HomeMy WebLinkAboutHomestead_Weyer (3)r •
SIVE FORM!iW,t?i'-161 IRSASORIE KUP.w 15-IA
.V!tIl ED PI l\TE 9'1\Fr:Of.Mt I r'\'TS.wx ?RkK FIEDHI'Tm.OLPARIMEM OF LOCAL COVER FIL\a t INAHt IC b:l n-m
Gibson County Auditor . IMPORTANT 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 become,
Princeton,IN 47670 more beneficial.there is more incentive than ever for henn:suad fraud.Homestead fraud causes higher tax bills for all:therefore.
6 BEA 1344-200Q requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to punidc additional identifying infornation necessary to allow county government to better monitor homestead
Loco.This information
.mcni Finance ce be kept confidential and can only oo s that wi by authorized county officials.The Department to d.of
F
Local This atio nw'will tie thin information m ante Ibe a that will help conned count'b eliminate homestead baud.
PART I: PROPERTY INFORMATION
Taxpayer Name Location Address
APR 17 2012 Weyer, Teresa
4474 S 800 E
C. .n , �i y
V FRANCISCO IN 47649
4855 1 hill mum II
GIBSON COUNTY AUDITOR II I�IIIIlhII VIII_ Hum IIII 1III 11111 1 I lull I_DIIDII_II_II II
Teresa Weyer
4474 S 800 E
Francisco IN 47649-9122
'IIIIlltItlIllltllllIllll'IIIIIlirlillirllillll'llIlIll'1I11I111 State Parcel Number Legal Description
26-13-33-400-701.525-004 BUILDING ON LEASED GROUND
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.•
_r , I .I L,
.r I First Middle Last
i
e i-ea. P) We,i er
Mailing Address(number and street.city,state.and ZIP code) 0 Same as property address
LI 9-14S boo
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) (]Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
I I I I I I sae
. • - 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 I Signature Date
• .
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (RS 110-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for fifina instructions.
I (We) � ix-1 �Y-j V-�t V II
I (We) occupied as our principal place of residence the
I (We) owned ❑ Are buying under contract
FORM F YEAR
HC10
certify that n the
described real property for which a Homestead Fir 1)10
6SWTa
a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
. . . . . . . ONTRACT,!RECORDED��4�-,Vr
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
4Zr- O.FiOP,-ERTY,.-dESdR[P.TiCiN4�74
Co
V1
Township
Taxing di (city, town
town
township)
�J;0
_
P� I number
-
JLegal description
Is the property in question:
A
❑ Real property �CMobile Home Q.C. 6-1.1-7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to producA income, describe the use and portion
of the property utilized to produce income.
coo - 016�
- - --E-
PROP kT
County Township
County Township
I hereby certify the above statements are true, correct and complete.
ign of claimant
)Mft�la
as (number and street, city, state, ZIP code)
Jlk - —? 6 449
3)Li Pmr%�c" Z:ff q
- . -. STAN6ARDIDEDUcTioN,ALLowANCE,
20 _ Pay 20_
Lesser of 112 Homestead
Valuation or $6,000
Sil at of Audit W
...
--TRUETTAX'*�-*ft
" gVAL" ,�g
_yQ j
'ASSESSED.VALUE
7?�j,.jRqK.,O U-TV
VALUE S-,Mlz
I� MIOR
6 VALUE
'iti)
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
A
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
- - - - - - - - - -
Other improvements
(6)
Total improvements (fine 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(S)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Veirifying action - Signature of Auditor
Date signed
- . -. STAN6ARDIDEDUcTioN,ALLowANCE,
20 _ Pay 20_
Lesser of 112 Homestead
Valuation or $6,000
Sil at of Audit W