HomeMy WebLinkAboutHomestead_Key tllrt rt1RM ERN.IRE'NON MAAIrf'FMV.YIE
.lrrRm'LD B1c11LE a t O(M',n,„,li.Yin PRLATIBED BY 11W DEPARTNEGNEOF LOCAL rovaraENT MANCEMa-1.t-_4.1
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 than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
. HEA I 344-200C 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 goleminent to better monitor homestead
filings This information will he kept confidential and can only be accessed by authorized county officials.The Depannmt of
Local Government Finance will a c this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taspaver Name Property Address
Key, Lisa K
I NIIaII ON b
• Princeton '47670 `341 xY\\�`
Lisa K Key
920 N Hart State Parcel Number Legal Description
Pdnceton IN 47670-1456
Itlt tilt ttltllrt lttrill IIr Irr IrItit tlltt ttitilitt rlttitl 26-12-06-304-002.360-028 019-02360-00 BROWNLEE ENLG 13
PART 2: TAXPAYER INFORMATION
Owner 1 First Middle Last
WA) // X --
�g"xddrui(number anal 6x-1 city,state,and ZIP code) _ ,__ -- -- _�i_I-Snme.property odd ._ __- _— _ _ ._.
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 9 Smite as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
slate
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 hack taxes and substantial financial penalties.
Owner I Signature Date
� surt o
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i
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R2 / 592) �
INSTRUCTIONS: See reverse side for liling instrucGons.
FORM
HC10
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CERTIfICATION STATEMENT
I(We) " - e��fv•ttpra t on t March, 19_
I(VJe) occupi d as our principal place of residence the following ribed real property for which a Ho a�ro�erty T�ed is h eby claimed:
I(VJe) owned ❑ Are buying under contract '��
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns thqp�o@�rgf qr�is%aitiTg under a contract.
�CD 4V LUII
CONTRACTRECORDED �
If buying on convact. Fee SimD�e owners name
GIBSON COUNTY AUDITOR
Recorders office where conVact is recorded Recortl number Page
PROPERTY DESCRIPTION �
Counry Township Taring district (ciry, fo , t ihrp �
ParCel nu r Legal deunpaon
0 -0�3 -oo
If any ponion of Ne residential sifuc[ure or Ne lantl not exceeding one (1) acre that immedlatey sunounds ihat sWCture is useC to proauce income, tlescribe the use and ponion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counly Township County Tovmshi
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�Signawre o' da"vnani
��ereby certify the above statements are true, correct and complete.
dtlress (numberandstreet, ciy, sfafe, Z/PCotleJ -
ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding t(one) acre immediately �(�� .
surrounding residential improvements.
Oiherland (2)
Total land (line 1 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvemenis (6)
Total imprwements (line 4 fhrough line 6J (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, correct, and Signawre ot Assesor Dace signee
complete.
Verifying acGOn - Signature of Autlitor Date signetl
� STANDARD DEDUCTION ALLOWANCE_
19_ Pay 19 _
Lesserof 1/2 Homestead �
Valuation or 52,000
SiqnaWre oi Auditor Date signed
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