HomeMy WebLinkAboutHomestead_Kirby rlxlE FORM1'31 tRcJ•$) TREARIMI FORM11T
.APPROVED BY Sf1E IKARD CM'MYCBtT52I$M PAEQNBF,BY n1E DEPARIYmNTOF IBIAI CAYELYMFN.T FDONCE et-1.1CT1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this dedunion becomes
more beneficial.there is more incentive than e'er for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
HEA 134-4-2IX9 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifyirm information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and on only be accessed by authori,ed county officials.The Depannent or
Local Government Finance will use this information to create tuts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
•
Taxpayer Name Property Address
Kirby, Elsye Carolyn
809 S Stormont ST
Princeton IN 47670
1528
Elsye Carolyn Kirby
809 S Stormont State Parcel Number Legal Description
PRINCETON IN 47670-2732
11ut1n11nt1t 111nt1t1n n11t1 26-12-18-202-003.377-028 019-03377-00 SS ADD 291
I-- - -- -- - ---- -- - -- -- -- -- - -- - - --- -------- - ----
T h i s -- - -- _ .- — --
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
Els y � CA got. LI N ie •
ding Address.Address(number and sued city.state,and ZIP code) ❑ Same as property address
k o ? 60 . Vox mom+St, PRINcd.N,'j414;1 417490
Spouse First Middle Last
Cl 4".
Mailing Address(Number and street,city,state,and ZIP code) n Same 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)
Sot
- - - 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.
Owner I Signature Date
�
rt, .} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
/ S�a�e Fwm 5473 (R6I403)
Prescribed by Ihe Departmenl ol Local Govemment Finance
INSTRUCTIONS: See �evcrsc side Ior liling insVUCfions.
FORM
HC70
YEAR
� M�e) � certi(y th�t`Dfrthe�1�t dQ � G3March. 20
I(We) occupied as our pri i al place of residence ihe (ollow descnbed real property for which a Homestead Property T�a�c Credfi�s hereby daimed:
❑ I(We) owned ❑ Are buying under contract � �� n ///�
` Have a beneficial interest in the enUty Nat is Iiable for the property taxes on the property and that own E�(ffopeRy rs- u�� e.c"onVaU.
If byvg am m�iraG. Fee Simple owners name
RemrEefs olfice whara cantrecl is recorAed
�'� �' '� ��: € �" .� �''" G f 4� -' $ ?; , � �
County � Tamship
�i �=ceD3 3�'+�� I `���"��
N any poNOn o/ the revCential aWqure or Ihe land not exceeding one (i j ave
of Ne properry ulif¢eC tn produce iixome.
Record number � Page
Tacing dislrict (dry, fawn, townsAiP)
I I Is the property in question:
❑ Roal property ❑ Mobile Homo (l.C. b1. f-�
wrrounds Ihat sWUUre is used to produce income, describe tha use and ponbn
20 _ Pay 20 _
Lesser of 1/2 Homesiead
va�en«, «sas.000
SgnaNra of Puddw
3