HomeMy WebLinkAboutHomestead_Weber (2) STATE FORM 53500(R3 18-10) TREASURER FOLN TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.MN rEESCRIBW BY THE DEPARTMENT OF LOCAL GOVEFAMENT FINANCE IC 6-1.1-114.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.MainStreet Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,them 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
• FILED benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
Slings.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.
PART 1: PROPERTY INFORMATION
— MAY 6 2011 Taxpayer Name Location Address
Weber, Clarence
_
C. .r�
7086 E 150 S
GIBSON COUNTY AUB TOR FRANCISCO IN 47649
182
Daniel R Weber 111111111 III filly m .11 I mii ii_Iflfill11_II_1111111.1/ill liillli IflIl IIII
7086E 150 S
FRANCISCO IN 47649-9036
"Iiu11IIlIl1II'I1"'1l'lulNIlllllllII IIIII11"Illlllll'lllI'll State Parcel Number Legal Description
26-13-17-400-000.313-004 PT SE 17-2-9 3.55 AC C-1 0-7
9
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.
-x j----- --- PART2:.TAXYA% lUNFQR LITTON__.__-._--__ —.--- —.—. —
Ow er I First Middle Last
c
Mailing Address and street.city,state,and ZIP code) 0 Same as property address
Spouse First Middle Last
Mailing Addicm(Number and street,city,state,and ZIP code) 0 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)
I I I I I I I I I Sine
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 Date
C�
F
CLAIM FOR HOMESTEAD PROPERTY TAX
s _ s STANDARD / SUPPLEMENTAL DEDUCTION
State Form 5473 (R12 / 6-M)
' Prescribed by the Department of Local Govemmerd Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM
- F YEAR
70
uml i o 9nln
CERTIFICATION STATEMENT
I (We) certify ) o�Vjadl as my (our) principal
place of residence or am (are) buying the following described real property for which a Homestead Property Tand Dedu n is hereby claimed
under contract on the date this application is filed, (date of filing): GIBSON COUNTY AUDITOR
❑ I (We) own ❑ Am (are) buying under recorded contract
❑ Am (are) entitled to occupy as a tenant - stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
INFORMATION
-
CONTRACT ••r
If buying m contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township
Taxing T=—d_ (aTy town, township)
•I1� /ben al desaiption
O
Is the property N question:
I { D
❑ Real property ❑ Annually assessed motile home (IC 6.1.1 -7)
If any portion of the residential suucarre or the Land not exceeding one (1) am that Immediately surrounds that sburmre is used to produce Income, desWbe the use and portion
of the property utS¢ad to produce income.
PROPERTY OWNED BY
County Township County Townstup
I hereby certify the above statements are true, correct and complete.
g ture
Ad ss (number and street, Oily, state, and ZIP code)
9a8d C*isoS AM A it ;C Co XA y�Gy9
ASSESSOR USE ONLY TRUE TAX VALUE IASSESSEDVALUEJ HOMESTEAD I NOWRESIDENTIAL
AT 100% OF TTV VALUE VALUE
Land not exceeding 1 one acre Immedlatel m' - `s^ =��Fy •, i * u,`""
A,
surrounding residential improvements. ,
Other land
( 2 )
• '~z
»
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
�%' N4o
`r...4',s�l..st:3i�
Residential Improvements or Annually
Gare e
, hky'bY
Assessed Mobile I Manufactured Home
Other Improvements
(6)
Total improvements (line 4 through line 6)
o)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct,
Signature ofAssessar
Date signed (month, day, year)
and complete.
Verifying action - Signature of Auditor
Date sgned (month, day, year)
STANDARD r r
20 pay 20 _ Lesser of 60 % of the assessed value of the homestead or $45,000
_
Notwithstanding any otherprovision, the sum of the deductions provided in IC 6-1.1-12 to e rtoW7e home that is
$
net assessed as real property or to a manufactured hone that is not assessed as real property my not exceed
'
one-half (/2) of the assessed value of the mobdo home or manufactured home.
Signature of Auditor
Data signed (month, day, year)