HomeMy WebLinkAboutHomestead_Burns (5) SIAM FORBt!3'•IR:r r.w, TRLAA:RIR FORM ASIA
Arr(W'ED By R.re BOARD OF ACCOUNTS_2u4 rtr.`%Nnm BY THE DEPARTMENT(W LOCAL rAVELVMrwT MACE IC LI.I-U-a:
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 escr for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
•I�1 A I t HEA l344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
--� Hear ,, benefit and to provide additional identifying information nee:mry to allow county government to bener monitor homestead
1L filings.This information will be kept confidemial and can only he accessed by authorieed county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR 7 - Zulu PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
' i (/y/e Bums, Toni Al Beverly�IBSON'OOUNTY AUDITOR P 0 Box 53
Princeton IN 47670
1364
Toni A/Beverly Burns __ --
902 E Kentucky State Parcel Number Legal Description
PRINCETON IN 47670-3066 -
IntIIll tlllllrtllltlll IIIII111t.•IIIIIIIII 111.1..1
X 26-12-17-101-001351-028 019-03351-00 KUNKEL ADD 38
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
j on ) Ann au no s
ling Address(number and street city,state,and ZIP code) Same as property address
• El a0a Fqs� KenfucKy Pry ncetan Ynd:Q,n U7(97o
cr........ First Middle Last
6e.►ct-1 •Ann 13urnm
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
9 0 Ec&- I<euitodcy 3f Pr. n eefon ) ZN c47(070
-----
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
•
�� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� Sute Fwm 5473 (R6 / 4-03)
PreStribed by ihe Department W Local Govemment Finance
INSTRUCTIONS: See revcrse side lo� /iling inslrucfions.
�� FORM
HC10
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+ �'� ���
�
YEAR
�c ""' �1 Z004
e1 � cerli(y ihal on the tsl day of March, 20
occupied as our principal place of residence Ih foll �ng described real property for which a Homestead Property Ta� Cred1it is hereby daimed:
I(VJe) owned ❑ Are buying under wntracl ��G� ;�''��"�'[,c.,,f��
Have a benefidal interest in the enti that is liable for ihe ro e taxes on the m e and that owns the ro e or is bu 'n �under e conVaU.
h' P PrtY P PrtY P PnY Y�9
If buy'ug on conVaq, Fee Sfmple ownefs name
Rerorders ofice where conVaC is remrde0
°-�.'�����.c.+-t-'�::: rs' .,��`r`a?evr�%-�Y T
Counry � Twnship
Parcel number
D! 9—n3,3,��- w
N any portion of Ne resiEentlal sWcture a Ne land nOt exceeding one (1) ave thet
ot the property util¢eE to produce i�ome.
Record number
Is Ihe P�Pe��Y �in/ queslion:
U✓ R0a1 property ❑ Mobile Homo
Page
wrrounds that swcWre is used b praduce income. tlesrribe Ihe use antl portbn
�%'�: t(`' C� ' ." _ ' �` . ; r ' ; i . - ' mT�T' .a a�Y`�2�"x,.• . � f "3�di'`�
.;�.�.��,��x.`�'.�m�'1'#��.�'��'+ �iE�STANDARD:DEDUCTION'ALLOVJANCE, " �`� � -� �-'`�"'',�„�i��.�, a ��
2oD5Pay 200l�
Lesserof 1/2 Homestead
vauanon w E35.000
$
Signa e of dilw Date signetl _
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