HomeMy WebLinkAboutHomestead_Hole 0 STATE FORM 53569(N/&10) MESSMER FOR.=TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,MA PRESCRIBED BY TUE OFPARTM •T OE LOALCOVUNMEYT FINANCE IC 61.1.224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead 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
T T flnefit and to provide additional identifying confidential informddca only be tossed by iedrtount oto fficials.ciaer monitor homestead
o,L\J filings.This information will be kept conUdrntial and can only be accessed by avthorizcd county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. .
' PART 1: PROPERTY INFORNIATION .. . .
MAY 2 O, 2011 - Taxpayer Name Location Address
C Hole, Ronald hPatricia
1115S Gibson
GIBBON COUNTY AUDITOR Princeton IN 47670 ,
1339 -------"-- — — -- --
Ronald/Patricia Hole I II I�III VIII dll�l III III I�DIIIQIDIIII�IQII II_II�II�III�III I�IIODIIDII-IDII�IIIIIII
'1115 S Gibson
Princeton IN 47670-3001 -
111111111+11111111111111'11111"1111"I1t111611111'1111111111 State Parcel Number Legal Description
- 26-12-18-203-003.480-028/8 ADD 84
. This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to t ,the t�ounty�treasUrer, ---
PART 2:TAXPAYER INFOR: ATIO\
1 - First - Middle - Last
R von s • . oLe
Mailing Address(number and street,city,state,and ZIP code) Same as property address _ -
„ s S. �, � ? ' , I. y�c�-gin-
-
Spouse First Middle Last
- ' - _T Mail utg Ad&res(Nabibe nd street,city,satea,d i iPodd) Saint prperty aauresi`- ---- _— - _ -__
' l ` ` J Ji el\ �� ?p�? �X-W� .CYi . `5 (z;-7
J -a -
. •
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 fmancial penalties.
Owner I Signature -; - Date '
,,. n•o
e%-� a CLAIM FOR HOMESTEAD PROPERTY TAX
3��;4 CREDIT/STANDARD DEDUCTION
.�.j State Form 5473 (R2 / 5-92)
,.�.
INSTRUCTlONS: See reve�se side lor filing instluctions.
� occupied as our principal place of residence ihe following described real property for which a Homestead
4 I(We) owned ❑ Are buying under coniract
❑ Have a beneficial inierest in the entity ihai is liable for the property tazes on ihe property and that ownsJk�
If huying on contract, Fee Simple owner'S name
Recorder's oNice where contwct is recorded
PROPERTY� DESCRI PTION
County
FORM
HC10 .
�
�ihat�,n �e�is d� �ich, 19_
�Pr��rty j,a�Cr��(� hereby daimed:
L �
property o;is �j�ng und� a �tract..
Retord number � Page
q,arc,e}�umber �� n O^o o I Legal tlescription -
J / `l 'CJ ��
If any portion of the residen6al stmaure or the land not ezceeding one (1) aae ihat immediatety surrounds that strucWre is used to produce income, describe Ihe use and por6on
of Ihe property ulilized to produce income. .
PROPERTY OWNED BY CLAIMANT IN OTHER
certify the above siatements are true, correct and complete.
;numberanQsVeet.pry.sta;e.ZlPmtle) /� ,/
ASSESSOR USE ONLY
Land not exceeding t(one) acre immediately
surrounding residential improvements.
Other land
Total land (line 1 plus line �
Dwelling
Residential improvements
Gara9e
Other improvements
Total improvements (line 4 thiough line �
Total value (line 3 p�s line 7�
I hereby certify ihe above is true, correci, and
complete.
VP-Wim aclion - Sianamre of Audibr
19_Payt9_
Lesser of 1/2 Homestead
Valuation or 52,000
TflUE TAX
VALUE
��)
(2)
(3)
(4)
(5)
(6)
(�)
(8)
Signature of Assessor
ASSESSED ( HOMESTEAD
VALUE VALUE
STANDARD DEDUCTION
5
NON-RESIDENTIAL
VALUE
Date signed
Dare signed
Signature ot Audiror � Date signed