HomeMy WebLinkAboutHomestead_BrowningCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R6 14-03)
Prescribed by the Department of Local Gavemment Finance
INSTRUCTIONS: See reverse side for filing inswctions
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I(We) l�J'l/ll9/V1 / / I ----ho-4" Ln-0rL /YL
I (We) occupied as our principal place of residence the following described
❑ I (We) owned ❑ Are buying under contract
FORM YEAR
Flt;
certify that opjhe;
for which a Homestead Property Tax
a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
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...�a"�" - :, m.' �u' �•` F' �' x.' s�` ���esl3rk�. CO_ NTRACTREC_ OR_ DED_ 3a�, �e� .:''..�'�z"'y�".',= ��".r.`,= a 1 •st?a:•.•'$
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded RecoM number Page
`_- 4sk'' ?'..-•- e�: as_'-'`.! ��'. rLt,> kz"`-+. FP. ROPERTI !.DESCRIP.TION`''"'''`:.3',
County
Township
County Township
Taring district (dry, town, township)
Peel number
`
Legal de
lion
/� S
/�J /may Cgi1
Is the property in Question:
I ❑ Real property ❑ Mobile Homo (I.C. 61.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income. describe the use and portion
of the property uWized to produce income. 9
ROP,ERTY,OWNED`BY' IL ,- ,6 - ....�.
ac <`�.s.,ac __• a?�-w. ". CL:4IMANT:IN�, OTHER 'COUNTIESR4'�� {,�P.c'F.,�,x
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
Signature of claimant
dress (number street, city, stare, 21PCOde)
' ASSESSORUSEONLY
+e�TRUE TAX?i a
ASSESSED VALUEaHOMESTEADR
Lesser of 112 Homestead
NON•,,RESIDENTIAL`�
��.. ¢b`t�'3x
:.�
s
.vVAL:UE..r
-� or
X00 /a
I \
au,
j VALUE•.i � `
�s'.t`S�� ,. �O'� u-.
,..AT. :OFeTT.V&
oc: YVALUE
ez*�.'- +Y.�.'k
Land not exceeding 1 (one) acre immediatelyn""'r�y2x,',s`xffi
surrounding residential improvements.
Other land
(2)
c+�}_im,�,',_
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually'.e��.cx�tt'
Assessed Motile / Manufactured Home
Garage
Other improvements
(6)
���f•w� "`' +
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line 7)
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
' `-` "•= a./323r' 74rr�J ' 'v'4l
. -Z �4l O.c STANDARD 'DEDUCTION"AL'L'OWANCE,', ;{Rr;y'e3 3s,`""'x"�• ? 8i?'= ..e�x�,�r fix, xi''�
20 _ Pay 20
Lesser of 112 Homestead
5
vauanon or 535.000
Signature of Auditor
I \
Date sign -O
-F-` T I U A 11
MAW FORM!l.W Ill'/HYI IREASULER FORM:11A
.VEMw'En BY MATE DOM°or YIYtLSTS,yr PtrYNBW BY 111E DEPARTMENT OF LOCAL GOSaaAMENT rINA4Fe.-1.1-r.al
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limbed to 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 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they am 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 kept confidential and can only he accessed by authorized county officials.The Depannlent of
Local Goverment Finance will u'e this information to create tools that will help county officials eliminate homestead Gaud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Browning, Brian M
P O Box 247 •
Francisco IN 47649
1775
—- -- " Brian MBrowning - — - - — - - - — --- ----- -_ - - -- - - -
R1 Box 387 State Parcel Number Legal Description
FRANCISCO IN 47649-9281
IllrllllrtlllltltlttlllIIIlllttttllllrtltrtrllll Illlrr11I 26-13-20-103-000.075-005 012-00075-00 COLLINS ADD 11
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
Do4n Mtckael wnln.)
ailing Address(number and street,city,state,and ZIP code) Same as property address
— .103 S,Collln5 5� 64111_adke5_5
Spouse First Middle Last"Frets Leak 3ownln/
•
Mailing Address(Number and street city,state,and ZIP code) Same as property address
03 S , o0It15 S+, e (69114a4(ecs
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.liahle.for back.taxes.and.substantial.financial.penalties.,
Owner 1 Date
PART 4:ADDITIONAL INFORMATION
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