HomeMy WebLinkAboutHomestead_Carson STATE FORM a)M'RN 5-M1 i11LANRFR FORM 79-IA
• APPROVED OYSIATE BOARD ft MUR4N5.2•v MU:9MM)BY ME DrrARTeerorLOCAL GOVtRNSIrtr FINANCE IC 11-1.1.2'24.1
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 don net-for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taspayen who receive the homestead standard deduction to verity that they am eligible to recent the
benefit and to provide additional identifying infonnaton necessary to allow county government to better monitor homestead
filings.This information will be kept cnnlidcmial and can only he accessed by enthralled county officials.The Depanmem of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taspaver Name Property Address
Carson, Cindy F
201 Division ST
Francisco IN 47649
4524
Cindy F Carson
PO Box 128 State Parcel Number Legal Description
Francisco IN 47649-0128
I I I I III 1 11 1 11 11 1 11 1 III IIII 26-13-19-202-000.186-005 012-00186-00 OLD PLAN 63 PT/64 PT/65
In ntI nI n Ise .. F nnI t ntI a `/ PT
Spouse First Middle Last
o'ND) [dye Car 56 n
Mailing Address(Number and street,city,state.and ZIP code) I eSame as property address
&M.M. as Q1Q04 -4....._ T -5
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.
PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX
j CREDIT /STANDARD DEDUCTION
� State Form 5473 (R2 15-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT
I (We) t o t t y of March, 19_
I (We) principal place of res' a ce the following described real property for which a omestead Property Tax Credit is hereby claimed:
El owned 01 Are buying n r contract JUL 2 g l000
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and th owns the prope is buying under a contract.
J
CONTRACT RECORDED GRS N I
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded
Record number
Page
PROPERTY DES TI
County
Township
T ing o city, town. tovdiship)
Par I Per
Legal description
If any portion of the rest ential 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 utilized to produce income.
az -A; 19 cco./6?0/ —ae55
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
ereby certify the above statements are true, correct and complete.
Signatu Uai
A dress (number and street, late, ZIP code)
ASSESSOR USE ONLY
TRUETAX
VALUE
ASSES S6
VALUE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
Signature of Auditor
Date signed