HomeMy WebLinkAboutHomestead_Houchins (4) J • tilrE FOtM!�W 12'I YNI MAS11UUS FORM 731.1
APPROVED BY tt\OE IMAM(FVYVet TI.!un tarsWnmD BY Tit OFPARMEgT(W LOCAL C91=tNMITr FINANCE IC 4-1.1-r 4 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
ty)more beneficial.there is more incentive dun emer for homestead fra d Ilomestead fraud causes higher tat bills for all:therefore.
HEA 1343-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infomutwn nece:vrc to allow county government to better monitor homestead
filinm.This information will he kept cnntidential and can only he accessed by authorized county officials.The Ikpanment of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
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PART 1: PROPERTY LXFORMATION
QP Taxpayer Name Property Address
•6 v iea Houchins, Virginia M irr
128 W
G\BSS O 141 AUBt
Princeton IN 047670
2480
Virginia M Houchins
128 W Pine State Parcel Number LeEal Description
Princeton IN 47670-1420
L111111111111111111111 Illlltlitlllll I Illtlilllttl 26-12-07-102-002.966-028 019-02966-00 OLD PLAN 146 PT
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PART 2:TAXPAYER INFORMATION
Owner I First Midde a/�9��i Last
®tg Address(nu z r and anet.c ity,state,and Zip code) - __— — _ _ - GI.Same as PruPcrty address __ _ .
2f, P t y74 7
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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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.
AOwner I Signature ,, 0 ) /�/�,/u 74� /� , Date Telephone
Spouse Sigre W Pte' Date Telephone r l
PART 4:ADDITIONAL INFORMATION
a,s °.'+
�,���� CLAIM FOR HOMESTEAD PROPERTY TAX
ar CREDIT/STANDARD DEDUCTION
�� State Fortn 5473 (R2 / 5-92)
�+�'i
,.,.
INSTRUCTIONS: See reverse side /or (ling instructions.
FORM YEAR
HC10
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_. - _ ':`."-. _.��''..� - �---- ' .
I(We) _u �� certify thai o� he 1 si day of �Mar 19
I(We) occupied as our principal place of residence the foll � ng descnbed real property Por which a Homestead Propertiy Tav Cre`dit i� he e6y clai :
T�
�'-] I(We) owned ❑ Are buying under mntract G��-��p�r TY AUD170R
'iave a beneficial interest in the entity that is liable for ihe propeAy tanes on Ihe pmperty and ihat owns the property or is buying under a contraci.
. . . - - .-0ONTRACTRECORDED.�.' �n ��r�,. . . `i_:. -
It Ouying on contracl, Fee Simple owner's name �
Fecorder's office where mniraa is recordeA Record numDer Page
number
to
Township
structure or the land not ecceeding
ice inmme.
FI�T.L3
DESCRIP'T10N � '
Taui d ' (6ry,•town,tOwnSh
� �'yC ��
ediatelv surrounds that sWCture is �
£'
9
to protluce iraome, describe the use and portion
- PROPERTY OWNED BY CLAIMANT IN OTHER COUHTIES . � ��
Counry Township Couniy Township
I hereby certify the above statements are true, correct and complete. Signamre ot Gaimam
�iress (numbeiandsbeeG ury, state, ZlPCOde)
-� ASSESSOR USE ONLV THUE TAJC ASSESSED MOMESTEAD NON-RESIDENTIAL '
. � VALUE VALUE VALUE VAWE -
Land nm exceeding 1(one) acre immediately , �,
surroundinq residential improvements. (�) � �
Oiherland (p) � ��
P
Total land (line 1 plus line 2� (3)
Dwelling (4) � � . �
Residential improvemenis . �
Garage (5) . �
Other improvements (6) �
Total improvements (line 4 through line � (7)
Total value Qine 3 pbs line 7� (g)
I hereby tertify the abOVe i5 true, torrett, and Sgnamre of Assessor Da;e signea
complete.
Ventyirg aaion - SgnaNre of Autlitor Date syned