HomeMy WebLinkAboutHomestead_HannahCLAIM FOR HOMESTEAD PROPERTY TAX
FORM YEAR
CREDIT/STANDARD DEDUCTION
State Form 5473 (R6 14-03)
Prescribed by Na Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
I (We) -Nor-," 4L.I.— certify that 1st d a " 20
pal place of residence the following described real property for which a Homestead Property'&�eodit VsCy claimed:
rI I O�97
I (we) oca!pledas oznci
I (We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
C ONTRACT, RECORDED k �nrF
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
10W, D AR D; D E D U C TI 0 N "AL L OWAN C E
.-�t�PftbPERTYDESCRIPTIONv�;-7,t-'
County
Tomiship
Twvnshlp
Tv g district (city, tor, ship)
Q-\
number //
T �5p
ctr*L
4a
I Is the props '— '.,tjn:
property [:1 Mobile Home (I.C. 6-1.1-7)
W1ny Portion of the residential structure or the Land not exceeding we (1) am that Umediately stinnotmos that str4clure is used to produce income, describe the use and portion
of the property utilized to produce income.
ct�
10W, D AR D; D E D U C TI 0 N "AL L OWAN C E
-.TRUF,TAX''-
County Township
County
Twvnshlp
I hereby certify the above statements are true, correct and complete.
Sign tu of claimant..
ress (number and street, city, state, ZIP code)
705 1.-. S Noo1 57 F,r N� C ; S7 e C X7 0G, 474, YF
10W, D AR D; D E D U C TI 0 N "AL L OWAN C E
-.TRUF,TAX''-
ASSESSED VALUE
HOMESTEAD.
' NON RESIDENTUIL t
Valuation or 535,000
$
, !
%,AT-10 OFTV
VALUE
'T
Land not exceeding I (one) acre immediately
surrounding residential Improvements.
ri
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
41�-ix
Assessed Mobile I Manufactured Home
Garage
(5)
Cper 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
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor r
Date signed
10W, D AR D; D E D U C TI 0 N "AL L OWAN C E
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or 535,000
$
Signature of Auditor
Fate signed
STATE FORM 51569(RM-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I 1-222-9.I
aORttima NOTICE TO HOIGIESTEpAD PROP RTY OWNERS
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 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.
PARTt: PROPyERTjyjIN,FORMATION ' fr 1Y
Taxpayer Name Property Address State Parcel Number ].teal Description:
Gary A Hannah 705 W SCHOOL ST 26-13-19-201-000.364-005 PERKINS ADD 7PT/8PT
FRANCISCO IN 47649
Complete and return to: IODIIUU111EMI D111fDUII011IfUm1111➢UHI1Vll
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
r
Owner 1 First Middle last
GI k ( i7< < _nv h'/7- 4'f/
Mailing Address(number and street,city,state and ZIP code) Same as property address
P. G. Boy 36/3 Fen A c, sco , I
a,wuse First Middle Last
Mailing Address(number and street.city,state and ZIP code) I I Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number(last 5 digits) State Other(please specify in Pan 4 below)
x + - PAR 3:.C-ER (FICA ION .61<1;fg`M.I2, e :.; 1, `t r, L„
Y
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 1 Signature Date
( )
t: :.:j .S4..adv,j Il.e'rt• ,-4•.:1ra-C7-CT-1/2, ors cn R p 4: AD;L a1Cr�:IL INFORMATION r. �ri �.a. =�c. :.� ' - uiiw'� f
it r Imo. I ._ 9. , l
1
MAR 1 1 2013
GIBSON COUNTY AUDITOR