HomeMy WebLinkAboutHomestead_Beck (3) STATE EoKMCOO.OCFSwl 1RFASUIEAPo0.w:S-IA
ATPRm'FD BY STATE nCs OOF ACCOUNTS.Iwo PafS[WBEW BY TUE DEPARNeC OF LOCAL rslxEANMD.T FINANCE IC 1.1.1.11-1.1
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 deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this infomation to create twds that will help cony officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Beck, Deborah K
CIRCLE Drive Box 3 24
Princeton IN 47670
451 2 C
Deborah
_Gor3e DA Bee-9 324 11✓ " �° " �-
Princeton IN 47670-0324 State Parcel Number Legal Description
x 26-11-12-301-002.852-028 019-02852-00 BROADVIEW 10
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 f� Middle ,(� Last
D4� or "l �]/�ye c/\
•is Address(number and street,city.state,and ZIP code) O Same as property address
1/3 S. Sc04 ax/'
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ 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)
• Sort
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 liablefor back taxes and substantial financial penalties.
Owner I Signature Date
•
_ r
�E "��qF 0
i =�
.
,� %:
�
1fi
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stare Form 5473 (R2 / S92)
INSTRUCTIONS. See reverse side (or filing inshuctions.
FORM
HC10
YEAR
"�. CE FICATION STATEMENT - -
lj�'T7' � r.-• '-„
I(We) � ce�a�n__ lstdaydMarch,t9_
� � a
I(We) pied as our principal place of residence ihe following described real property for which a Homestead e T�k Cre i�islhe26y claimed:
�t w � �'=�1'/
(We) owned ❑ Are buying under coniract
❑ Have a beneficial interest in the entiry thai is liable for the property taxes on the property and that owns the pr�i{.�� c�is�u�eqnder a contract.
u
/'
CONTRACT RECORDED `_ ` , � /j /J
II buying on convact, Fee Simple ownefs name GILSON ^� Jry I
GutriY AUDITCR
Recortlefs oHice vrhere conVact is recordetl � Record number Page
. � PROPERTY DESCRIPTIO
Counry Township � � Taxing distritt ci , to� , township) � -
rc I ber O^ r r� � Legai descnpGOn
� �� `Xn L/
If any porlion oi Ne residential structure or the IafM not ezceedmg one (1) acre that immeCiately sunountls that structure is used to produce income, descnbe the use anA poNOn of
the pioperty utiiized ro produce income.
� PROPERTY OWNED BY CLAIMANT IN OTHEfl COUNTRIES
Counry Town ' � Township
�V�Signatureo dai� � �
reby certify the above statements are true, correct and complete.
Atltlress (number and sfree(, ciry, state, ZIP cotle�
3aY &oad�re� C;.� 0,� ��;�«�n zN. �6�0
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDEM'IAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatety (�)
surrounding residential improvemen[s.
Otherland (2)
Total land (line 1 plus line 2) (3)
Owelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Totai improvements (line 4�through line 6J (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is Irue, covect, and Signacure of Assesor Dare siqned
complete.
Veritying action � Sigrmture of Audiror Date signed
'.� STANDARD DEDUCTION ALLOWANCE
I � 19_ Pay 19 _
Lesser of 1/2 Homestead S
Valuation or S2,00
Sgnature of Auditor ��� v% � O
��