HomeMy WebLinkAboutHomestead_Hurt (5) MATE FORM 5l!• IR:r Aw) EBEASULR FORAM-IA,.
.APPROVED BY NAIL BOARD OF.MYYt.MS. PRESOUBED BY no DEPARPATNT(W LOCAL rover MRT FP'ASCE IC 4.1A-22-8.1
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
mote beneficial,there is more incentive than eser 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
benefit and to provide additional identifying information necessary 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
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
r ; Taxpayer Name Property Address
t•rt, William M/Charlotte M
APR 7 LULU 405S Seminars'
Princeton IN 47670
1056 717?4
William M/Charlotte M Hurt GIBSON COUNTY AUDITOR
405 S Seminary State Parcel Number Legal Description
Princeton IN 47670-2431
lrinllntltllnlntlllnutltltlnlullnullilnrrlliru till 26-12-07-401-001.530-028 019-01530.00 CLARKSVILLE 28 PT
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
ng Address(number and street,city,state,and ZIP code) .I Same as property address
9)6 5 S n',i a9,ey Sir 72/oveej3ti,c z 99 ,& 7c)
Spouse First Middle / Last
( _�i.92/d ire. /'4/42/Fe 4-{�,
Mailing Address(Number and street,ciy,state,and ZIP code) I Same as property address
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. ��-{
•
„.,•..
e/ -'” � CLAIM FOR HOMESTEAD PROPERTY TAX
sE�': CREDIT/STANDARD DEDUCTION
�,, �� State Form 5473 (R2 / 5-92)
�dui . . .
INSTRUCTIONS: See reve�se side lor liling instructions.
iw i � ;
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e) ^�,��C �—� _ �� 1' � ��yy�, � ��cC v —1 ' certify that on ihe 1 st day of March, 19_
a) occupied as our pr�cipal place of residence the tollowing described real property for whicha Homestead Property Tax Credit is hereby claimed:
i(We) owned ❑ Are buying under coniract, �
Have a beneficial interest in the entity that is liabie br the property taxes on the property and that owns ihe property or is buying under a contraa.
. . - �CONTRACTRECORDED
If buying on crontract, Fee Simple owner's name � . '. � ,_
Recordefs ottice where Contraci is recorded Record number Page
Caunty
Township
PROPERTY DESCRIPTION
. . I I \ `��....��� IL.1L m �
Parcel number . I Legal descnption
O 14- o(S�-cc�
If any portion of the resWential strucwre or the land not eaceeding one (1) acre that immediately surmunds that structure is usetl to produce income, tlescri6e the use and portion
of the pmperty utilizetl to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES�
��eby certify the above statements are irue, correct and compiete. SignamAre o��
� U
Address (�umber a� slreeL dry, slate. ZIP wde) � _
ASSESSOR USE ONLY . TflUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VALUE VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately .
surmunding residen�ial improvemenis. (�)
Otherland �p) ' -
Total land (line 7 plus line Z� (3) �
Dwelling (4) . '
Residential improvements
Garage �5)
Oiher improvements (6)
Total improvements (line 4 th�ough line � (7)
Total value (line 3 pbs line 7) (g) �
1 hereby certify the above is Irue, correct, and Signature ot Assessor Da;e signed
complete.
Venfying aGion - Signamre of Auditor Date signetl
�
19_Pay19_
Lesser ot 1/2 Homestead
Valuation or 52.000
STANDARD DEDUCTION ALIOWANCE
S
Date signed I (
�
a