HomeMy WebLinkAboutHomestead_Hall (11) • Sidle 10'i 53500111 t•-101 IR ASORFA 100.4 10-1.A
.PROVED n1'QUE nowt:O ALUNI<.pn ?RIMtIHnnl IHLOUAXLMLSTOF LO(:LLCOVR]f0?I 10.ANCLIf e-1.1-r4
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 becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher ms bills for all:therefore.
H6\ 1 344-20x4 requires taxpayers who receive the homestead standard deduction to'erify that they are eligible to receive the
benefit and to prtnidc additional identifying irtirmation ncccsare to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depannlert of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I:PROPERTY INFORMATION'.
— Taxpayer Name Location Address
_ o Hall, David W/ Donna J
704 W Emerson
Princeton IN 47670
2563
1100111.011 ID II II II 011010111100111111 I i 0101101101110David W/Donna J Hall ID II
704 W Emerson
Princeton IN 47670-1332
"II'III"I II'IIIIItttll111111I1IIIIII1II"122'2"II1II'I1I1I1II State Parcel Number Legal Description
26-12-07-103-003.214-028 DEVINS 2ND 3 PT
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.
-
413 ltaOY71%tl:IIPda]:If7I: i[ `
-Wr I First Middle
`.brno, Jo rit ) 1
Mailing Address(number and siredt.city,stale,and ZIP code) ❑ Same as property address
l
I Q (e0' E PYl 2 CSCr.
Spouse - First Middle Last
) ( I ) l . MALL
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
(it
112Cv_US Q-
J °
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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
iy � CREDIT/STANDARD DEDUCTION
.��.� Slaie Form 5473 (R2 / 5-92)
�.�.
INSTRUCTIONS: See reverse side for 7iling instructions.
FORM YEAR
HC70
I(We) � ��-�- certiry that on t d y ohfMMM7aaxyrrdVw�5 19
I(We) occupied as our principal place of residence the foilovring des � ed real property for which a Homestead Property ��� isheT�9y�aimed:
❑ I(We) owned ❑ Are buying under contract �� j � j,• `J
�—;
1� Have a beneficial imerest in ihe entity that is liable for the property taxes on the pmperty and that owns the pro �' buying undei�acbh�rect: •
GIBSO;1!:.�:..:: ��'Di:�:.c �
.n .. , : � � . -� -�. .� ; :�_ : -�CONTRACTRECORDED.: .. ��F. - 'u. ;6� . ;_,°: :`,�a.r'..-.
If buying on contrad, Fee Simple owner's name
Recortler's oftice where con�rad is recorded Record number Page
It any POrtiOn Of
of the properry i
to
Township
struaure or the land not
Ke income.
PROPERTY
Tazing districl
...- a;• . . y,,,.,� ,
�!//.i/1 0� ��yc� �7
one (7 � aue thai immediatety surwunds that structure is usetl to produce income, descnbe the use and portion
ASSESSOR USE ONLY � �UE TAX ASSESSED HOMESTEAD . NON-RESIDENTU/L:
� - VAWE VALUE VALUE - _ VALUE -� ��. -
land not exceedin9 7(one) acre immediately . - _:. -_
surrounding residential improvements. (�) �� � �'��Q' �
Otherland , (p) ��°
'�.,
7otal land (line 7 plus line � (3)
Dwelling (4) �� � . .
Residential improvements . - -
Garage (5� ". �
Other improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby tertify Ihe above is true. correCt, and Sgnamre oi Assessor Date signed
complete.
Verity"ug adion - SgnaNre of Auditor Date sgned
�e��va �a' •.