HomeMy WebLinkAboutHomestead_Hayes (6) Marl FORM 535t. .,nl .tort,aum''VLSI 11-IA
ARMNEI BY MATE BARD OFar[TTINTS,`nn Pns-mmav ntC DEPMIWNT(F LOCAL GOVERNMENT FIANCE It.trI.l-U.I
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 et er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessan'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 Department of
F I Local Government Nuance will use this information to create tools that will hap coun offcials eliminate homestead fraud.
} PART I: PROPERTY LNFORISIATIOty N
Taxpayer Name Property Address
NPR 1 2 LOW Hayes, Robert E
224 N Spring
yyyyI� N Princeton IN 47670
433 ®tt� R
ON Opowry AUDIT"'"
GIF35
Robert E Hayes
224 N Spring State Parcel Number Legal Description
Princeton IN 47670-1364
26-11-12-204-000.126-028 019-00126-00 EMBREE ADD 13
_ _ __ _ _ — _ \
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
Ro8ser r N/iV-65
�Ig Address(number and street,city,state,and ZIP code) '� Same as property address
Z24 A/ 5131//49 sr PRiucn?WN -IN 47610
Spouse First Middle Last
N/f}
Mailing Address(Number and street,city,state,and ZIP code) I¢.YSame as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sox
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.
Owner 1 Sig a Date
.%i
e°� "�R g CLAIM FOR HOMESTEAD PROPERTY TAX
s��': CREDITISTANDARD DEDUCTION
.�.`'� State Fortn 5473 (R2 / 5-92)
�L•
INSTRUCTIONS: See reverse side tor7iling instnictions.
i�
�� ,.
FORM
HC10
b�
� � . �.cnnna.tiiwna�n�omcni . .. . ..
I(We) , certify ihat on f MT�
�� oc i d as our principal place of residence the Ilovring described real property for which a Homestead Property �C d�s heF�y G im :
r. _ �J
;� �(We) owned ❑ Are buying under comract � p ��ux
❑ Have a beneticiai interest in.the entiry ihafis liable for ihe property taxes on ihe property and that owns ihe property or i�in��f[ldehfr�eSntract.
If buying on contracC Fee Simple owner's name
Recorder's ottice where coniract is recorded
Counry
TownShip
Legal description
RECORDED
Ta<ing
� vl��:;ti l:�l.:'?-r
Record number
Page
1 L 1 �/ V 1 oU[f -��,
If any portion of the residential stmcture or the land noi exceeding one (1) ave thai immetliatety surrountls tha� strucNre is used m protluce income, tlescribe the use antl portion
ot ihe property utilized to produce income.
Coumy
Township
OWNED BY CLAIMANT IN
�by certify the above statements are tme, correct and complete.
Atltlress (numberandstreet. ciry, state, ZlPmde)
. ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediately
surrounding resideniial improvements.
Otherland
Total land (line 7 plus line Z�
Dwelling
Resideniial improvements
Garage
Other improvemenis
Total improvemenis (line 4 through lina �
Total value (line 3 pLs line 7)
I hereby certify the above is.true, correct, and
comp�ete.
Veriryinq action - Signature ot Auditor
79_Pay19_
Lesser of ll2 Homestead
Valuation or S2,000
TRUETAI( � ASSESSED
VALUE VALUE-
(�)
12)
(3)
(4)
(5)
(6)
(�)
(8)
Signature ot Assessor
O
DEDUCTION ALIOWANCE
S
FIOMESTEAD
VALUE
NON-RESIDEN'fIAL:
' VALUE
Date signed
Date signed
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