HomeMy WebLinkAboutHomestead_Hansen MATE tORM!Mt.tCIW'1 TREASURER FORM 5tA=
AFPRoED En MATE W1 DOF ArroUT5.2nn P11.91WHW BY TIE DEPARTfCYn OF LOCAL rrvrrNNEFt FINANCE ICVII-_r.l
Gibson County Auditor
101 N Main • IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited m one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial,there is more incentive than e'er for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1331-2009 requires taxpayers who receive the homestead standard deduction in verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homesre:Rd
filings.This information will he Lepn confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance mill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hansen, James MNicki
PRINCETON IN 47670
3608
James M Hansen
911 E Kentucky State Parcel Number Legal Description
PRINCETON IN 47670-3066
26-12-17-101-004.239-028 SOUTH PARK SUBDIVISION
_ .?
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
CREDIT/STANDARD DEDUCTION
� State Fwm 5473 (R6 / 1-03)
Prescribed by fhe Department of Local Govemmenl Finance
INSTRUCTIONS: See revc�se side loililing inshucfions.
\,�,� FORM� ��7% � � �EAR
��i\. C10 �L i J �
AUG � 5 2p04
l/ i /l
��e) �J certiry lhat on the 7st eay of Maieh� 20 ��
I(We) occu as our principal place of residence lhe following described real property (or which a Homestead Properry Tac Credit is hereby daimed:
❑ I(We) ed ❑ Are buying under contrect
' Have a benefidal interest in the entity that is liable for �he property taxes on ihe property and that owns the property or is buying under a contract.
It buying om m�Vact. Fee Simple ownefs name
Remrders office where wnVacl is recorded
€?�Si�i�`#��...��.�Y.�sc.�h�v���l' .�"h+'�i�:..3F
Counry _ , . Tamship
�J/y'-O��S'-UOIo/a„-�,[, ��
If any ponion ot Ne residenGal sW dure w Ne land not exceeding one (7 ) ace Ihat
ot the properry utll¢ed to produce inmme.
Tacing
wrtounds that
Rewrd number � Page
(own5hip)
property ❑ Mobiie Home (/.C. 67.7-�
used b produce income, desfiihe 1he use antl poNon
+"�"' F `#� -�-"}��s�.'�"�--"+r��-"^'a f4A xryl" ".�- a . . . � _. ..
'^�z� TRUETAX k ASSESSEDVALUE �HOMESTEAD'� NON;RESNENTIAL�
�i.'`=`�Y _�ASS�ESSO��S.�E,ONLY� .q�-� +f�..tyALUE'�s �3ly-' � AT 100°/a'OFp...TT_V21 w�tVALUE�'x ,, y�i,�?VALUE_,��'-�"�'��.
Land nol exceeding 1(one) acre immediatety ;e �+. �'�,T{`;�.�'-� �"•r�,���
r
suvounding residentlal improvements. � � �- � :�`b`� �� � �;
� � . �#. . `����* �'�
t y;'vi^P'%4? g{.` .t .
Oiherland . Z a;��`-Y e.,��i}`
i ) a�v��.0 �_se��
Tdal land (line 7 plus line 2) (3)
:-�5,�"`-'�s��• '``�c�'
Dwelling (4) }`�''� v��''��,75xw��ti'.-"a-��w��
Residentlal improvements or Mnuapy
Aaseued Mobile / ManuFafiured Hwrre Garage (5) ��� s�� �'���T�
N �:i:.�_..[r�tS1Y'<EY�.
','x.$` ��:` .�Is
ONerimprovemenls (6) �__�.+�'� j.- ��
� n�.� M�
TUaI improvemenis (line 4 fhrough line 6) (�)
Tdal vatue (line 3 phs line n (8)
I hereby certify the above is W e, corted, and SignaWre of Asseswr Date signed
complefe.
Vaifying aclion - SignaWre of Auditor Date sgned
z ?[- �Y v�FV. •
� . °.�?.,c�a a��,.�..` t*T.��.,-��`�ro.'��.:: STANDARD'.DEDUCTION`ALLOWANCEfral •'�" sv- ' .r i„�.< '� _'—''�-..:;��-�'y�+}�.?�4
�` .f�3:4uGa'.+1x'�3"�• "z���„� xss �-..,
20 _ Pay 20 _
Lesser of 1l2 Homestead
vauauon w 535.000 5
Sgnature of Auddw " Date sgned