HomeMy WebLinkAboutHomestead_Goodson STNS FORM 5;s.ix:/>AM ryFASti fl FOKM YI,ti
.APPROVED BY STATE EtCMADOF ACCTILLNTS.Z11.0 PrX.iNBW BY lilt'.DEPAAn NT OF LOCAL COSELVMFNT FO:A\'CE MVI.t.L'4.1 -
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead alandani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ern 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 identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only M accessed by authorized county officials.The Depanment of
Local Government Finance will use This information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Goodson, Sharon M
404 W Spruce
Princeton IN 47670
751
Sharon M Goodson
404 W Spruce State Parcel Number Legal Description
Princeton IN 47670-1248
Itlttlltttltlll r1rl ill' Ilttitltlttlirr1r11rtlt1rr11t tt ll 26-12-07-101-003.728-028 019-03728-00 PT NW 7210.17 AC
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.
PART 2:TAXPAYER INFORMATION . -
Owner I First Middle Last
Si oo
®,g Address(number and street,city, tc,and ZIP code) "Same as property address
way /jarsS ii n & PAnveerow �-rl/ 4'PI7c0
Spouse First Middle Last
•
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as properly address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Scat
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 / I Date Telephone
4i x�* . DDG with sr/a/o ( )
Spouse Signature Date Telephone
( )
PART 4: ADDITIONAL INFORMATION
•
e.�^� CLAIM FOR HOMESTEAD PROPERTY TAX
3'�: CREDITISTANDARD DEDUCTION
``s�,� State Porm 5473 (R2/ 5-92)
I (We).
TIONS: See rever5e 5ide lOr liling insUUCfions.
as our principal place ot residence ihe following described real property for which a
�(We) owned ❑ Are buyfng under conVact
LI Have a benef:cial interest in Ihe entiiy that is liable Ior the properry taxes on the property and ihai owr.s the
It buying on convact. Fee Simple owner's name
Recorder's oHice where coniract is retortled
Coumy Townshlp
Ta,inq
FORM
HC10
YEAR
lJ
tf� iktW��o�h. 79_
�.�r� v-.
i fiax Credrt is ereby daimed:
61719.95
or is buying under a contraci.
Recortl number I Page
�elr(u� ro ��/� p� I Leqal description � �
`t r/�6
It any portion of the resitlential simcwre or ihe land not exceetling one (� 1 acre Nat immetl�a;ety surmunds ihat stmcwre is used io pmtluce income. tlescribe i�e use ana ponion
o: the pmpeny milizetl to protluce income-
PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES
Coum; I TOwnshfp ^--^° . „
� b� rtity the aboye�/�7ateme • alre tr e. c�rect and complete. I S�gnamre ot cia�mam
�ddress �numJ�( , . s�PCOdeI .
�D�/ _ . x��. � -�� y?G2lJ
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding t(one) acre immediately I( � I I
surrounding residential improvemen;s.
Otherland (p)
Total lantl (line 1 plus line Z� (3) I
Dwelling (a) � I
Residential improvemenis
Garage (g)
Oiher improvemems (6� (
Total improvements (line 4 through lina � (7) I I (
Total value (line 3 p�s line � (g)
I hereby certify ihe abOVe is true. correti. and I Signa;ure of Assessor Da;e signed
complete.
Verifying anion - Signamre ot Audiior Date signed
;�