HomeMy WebLinkAboutHomestead_Lizcano (3) STATE r ORMSa•t.i/C I WO • ME/StULUR lag'Slit
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1123IltIBM BY PIE DEIARTMEWrOFLO1:AL CU52LWlm'T FTASTE 1C4-I.I-_4.1
Gibson•County Auditor
.+01 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 e'er for homestead fraud.Ilomesread fraud causes higher'as bills for all:therefore.
HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to incise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.-Iris information will be kepi confidential and can only he 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 I: PROPERTY INFORMATION
Taxpayer Name Property Address
Lizcano, Miguel
R 4 Box 340
Princeton IN 47670
11
Miguel Lizcano
112 Kinsington Dr State Parcel Number Legal Description
PRINCETON IN 47670-9416
1111111 I II I III I I I I II II II I I II 26-11-12-302-000/232-028 019-00232-00 BROADVIEW 15 PT/16/77
Inn nnr utr nrunn t Inn n
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
N1/it a c e ! 2 C4-..-0/5
Address(number and street.city,state.and ZIP code) re as property address
Spouse First Middle Last
Mn 1 I tie �. i ►
Mailing Address(Number and street city,state,and ZIP code) EtS'ame as property address
;
- • Ea..cb,_de _a.c rt:rc under z .f ri • tln �fg abp;ng�rl un_-nn.iy fnrinattnD
._ctlir_`ndcn R'!(.pnrl.thaLFCnLChe.lcrli
receive the homestead standard deduction on this property.Each undersigned also understands thrt,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature _ Date
�} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm 5473 (R8 / 40;i)
Prescribed by the Depanment W local Govemment Finance
INSTRUCTIONS: See reverse side 70� �ling instrucfions.
FORM
HC10
YEAR
��e) � � ce�lha on the st y of March, 20_
I(We) occupied as our principal place of resid Ihe following d � ed reai property for which a Homestea Pro �7 it is hereby daimed:
❑ I(We) owned ❑ Are buying under contrecl U(, � O 9 �UU�
� Have a beneficial inlerest in the entily ihat is liable (or the property taxes on the property arW�that owns the property or is buying under a wnUact.
If buying on conVaG, Fee Simple owners name
Recorders ofice where contracl is recarded
Counry
N any
ot the
County
Tamship
-ooa3a � I ,�,,�4,.�.,.., �s�
o/ the residential sW cWre w the Wnd nm axceetling me (1) aae that
y utif¢ed tu produce inmme.
Township
I hereby certi(y the above statements are We, coved and mmplete.
Mdress fnum6erarM sUeet, ciry, state, ZlPCOde)
Land not exceeding 1(one) acre immediatety
surrounding residentlal improvements.
Other land
7da1 land (fine 7 plus line 2)
Dweiling
Rasidential Improvements or Mnua�y
Pssassad Madb / Me�uifaWued Home Garege
Other improvements
Tdal improvements (line 4 through line 6)
Tctal value (line 3 plus line n
I hereby certify the above is We, coned, and
complele.
Veri(ying actlon - Signature oflwditor
20 _ Pay 20 _
Lesser o1 1 /2 Homestead
(�)
l2)
(3)
(4)
(5)
(6)
(�)
18)
Signawre ofAssessor
5
Rewrd number � Page
7 di tic 'ry, t , fownshiP)
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Is the pro rty' question:
�/ �eal D�operty ❑ Mobiie Homo (/.C. 6f.7-n .
wrrounds that suuGUre is used b produce income, desttibe the use and portion
Date signetl
Date signed
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