HomeMy WebLinkAboutHomestead_Hanna MATE FORM 5MaIM_I"rvl T FANS@ m0.l.73-iA
VPROVED BY Sr&TE BOARD OF MEYA'.T£. •q PtI%RlBW DY nit DEPARTM T OF LOCAL rv0.NMENT FINANCE If 0-1.1-224.1
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 of this deduction becomes
more beneficial.there is more incentive than eter for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA l34-4-010c requires taxpayers who receive the homestead standard deduction to serify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow couny government to better monitor homestead
filing> This information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART l: PROPERTY INFORMATION
Taxpayer Name Property Address
Hanna, Michael S/Bobbi J
110 New Jersey
Princeton IN 47670
1567
Michael S/Bobbi J Hanna
110 New Jersey State Parcel Number LeEal Description
Princeton IN 47670-3432
26-12-118--300-002.820-028 01-002820-00 BROADLEIGH PARK
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
P1 1ichad Shor tick an Ebnr10.
.g Address(number and street,city,state,and ZIP code) Same as property address
to 1\312_61/43 SQ_VS LlA 9-kZrs,E - Princdc n . yin o.\'run t �1"ll0ll0
Spouse First Middle Last
bbd So a o-Hv- I1�inno
Mailing Address(Number and street,thy,state.and ZIP code) Same as property address
110 jvwa SUS SAT" n - Q12 A n ceAor x T c4j'cano, to- O --
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 fo9back taxes and substantial financial penalties.
Own er I Si e/ Date
0
„.�,..
E'”" ; CLAIM FOR HOMESTEAD PROPERTY TAX
y��� CREDIT/STANDARD,DEDUCTION
� State Form 5473 (R2/5-92)
isu
INSTRUCTIONS: See reverse side tor7iling ins(ructions.
_ /"� -. . . � . rcono�ren�
FORM
HC10
YEAR
I(We) � �/v ��.1 Q� �� ••certify that on the 7�t �y�1',,{L� r
�i) occupied as our rincipal place of residence he foliowing described real property for which a Homestead Pmperty Tax Credit isTiereb med:
V I(We) owned ❑ Are buying under conUaci .
❑ Have a beneticial interest in the eniity that is liable for the property taxes on the property and ihat owns the prope �
� CONTRACT:RECORDED . �
It buying on contraa, Fee Simple owner's name - . , . • � . � � � � , .
Recorder's oHice where contract is recortled Recora number Page
PROPERTY
County � . Township
Par n er Legalde
� -� ao-�
If any portion ot the residential structure or the land not ezceetlinq one (1) acre
of the prOperty utilized to produce inCOme.
County
(ciry, lown.
;� ���C, -
surrounds Iha[ strucWre is usetl to {
4 �
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTIES
Township County
.eby certify the above statements are true, co« ect and complete.
Address (number and stree(. ary, slate. ZlPCOde) ^ ��
F,cribe Ne use and portion
� . . _
ASSESSOR USE ONLY TRUE TAX - ASSESSED HOMESTEAD NON-RESIDENTIAL �
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately - . .
surrounding residential improvemenis. ��) �
Otherland (p�
� .
Total land (line 7 plus line � (3)
Dwelling (4) � � _ �
Residential improvemenis - �
� Garage (5)
Other impmvemenis (6) �
Total improvements (line 4 th�ough line � (7) '
Total value (line 3 p6s line 7� .�g) I .
I hereby certify the abOVe is true. COrreCt, and SignaWre of Assessor Date signetl
complete.
�tyinq acnon - Signature of Audiror Date signetl
STANDARD
19_Pay79_
Lesser of t/2 Homestead
Valuation or 52.000
S
Date�'.pp/ed
/