HomeMy WebLinkAboutHomestead_CrandallF CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
° CREDIT/STANDARD DEDUCTION p5 tiCto �
` Stste Form 5473 (R6 / 4-03) �' ��1 "
' Prescnbed by the Departmerrt W Local Govemment Fnance �
fNS7RUCTIONS: See reverse side for (ling instnictions.
`�":�'.�Ps'���,ri %=sas';�sv�a..?__'�-;''`i, � -+'.'.,�'rZ�'�-`,'�CERTIFiCA7fON�,STA7EMENT � x-r. -� +u . ., � v . �, -
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��e� • certiry that on the 1st day of..March, 20_
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I(We) occupied as our dpal placa of residence Ne following desuibed real property for which a Homestead Property T�c Credit is hereby daimed:
❑ I(We) owned ❑!ve buying under conVact
� Have a benefidal interest in the entity Nat is lieble for the property texes on the property and Nat owns the property or is buying under a conVact.
on contraU. Fea Simple ownefs nama
corNea Is recortled
Counry
7ming tlist¢Lt.(9ty, town.
Rewrd number
Pamal number Lepal description Is Ne pmparty In queslion:
� ��— b � � � p� -� S 5 0�1 ❑ Real pmperty ❑ Moblle Home Q.Q 6-7J-�
If any portion of Ne residentlal sWCtura w the la3nota a in9 �a� 3�,3 �� i I�ey surtoup� N� s c[ure is used to Oroduce income, describe Ne use and portion
ol the proPerty utllized to produce income. / � j.3c�5� 3�3 3 a/.3 3 3
�;?�.".3-�i�.�i--s��s"�:�:�t':'�'�,ii��`-`�7=�?�'?FROPERTY:�OWNED;BY�CL'AIMANT;IN�"OTHER'COUNTIES's,A€", >.,.:�T�'+" y?h.3�£' -'''� �`�iis"
.at.
County Tavnship County Township
I hereby cerdfy the above statemenLS are We, cortect and complete. Signature of Gaimant
ress (number and sUaet city, atata, ZIP code)
�� g��'�'�"�-����'`�i�� ���y� `=;�TRUETAX ° ;� ASSESSEDVALUE aHOMESTEAD#a. ��NON�RESIDENTIAL '� -
`�� �A-,-�«+S-..S•g�T��`� ��iEhNu�.y *z`�S."�� ' �+',?.`."" VALUE:� � ��AT.100XOF�TTVn �„`_V/iLUE�F �K �...'"VALUE � 'f-;F...�Ss�.'.
�_"+Ti �[:�.. . ..s!:. o c .�-�C,.....,,,.,�:�a:,.. `��=
Land not exceeding 1(one) acre'immediatey . °t�.�t�-� -�- � 3 t �'4 ��--
(�� ;k � �e��,.�.�,,ef?'��y,Y--:
surtounding residantial improvements. - y� ,�a,�,,,� t �a-.,�}� �;
t r.
Other Iand �y� '� � °` ... �
_ ;-. _
Ta[al land (line 1 plus line 2) (3�
_ah '-. �"i.° 3 �'. �'�+�.`- r:
Residential improvemenLS or Mnualty �����9 (4� i', �� a;�f,r_.;,;°,.`� `�
Assessed Mobile I Manufactured Hwne -�� 4, a=, cs. �
Garage (g) c ,� :s -�s <": sr .'.
� y �z,
.- �c: >
O�Aer improvements (6) ,"g?;,,;�• v'
Tctal improvements (line 4 fhrough line 6) (7�
Tatal value (line 3 plrs line � (g�
I hereby certi(y the above is true, correct, and � Sienature otnssessor � Date signed
complete. �
Verilyinp aWon - Signature of Auditar Date signed
...��',Wi�.w'!�r`;L;Fa'k'��itt�� -�:,_2"',-,i�'?'r�ux.'�-.?:�'`STANDARD�...DEDUCTION'AI:LOWANCE .``t. " r..:;:
20 _ Pay 20 _ -
Leuer of 12 Homestead
ValuaGan w $35,000 g
Signature ofPuditar Date signed
STATE F00.N 535(9 (RJI&10)
APP0.0l'ED BY SfATE BOAAD OF ACCOU�TS,'009
7AEASURER FORM TSIA
PRESCRIBED BY THE DEPMTMEIT OF IAC.4L GO\'ER,\�1E�T Fl�A�CE IC61.1 :?-B.I
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
��eduction becomes 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 benefit and to provide additional identif��ing
information necessary to allow couoty government to better monitor homestead filings. This information
�r�ill be kept coufidential and can only be accessed by authorized county officials. The Department of Local
Go��ernment Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
Taxnarer \ame
Marjorie H Crandall
Complete and relurn to:
Owner 1
,
Sxial SeasY NiaMer (Ias15
Pronem� Address
804 E OHIO ST
PRINCE70N IN 47670
Ctah Parcd Sumber Leeal Dnerintion: I
�
26-12-IS-204-001.012-028 SS ADD �
322/3?3/324/32i/33 I /3321333
10�1119�J�DIII�n����lll�llll�l[D�III:�IIIUIIIPIUIIU9V�
GIBSON COUNTY AUDITOR, 101 N A1AIN PRINCETON IN 47670
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Each undersianed certifies, under oenalty of oerjury, that the above and foreaoina information is We and correG and that he or she is eliaible 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.
O+mer 1 Siryvnae Da;e Taleplme
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