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HomeMy WebLinkAboutHomestead_BishopSIE RED CLAIM FOR HOMESTEAD PROPERTY TAX "s CREDIT /STANDARD DEDUCTION State Form 5473 (R2 15-9 2) - reu INSTRUCTIONS: See reverse side for filing instructions. YEAR Nil D 3 FEB 19 1991 CERTIFICATION STATEMENT er_�1 X'7�1�TT//1�pp I (We) _ 1 certify that on ZEWWyrdP arch, 191 1 (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: ❑ I (We) owned ❑ Are buying under contract - - —4 Have a beneficial interest in the entity that is liable for the property was on the property and that owns the property or is buying under a contract. CONTRACT RECORDED If buying on contract. Fee Simple owner's name - Recorders office where contract is recorded Record number Page = PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County 7 I hereby certify the above statements are true, correct and complete. Signatur of claunant Mtress ier and street, ciryAfate. ZIP code) in , ^ - ASSESSOR USE ONLY PROPERTY DESCRIPTION - County Townshi r Taxin h . -. trict (city. flown, township). I ltN Ill- �.K-ti1 Parcel number Legal description Otherland in i Valuation or $2.000 Signature of Auditor It any portion of the residential structure or the land not exceeding one (1) ac& that immediately surroundslhat studiure is ukbol to produce income, describe the use and portion of the property utilized to produce income. -13 =o?o - o/ ate. /zi-m� = PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County 7 I hereby certify the above statements are true, correct and complete. Signatur of claunant Mtress ier and street, ciryAfate. ZIP code) in , ^ - ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE. HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Otherland (2) Valuation or $2.000 Signature of Auditor Total land (line I plus line 2) (3) Date ^signed p � Residential improvements Dwelling (4) Garage (5) Other improvements (6) - Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (6) I hereby certify the above is true, correct, and complete - Signature of Assessor Date signed Verifying action - Signature of Auditor Date signed — - STANDARD DEDUCTION ALLOWANCE 19 Pay 19_ Lesser of 1/2 Homestead $ Valuation or $2.000 Signature of Auditor \ ^1 Date ^signed p � STATE FORM 535.aIRr10.1 IPEASUtEA FORM 73-IA APFRtn'EO BY'TxTEIXwtD Of ACCO %T%.br ?FIARIDWDY Ale DEPMIMEYT OF LOCAL O[n2RNMa..FINANCE IC.-I.1-224.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and hurried couple are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than exer for homestead fraud.homestead fraud causes higher tax bills for all:therefore. HE.\ 1344-2009 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 homestead filings.This information will he kepi confidential and can only he accessed by authorized courtly officials.The Depanntent 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 Bishop, Wilma D P O Box 214 Francisco IN 47649 1763 Wilma D Bishop P O Box 214 State Parcel Number Legal Description Francisco IN 47649-0214 j— — 26-13-20-101-000.147-005 012-00147-00 SHOP ADD 13 PT/28 PT t n toI t I I toI n IIt I u I I t I r I In IIrI I nt IIt I n I I n I I — _ 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 r CO l, m >a D 8 5' No f .mg Address(number and street,city,state,and ZIP code) ® Same as property address I ( t 4J. tit( & 5±, PD (pie .FRAN c) s co ).T,v c1761/9 Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) Same as propene address • • • ft_ = — . - • • - - • • * Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) Sear • PART 3:CERTIFICATION —T--- ' -- - 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 PART 4:ADDITIONAL INFORMATION • • •