HomeMy WebLinkAboutHomestead_Capehart (3) t15IE FORM W,aiR_I4M1 MAW REA HOAN I'I-IA
APPRIP.ets ea was MN Cs OF.WLR-\I C.21/4 PRE.ARIBED BY tar DEPARTMENT(F LOCAL C OVER-VMm7 rn:M1VCEr LI.I"-a.l
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 eler for homestead fraud_Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2000 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necessity to allow county government to better monitor homestead
filings.'Ibis information will he Lepi confidential and can only tic accessed by authorised county officials.The Department 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
Capehart, Loyd G/Rhonda I
714 S Hall
Princeton IN 47670
2913
Loyd G Capehart
714 S Hall St State Parcel Number Legal Description
PRINCETON IN 47670-2330
II n It uIII i III un I ' 'I II II - III Il I III X26-12-07-303-002:703-028 -019-02703-00LE W0008.28'—
t l r II fir r r u rat t t u t
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
oyA 4 a Sgt L' A-PE,hA42. r—
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tg Address(number and street;city, -and ZIP code) — p Same as property address - - - - -
7/hf c • l-/- -// cT -"R 1Me�rrM YET '- )71/7 a --flue
Spouse First Middle Last
�I oNA4 X404 a Cl. P Afi-pr
Mailing Address(Number and street,city,state,and ZIP code) (GI Sameropenv address
Each undersigned certifies,under penalty of perjuy,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.
Owns Signature
/ / Date
... __
,..��
t`` � CLAIM FOR HOMESTEAD PROPERTY TAX
`� -��! � CREDIT/STANDARD DEDUCTION
.�.;� � State Form 5<73 (R2 / 5-92)
un
INSTRUCTIONS: See reverse side lor liling ins(ructions.
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'e) _(�_ �J .`I-' W�Kd ?U , _ , certify that on the lst day of March. 19�
') occupied as �r principal place of res nce ihe following described r al property for which'a Homesiead Property Tax Credit is hereby daime�
I(We) owned ❑ Are buying under coniract �
Have a beneficial inieresi in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under,a contraci.
� � . CONTRACT RECORDED -
If buying on coniract. Fee Simple owner's name � - . .
RecordeYS ottice where contraa is recorded Recortl number Page
County
ILeqal
PROPEHTY
lpwn.
It any portion of the residential swcture or ihe la� noi exceeding one ( 7) aae that immediarety sunounds that s[rucNre is usetl to produce income, tlescnbe Ne use and ponion
of fhe properry utilized ro produce income.
Counry
n
PROPERTY OWNED BY ClA1MANT IN OTHER COUNTIES
Township Counry
�—
certify ihe above statements are irue. correct and compiete.
(numberarMStreef, aty, stare.
tlaimant
—
Tawnship
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately �
surrounding residential improvements. (�)
Otherland (p)
Total land (line 7 plus line7� (3)
Dwelling (4) . .
Residential improvements
Garage (5�
Other improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby Certify ihe above is true, correci, and Sgnamre of Assesmr Date sfgned
complete.
�ng action - Signamre of Auditor Date signed
�
19_Pay�9_
Lesser of 7/2 Homestead
Valuation or 52,000
of
STANDARD DEDUCTION ALLOWANCE
S
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