HomeMy WebLinkAboutHomestead_Hamer STATE FOAM`35N t R:r•N1 ThLsSt1tUA MINTS-1A
.APFROVED BY MATE 1MAO Of YYTAAA\TS.1.v EAEARmrD BY Till DEtAATRfr(f LOCAL GOVERNMENT FINANCE n'LI.1-i: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 standard deduction.As the receipt or this deduction becomes
more beneficial.there is more incentive than e'er 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 recebe 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 be 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
Hamer, Brittany L
724 S First ST
Princeton IN 47670
1386
Brittany L Hamer
724 S 1st St State Parcel Number Legal Description
PRINCETON IN 47670-2306
Irl 26-12-18-101-000.570-028 019-00570-00 L E WOODS 35
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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 rx Last
•tg Address(number and street,city,state,and ZIP code) pSome as property address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
Social Security Number(Iasi 5 digits) Driver's License/State ID Number (last 5 digits) Other(please spxtify in Part 4 below)
sew __ _.
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and cortect 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 aturc I Date
II .
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
`` � f S1ata Fpm 5673 (R817-07)
Prescnbed by Ihe DepartmerM1 af Local Govemment finance
INSTRUCTIONS: See re�srse side /or filing instrucfions.
I(We) TJ/Ll,G(,i
I �Ne) oocupied as our
�R (We) owned
A � FOR YEAR
J
'('` JUN 1 0 2009
2 '�-�'c.f///UV � certify that on 1he 1 st day of Ftarch. 20_
of residence the toibwing described real property ta which a Homestead Property T�c Credit is hereby daimed:
Are buying under mntraq
Have a benefidal interest in Ne entity Mat is liable fw tlie property tazes on the property and that ovms ihe property or is buying under a wntrad.
If Wying on oontraG, Fee Simpie wmera rreme
whera conVad is recartletl
Courrty
Pamzl number
Legal descriplim
Is Ihe
towrr,
tt arry portion ot ihe residential strwwra or the land not axceetlirg orre (t ) ecre that unmediately svnounds that
of Na proparty utiGZed tn pmduce inwme.
a c� -� a-� 8-�o �-oaa 37� - � a�
Recwd number
❑ Mobile Home
Page
6�7.
is used b produce 4wortre, descnbe Ne use erd portion
,_ , . . .. . .
„..
Land not ex�ng 1(orre) acre immediatery -;v"�`�` z. � r"":�; �`�' - '
surroundi residential im vemenfs. (�) ... �s` '� �' x:,•:.�t - ^�' '
�9 Pro .. ? � ..P,,,,.:;-,�
OtherWnd (p) - '''��'>';
- .�:
Tdal land (1'me 1 plus line 2) �3)
Dwellin9 (4) �-.� : �. .- .
Residential improvements w Mnually . �� .....,,.:z„ ..., ,. ;,,,_; .,.�_.,�'- .
Assessed Mob�le I Manufac4ired Home *- --
Garage (s) 4�,. � r * � .
Other improvements (6) � .'� .t. �,� >
Tdal improvements (line 4 thiough lirre 6) �7)
Tctal value (line 3 phs Gne n �g�
I hereby certi(y Ne above is We, tareU, end Signature ofAssessa Date signed (month, day, yee�
complete.
Verifying adion = Signauue of �tw Data signed (rtanN. OaY• Y��)
�.•� � � • •
PaY Z� — qs.ppp (or 2007 pay 2008 42.000 for 2010 pay 2071
Lesser of 12 qq�000 tor 2008 pay 2009 41,000 for 2017 pay 2072
Homestead Valuation $
a 43,000 for 2009 pay 2010 40,000 payabte after 2012
SignaWra o1 Audtor Date signed (manth. tlaY• Y��