HomeMy WebLinkAboutHomestead_Hardiman (13) STA-E FORM 53N.ICF 1w1 TREASURER FORM:}IA e
.VrRn.'ED BY 51-171.BMW MKVS CMS.Tr PtIAIORWBT 111E DEPARTMENTOF LOCAL GOVERNMENT ED:ARCE MH.I-UEI"
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 ester for homestead fraud.Ihomestead 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 receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.'This information will be kepi ennbdemial 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 I: PROPERTY INFORMATION
Taxpayer Name Property Address
Hardiman, Susan
529 NE Avenue
Princeton IN 47670
1569
Susan Hardiman
529 Blaine Ave State Parcel Number Legal Description
PRINCETON IN 47670-2903
lilttlltttltllttltttlll
!Midi H11111ll11 26-12-18-301-000.629-028 019-00629-00 BALDWIN HGTS 5l66LK9
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
5u5A1&i yeti ff9-kb/men
freIg Address(number and sweet,city,state,and ZIP code) ❑ Same as property address
era eel/iyr Ave . fR/lVa ETC N ;Tx, yi7t70
Spouse First' Middle Last
Mailing Address(Number and street,city.state,and ZIP code) Same as property address
Social Security Number(lase 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sate
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.
Own,21 Signature / / / / Date
•
� CLAIM FOR HOMESTEAD PROPERTY TAX
N��* CREDIT/STANDARD DEDUCTION
State Fwm 5473 (R6 / 403)
Prescnbed by the Department of Locai Govemmen� Finano=
INSTRUCTIONS: See Bvcrsc side !or liling insfmr.(ions.
FORM YEAR
HC10
�'���'�.�
I(We) ` T� (i, A�i �^:�.mQ A;_� ) �, `y� ce�rtify lhat on the� 1st day of March, 2�f
I(We) occupied as our principal place of residence the following described real properry for which a Homestead Property Tac Ciedit is hereby daimed:
/LC-<-'�-i/-�t J7�i�-�-'-{$�-«'
�I (We) owned ❑ Me buying under wntract � � 3!BjOPJ C'CUN i Y RL'Ci r"
, Have a benefidal inlerest in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under a wnVaU.
I( buy'ug om m�trad. Fee Simple owners name
Remrdefs olfica where conVad
County
Toxnship
fown,
Record number � Page
Parcel number Legal descnption Is the properry in que5tion:
� t9 - r�c�aq ❑ R� o�o�m
I( any potlion of Ihe resiEentlal sWCture w the land not exceeding ane (7 ) aae ihat immediately sunounds that sW qure is used lo �
ot the WuPenY util'aeC W produce inmme.
County
Twvnship
I hereby certify the above statements are We, cortect and complete.
AEdreu (num6er and streef, city, stafe, ZIP code)
Counly
%•
claimant
j'MoGle Momo (I.C. 67J-7)
inwme, describe the use and portion
Twvnship