial,there is more incentive than ace for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HE.\ 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive the
yyy -nefit and to provide additional identifying infortnamon necessary to allow county government to better monitor homestead
1 .t,I. ove meat Finn will be u'e confderuial and on only be accessed by authorised corny oeficials.The Depanmert of
�S I Gm'<nvncnt Finance sxill use this information to crca:c tools that Brill help awns'official.dimmate MRnestcad fraud.
PART I: PROPERTY INFORMATION
APR 7 LULU Taxpayer Name Property Address
Alvis, Billie J
a� /l / 6 24 S Prince ST
1113
GIBSON COUNTY AUDITOR „/���1�\`\11/ Princeton IN 47670
Billie J Alvis
624 S Prince St State Parcel Number Legal Description
Princeton IN 47670-2430
ItII tutu tnI lln nnn nlrininnlnnII II tntrI I I nl to till 7. 26-12-07-403-000.039-028 010-00039-00 PT SE 7-2-10 .16 AC.
In In nII
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
1-4. / E -37 A2vis
40,g Address(number and street,city,state,and ZIP code) Same as property address
(p .,1- S, PRINct S-7:- PR;,vc .0,, Stix.! 7 7O
Spouse First Middle Last
Mailing Address(Number and street,thy,state,and ZIP we ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) -
sv¢
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
7
���� t CLAIM FOR HOMESTEAD PROPERTY TAX
i:� '� CREDIT/STANDARD DEDUCTION
� S�ate Form 5673 (R2 / S92)
S �
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INSTRUCTIONS: See reverse side !or liling inshuctions.
.. �
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x f F; w ���
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I(We) �U � certity t on the ts�t!day Mar/�
I(We) occupied as our principal plac f residence the following described reat property for which a Homestead operty Tax Gedit' �hereb I i
r7 I(We) owned ❑ Are buying under contraa GIBSOt: C:)'J TY AUDITOR
`Have a beneficial interest in ihe entiry that is liable for the property taxes on the property and that owns the property or is buying under a contract.
�.. ., . . . .. . - . . , i .,,_._. COHTRACT.RECORDED-._� : � �. :'�_ ".-.. r: �..p,::..°_ . � ?.:?.�,:,,
It buyirg on coniract, Fee Simple owner's name
Recordefs oHice where contraa is recorded Aecortl numher Page
County
7ownship
� PROPERTY DESCRIPTION �1 �' _ " `- 6 .. . "�;' �-.- . .,
Parcel nu r Legal de5cnp�ion ^ /
�/�' Ono39-a� f SF 7 a—��J �/��
If any portion of t�e resitlenfial s[ruaure or the land not ezceetlinq one (1) acre that immeCiatety surrounds ihat stmc[ure is used ro protluce inwme, describe the use and portion
of ihe pmperty utilizetl to produce income.
. �- �� ASSESSOR USE ONLY TRUE TAX ASSESSEO HOMESTEAD�� � NON-RESIDENTIAC
.� YALUE VALUE VALUE � � VALUE � -
Land not exceeding 1(one) acre immediately , ' � �" ��
surrounding resideniial improvements. (�) •
Oiher land (p) � ' � �
Total land (line 7 plus line Z� (3)
Dwelling (a) . � . � .
Residential improvements , , .
Garage (5) �
Other improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 pLS line 7) (g)
I hereby certify Ihe above i5 irue, CorreGi, and Signamre of Assessor Date signed
complete.
Veriyirg action - Signature of Auditor Date signed
19_Pay19_
Lesser of 7/2 Homestead
Valuation or $2,000
$
'Z- � -S�