HomeMy WebLinkAboutHomestead_Bruce (4) •
STATE FORM 5350(11311-10) TEEASflFS 1,04M TS-IA
. APPROVED BY STATE BW[O OF ACCOUNTS SW PRESCRIBED BY THE.OEPABME TOF LOCAL CA•ERNME'IT FINANCE IC 61.1.224.1
Gibson County Auditor IN'IPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction-As the receipt of this deduction becomes
Princeton, IN 47670 ,, ' more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
r F I L E 1i) befit and to provide additional identifying information necessary to allow county govern ffiment 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 information to create tools that will help county officials eliminate homestead fraud.
N OV 1 2011 PART I: PROPERTY INFORMATION
�..�_.� - — Taxpayer Name —Location Address—'-- -
C' 'r Bruce, Mark D
GIBSON COUNTY AUDITOR 711E Water
Princeton IN 47670
3089
I Mark D Bruce III II ILDIII LIIDI IIDII_ II DII�IUliii I IIIIIHIII DIIII�III DII LmmIDII mill I III
711 E Water
PRINCETON IN 47670-2243 ,
'IIII'IIIIIII"III"IIIII'IIIII iiIII'I'IIIIII"I'III'II'IIII"III State Parcel Number Legal Description
26-12-07-402-001.415-028 LYNCH 1ST 97
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.
- 10 --_-._----------------. ...PART-?_TA\PAYEK INFORMMATION
- __—
Owner - First Middle Last
mom_ . 4-1 �c�f [ C2
Mailing Address(number and street,city,state,and ZIP code) 170;1 Same as property address
'7 (1 k w/re123 . �,wee/1 Ai 17670 f -
Spouse First Middle Last
Mailing Address(Number and meet,city,state,and ZIP code) 0 Same as property address
Social Sifeurity Number Oast 5 digits) Drivels License/State ID Number (last 5 digits) - Other(please specify in Part 4 below)
I I e 1 Stale .
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 1 Signature Datl O/�/
_
� �' CLAIM FOR HOMESTEAD P.ROPERTY TAX
° CREDIT/STANDARD DEDUCTION
i State Form 5473 (R6 / 4-03)
' � Prasaibed by Ne Deparhnenl of Local Govemment Flnance
� INSTRUCTIONSi See reverse side for filing instructions.
� cwe� L.� cui �✓ i y�v i.�-r v �rt�r�
I(VJe) ocapied as our prindpel place of residence the following described real properry for which a Homestead
�e) owned ❑ Ne buying undar contrad
, Have a benefidal interest in the enlity Nat is lieble for Ne properry texes on the properry and Nat owns Ne
If buying on contreq, Fee SMple ownefs name
Recordefs ofice where cantraa is recorded
FORM �� YEAR
HC10
that o�p�,1t�q 1� day �{-(ridreh, 20_
Properry�l��c e��t i �iereby daimed:
proDe o ii�6"ijyfng und�r a conVact. �
Rawrd number � Pepe
County ToxnshiP Tedng is ' ', town. town3RlD)
Parcal num6er L 'ptbn S-.r- Is Ne property in questlan:
— � — eat D�Derty ❑ Mobile Home (I.C. Gi.7-7)
If any portion o( Me residential sW cture ar Me la no a inp ona (1) acre that immediate surtounds that sW cture is used to Oroduca inwma, dascnbe the usa and Donion
of Ne property utllized to produca income.
.--�_�'`3i':.��`�:��:�.'���,�,'�'-'�'��r�'��.'a'r;'�'-'��i":��P.ROP,ERT;Y.OWNED!BY.CLAIMANT;IN OTHER'COUNTIES�:s� � 1,-_. :`�.. ,. ���,.'�' ... .,`s;+;�.r�?�;
Caunty Tw:nshlp Caunty To.vnship
I hereby certify the above statements are We, cortacl end complete. signature ot claimant
�ress (number aM sLeef, ciry, atate, ZIP coda)
��� '�"`�'�`�'�;� ��'P '''��`5,"'�.,�"�� 7 ��st�"�TRUE,TAX� �``1 ASSESSED�VALUE HOMESTEAD - �' �''�NON-RESIDENTIAL"� -�
�cT��aG`�'�-!=':AS_�,4E3�5`.`.ORUSE^ON�.x'�3." i•�i'„'��..,VALUE:R�a� ~AT.100%OFTTV �„r 'V/LLUE ?:+.��ry, -' i�'t;;VALUEy
d c� rl! , f'�., r�t-`„r
�.`[»c _
Land nol exceeding i(one) aue-immediatety , } Y., kt
:. ) li'1 y� Y t •€ t' t..
�' � !i� .� �t'. �Y�1 . �i-i:� .>.w3'. �
surrounding raside�tial Improvements. ::�s �,-.Z�;!_, _,, y.�: � Y�4 t, -
._ .. .. -�..,.. ._,..a.:
,S�<�.•- s a:e
Otherland �p� � ?'��y�rtA
..�; �,.. �-. _.e;:
Ta[al land (line 7 plus line 2) (g�
, c y> s
Dwelling (4) '" d`�-. i rt, �.#c•�,+r���.`^e
Rasidenlial improvements or MnualN ;� v�� Y��_ � ", . ,�, �
Assessed Mobile / ManufaGUred Home ._� � +t �, ,,,�; -2;�^�-, �
Garage �5� -
. r�-_ :„ ,� •
O�qerimprovements (6 - � ��r� '
) ,.,
`..
Tctal improvements (line 4 through line 6) (7) .
Tdal value (line 3 phs line � (g�
I hereby certify the above is We, correct, end � sie�aare orAssessor Dau signed
complete. -
Vaily'u�g ecUon - SipnaNra af PudiWr Date sipned
. 'e..�`Y.�.? z�,.�°''.c�-c=i�`:�?`;;�'�'3.°r.i'�4��'.ti.'- �,i"�\�-a'?°_�`,STANDARD;DEDUCTION'AIfLOWANCE .:'"in' . .s. ' .:..�'r, ..
20_Pay20_
Lesser of 1!2 Homestead
Valualion w 535,000 S
Signatura oflwditor Da;e signed
.
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