HomeMy WebLinkAboutHomestead_Hannah (2)ai?`II
i CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R215 -92)
Hsu _
INSTRUCTIONS: See reverse side for filing instructions. .
EAR
5
I (We) 76WIlat Ve, 1 t of March, 19
occupied as our princ" I place of esidence the following d scribed real property for which a Ho stead PropsRy Tax 6r It is hereby claimed:
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(We) owned ❑ Are buying under contract phy 1q�,
El Have a beneficial interest in the entity that is liable for the property taxes on the property and that ownsthe pro rt orbs' Lying under a contract.
It buying on contract, Fee Simple owners name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
Taxing district 1 , town.
ow p)
cel n .bet
Legal description
It any portion of the residential structure or the land not exceedi one (1) acre th t immediately surrounds that stntaure is used pwfpduce i me, describe the use and portion
of the property utilized to produce income.
-/3 /7- 203 -CbD•
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
TRUE TAX
VALUE
County Township
County Township
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
re by certify the above statements are true, correct and complete.
Signatur of claimant
Other land
natlress (number and street city, state. ZIP code)
0 Rpr 34 ? 44 76419
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
Signature of Auditor
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
I
,
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pUs line 7)
(g)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
}Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 —Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date 9gned /,+��
/ • • tl ilt FORM MN..n--t NMI ThZASUIE'FORV iS-IA
.V/Rrwto BY STATE BOARD OF,M[llNTS.ryRM PRESCRIBED BY nilDCPARTEIT OF LOI:SI:AYERY■rter rat:.&CE tC I.t-l4.l
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 e'er 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
filing.This information will be kept confidential and can only he accessed by authorized county officials.The Ikpanment of
Local Govcrtunent Pinant<will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION .
Taxpayer Name Property Address
Hannah, George 308 AL Coss
Francisco IN 47649
70
George Hannah
P 0 Box 343 State Parcel Number Legal Description
Francisco IN 47649-0343
ltlttlltttftllt�tt��t�tr�� ��II�II�Ir��rt�tt�Ir��rRt��t� 26-13-17-303-000A11-005 012-00111-00 SHOP ADD 18/19/20
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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
eor9e� /4 a,n n c�l�
-•rag Address(number and street,city,state,and ZIP code) 9 Same as property address - —
fo 5,,, 3'F-3, Fra„-1CfsCo y TA) t7‘(15'
Spouse First Middle fast
Mailing Address(Number and street-cigt state,and ZIP code) El Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
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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
( )
PART 4:ADDITIONAL INFORMATION
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