HomeMy WebLinkAboutHomestead_Brown (26) -".A cl\tE FORM!lXI del 4X1 nrsSUt .t,N:Slg
APrMT EDDY cilfl NWV>M VEER'.NTC._`nN PV`ITEDD BY mE DEPARMENT(i LMal tOtTR.VMT.T FINANCE IC NIECE
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 or'this deduction becomes
' ,, more beneficial,there r more ayer who than tiler her homestead fraud.IIo deduction fraud verify rify that higher In bills
gi for ID all:therefore.
HEA 1344-2009 requires ore ince who receive on the homestead om standard mestead to eau then they are eligible al recent the
i benefit and to provide additional identifying information necessary to allow county'gormment to better monitor homestead
J tilin:b.This information will be Lept confidential and can only be accessed by autrtriled county odhcials.The Depanment of
Local Government Finance will use this infomution to create tools that will help county officials eliminate tunes:cal fraud.
MAY 3 2010 PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
7-1/a',Q/ Brown, Ruth I
U
GIBSON COUNTY AUDITOR 1904 Taylor AVE
Princeton IN 47670
3252
Ruth Brown
1904 Taylor AVE State Parcel Number Legal Description
PRINCETON IN 47670-3206
Irhrllrra1r11rr 1111 111 1111111111111111111111111111111111 X26-12-08-203-001.873-028 019-01873-00 DIKE ENLG 8
Social Security Number(last 5 digits) Driver's License/State ID Number past 5 digits) Other(please spat*.in Pan 4 below)
Sr
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
,s
a%^"� : CLAIM FOR HOMESTEAD PROPERTY TAX FoRM YEAR
;'�= CREDITiSTANDARD DEDUCTION -� Hcia 12 199
� �� State Form 5473 (R2 / SA2)
u�• . . . (�S/yfi�uiJ /J'. O{`(�,yy^�
INSTRUCTIONS: See reverse side tor liling instructions. AU p�,j,0 R 0
� � - � CERTIFICATION STATEMENT � �
I� �'�e) �� . d' - certify. that on ihe 7 si day of March, 19�
i
of residence the following described real property for which a Homesiead Property Tax Credit is hereby claimed:
� I(We) owned ❑ Are buying under contract � .
� Have a beneficial interest in Ihe entity that is liable for ihe property taxes on ihe property and that owns the property or is buying under a contract.
CONTRACTRECORDED
If buying on contract, Fee Simple owner's name �
Recorder's oflice where contract is recorded RecoN number Page
Coumy
Parcel n mb
0�-618"
If any portion ot the resitl
o� (he propeM ulilaetl to
' PROPERTY DESCRIPTION
Township Taxing di5t ct (
- oo I �J�eQ. c
strutture or the land not exceeding one (7 � ave Nat
ice incame.
town,
Nat svuciure is usetl ro produce income, descnbe Ne use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County Township Countv
reby certify the above statements are true, correct and complete. e of d� am
A r (numberandsVeeLdry.slate.ZlPCOde)
ASSESSOR USE ONLY �� - TflUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL �
. VALUE VALUE VALUE VALUE ,
Land not exceeding 7(one) acre immediately
surrounding residential impmvements. (�) �
Other land (p)
Total land (line 7 plus line Z� (3)
Dwelling (4) - .
Residential improvements ,
Garage (g) ,
Other impmvements (6)
Total improvemenis (line 4 through line � (7)
Total value Qine 3 pbs line 7) (g)
I hereby Gertity [he above i5 Irue, correcl, and Signature of Assessor Date sgnetl
camplete.
'y�rg aaion - Signature of Autlitor Dare sgnetl
�
STANDARD
19_Payt9_
Lesser of tl2 Homesiead
YHluation or 52,000 S
Autli[or