HomeMy WebLinkAboutHomestead_Asberry Still FORM,IMntIunl TREASntf FORM 11A
.ArrnED BY.Stil£DOARDOE MTflAT,.Zion P[ES RIDrD BY Ira DEPMEXEMT(F LOCAL C{VIANSI der FINANCE IC 4-t.I-L4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
6 FIFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
filing..This infonnation will he kepi conlidential and can only be accessed by authorized county offcials.-lhe Depanmenl 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
Asberry, Shelley M
614E Emerson
/ Princeton IN 47670
2618
Shelley M Asberry
450 W State St State Parcel Number Legal Description
PRINCETON IN 47670-1344
IElttllrttlllltrltttlll IittllttlttllIIlI,IEltllrttl Elttl 7C 26-12-07-103-001.756-028 019-01756-00 DEVINS ENLG 2 PT
PART 2:TAXPAYER INFORMATION
Owner I \ First Middle [� ` Last
III S `nc\\tA C1cLr'.'t S�e C r1
Address(number mtd street.city,state,amtZIP\co_de) . ` \ _ ___ __ _ —\,��_ Sa as property uddres . _ - _—
\50 \),)e,ST Stec S`c e-ctiT �r:, Nca or\ -�a y -I tdiC)
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) lj Same as propeny address
Social Security Number(last S digits) Driver's License/State ID Number (last 5 digits) Other(please sped&in Pan 4 below)
sme
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
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 S. atur Date
•
�.� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm 5473 (RB / 403j
Presrribed by the Department ot Local Govemment Financ=_
lling insimcfions.
FORM
HC10
YEAR
I(We) i./�'�� vi certi(y Ihat on the 1st day of March, 20_
I(We) occupied as our principal place of residence Ihe following described real r perty for which a Homestead Property Tac Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under wntract
� Have a benefidal interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a wnVacl.
I( huying on conVad, Fee Simple owners name
Remrders ofice where conVaG is recorCed
Tamship
tl eny portion of ihe resitlentlal aWdure w the land not axcaeding one (1) aae
ot the propery uti¢eA ta produce income.
Record number � Page
Tating tlislrict (riry,
Is Iha
�i �Real Droperty ❑ Mobile Homo (I.C. biJ-�
sunounds �hat strucwre is used to produce income, describe the use and poNOn
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