HomeMy WebLinkAboutHomestead_White STALE FORM!I''l e/YAn fPEASLtf1 rUm rg.1A
• VPROVED BY SLATE BOARD OF ARTR:STC y• e4ES(NBm BY no DEPARTMENT OF LOCAL rOVERN.Nrn FINANCE MVI.I-r-&I
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 e'er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
® L HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they am eligible to remise the
p I I 5 benefit and to provide additional identifying information met ors.to allow county government to better monitor homestead
3{B}i—'1 filings.This information will be Leto confidential and can only be accessed by amhorbed county officials The Ikpannmt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR 2 3 it"_ PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
White, Carson/Janice F . Y'r 5 . 6'r0 E E.
N
GIBSON COUNTY AUBITdr+ Francisco IN 47G49 4827
Carson/Janice F White
2845 S 650E - State Parcel Number Legal Description
Francisco IN 47649-9174
ItiullntltllutlulitluitluutIllu tltiu ltln ititltilt ttl 26-13-30-200-001.449-004 002-01449-00 PT E NE 30291.013 AC
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last Ai CARSON f/.
all (number and sum[,city,sate,and ZIP code) - 'Same-as property address - —
Spouse E First Middle Last
- aNicE -FA ye tit-Wit
Mailing Address(Number and street,city,state,and ZIP code) IA Same as property address
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
S
CLAIM FOR HOMESTEAD PROPERTY TAX
sir CREDIT /STANDARD DEDUCTION
. ,, • State Form 5473 (R215-92)
ee
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
CERTIFICATION STATEMENT
L 1, P J ., f
I (We) cenify that on the ist day of March, 19
6occupied as our principal place A residence the following described real property for which a Homestea@DTp e2y Tax'jg''pbit is hereby claimed:
1'(We) owned ❑ Are buying under contract /y
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that 4is the property orys'buying,l%nde6 contract.
CONTRACT RECORDED -
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
-
Township
Taxing district (qfj town, row ship)
Parcel number _
-
L ription
NE 3o-a-9 l.01 3 R Cc
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
-/j -
- �� -. -61
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County _
Township
eby certify the above statements are true, correct and complete.
Signature of cI
Address (number and street. city. state, ZIP code)
ASSESSOR USE ONLY -
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Other land
(2)
Total land (line I plus line 2)
(3)
'
Residential improvements
Dwelling
(4)
-
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plrs line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
v
" STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 112 Homestead
Valuation or $2,000
E
atu t Auditor Date sign