HomeMy WebLinkAboutHomestead_Whitehead MIT ro0.N!3 W tie/ten, MIASMA FORM 7.21A r
.AFFRTtD BY 514TE nMPD OFMlrw.la.m-r ?RfYWBW BY nn DEP/O.-MEW(i LOCAL rMrrNNrna FIANCE re tal•^i.l
Gibson County Auditor
101,N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead sundani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud-!Mmes.-lead fraud causes higher vas bills for all;therefore.
• HEA 1333-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to creche the
benefit and to provide additional identifying inform:mon necessary to allow county government to better monitor homestead
x Local This into tnFina will he twe this in orma and to c only o accessed that will l help county county officials.ebr I estead fraud.
of
{ .I Local Government Finance will u�<this mfortnation W trcate tools that will help Lvunn'Officials eliminate homestead (mud.
l PART 1: PROPERTY INFORMATION
LUlll Taxpayer Name Property Address
_ UL I 1 3 Whitehead, Kevin/Jamie
Y"t 'et 8453 1:450 S
OAKLAND CITY IN 37660
4 ,{$SO• COUNTY AUDITOR
Kevin Whitehead
8453E 450 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-8527
Itlttlltttltlltttllttlltttlttlttltlrttitlltttl1111111111111111 26-13-33-400-000.162-004 002-00162-00 PT SE 33294.00 AC
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PART 2: TAXPAYER INFORMATION
Owner I ,/� First Middle Last
dipen Address(number mud street,city,smug,and ZIP code) - - - {.3`"'th-tss property address - — - - - -
9Lks3 r LKn s . Ga ]u DocC*i T1u ,47(A n
- -
Spouse Fitt Middle Last
Jo_.. nl ie, Lea. (,Li itclie,A.Fest.C2(
Mailing Address(Number and street,city-state,and ZIP code) as property address
Ry53 e. cIi 5 . 'tic C `-A) t4-740k.av
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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 thehomestead 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 FORM ^� YEAR
CREDIT /STANDARD DEDUCTION Hcto 1„
State Form 5473 (Re 14-03)
Presafhed M the Oeparonent of Loral Government Finance 71--1
INSTRUCTIONS: See rovem aid* Torlife i=&ucdww JFtlL"Il
.+ .Fs �'S � d' ��"`.''_ c m`tz,,,i - Z-WgERTlFICATI_ N- STATEN N_T__r^r. r�r=�a
Ut
I (We) certify that on the 1sl day of March, 20
I (We) occupied as our principal place of residen ja the following described real property for which a Homestead Prop�e E dit is hereby claimed
❑ I (We) owned ❑ Are buying under contract OO /Sa(/g_
rIBSON COIfNJY AURIT R
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property o is uying ndgr a contract.
NTRACT 'RECORDED''',;+sa:.- ..,ti';.:��
If buying on contract, Fee Simple Domes name
Recorder's office where contract is recorded Record number Page
r_..: blu, a4
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PROPERTY. DESCRIPTIONS M�M ..:i— 42F15tivr.AW - 5'-A-
County
Toxnship
,
:.,r a Q:...� A�°u�.= 3
Taring district (city, town, township)
P,Wce nurber
L de 'on
Is the property in question:
Land not exceeding 1 (one) acre immediately
—
❑ Real property ❑ Motile Homo (LC. 61.1 -7)
If any portion of the residential structure or the land not exceeding one (1) ace that immediatety surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
surrounding residential improvements.
/O�/./ r�—
.. FROP.ERTY_OWNED;BY CL 'AIMANT,IN'UTHER`COUNTIES,ri. r 3M' 9" -`W� ,!w 3!`4
County Township
County Township
hereby certify the above statements are true, correct and complete.
nature of claimant
,
:.,r a Q:...� A�°u�.= 3
.QyADUE�
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nu rands state IP ) /-� _ U
r»escy
' f � e�' :s:= 1�� r --
fA�&SESSOR� USEONLYA �
`TRUE TAX
ASSESSE yALUE
"ATE700
., HOMESTEAt)'�
�NON-0iESI0ENT1AL V- `n
�rs3rx
,
:.,r a Q:...� A�°u�.= 3
.QyADUE�
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%.OFTTV
a-,. �„t....
VALUE
.C-_ .�
"5OWRESIUE
Land not exceeding 1 (one) acre immediately
rs. s- °t .. ,s., tyy�,g
t
surrounding residential improvements.
(1)
_` � V
Fo-?'
Otherland
(2 )
a;
Total land (line I plus line 2)
(3)
Dwelling
(4)",
^r3....�s_a •t;
'Residential
''� %•�"
Improvements or Annually
Atrsatsed Mobile / Mamdactu ed Home
Garage
(5)
IN
Other improvements
(6)
"- �``'_.
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(S)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed