HomeMy WebLinkAboutHomestead_McInerney •
STATE FORM JJ O RJI SAO) TFAaaFA FCCM 1S-IA
APPROVED BY STATE BOARD OF ACCOUNTS.E9 PRESCRIBED BY THE DFPARTME\T OF LOCAL(AVER\MEYT FINANCE.IC 6-I.I-2-.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
• �� HFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
a benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
l filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Gcwernment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
1 O 2p11 PART I: PROPERTY INFORMATION
MM1 Taxpayer Name Location Address
C ere v v McInerney, Scott J/Faith M Arivette
GIBBON COUNTY AUOtTOR 922 Short ST
Princeton IN 47670
1685
1111111111_11//1 I I II 101 I 1101101101101 I II I1111t00D II Scots J McInerney
922 Short
Princeton IN 47670-1338 •
IIIlI IIIIIII'I'I1I1IIIlIIlII'I'11r11111"I"I'IlIIlIllIlIllslsIll State Parcel Number Legal Description
26-11-12-204-001.548-028✓EMBREE ENLG 15 PT
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.
I --___ _.___-_____ PART 7:TAXPAYER INFORMATION
Owner I I, First Middle y� Last
SLOTS Jai./ l t L-�IVU r.
Mailing Address(number and street.city,state,and ZIP code) ! E"Same as property
qz2 SkOr-1— SA—t'c.e-F-
Spouse First Middle Last
CCA:KMA tIAC1.- 1e As-f I ve c-
Mailing Address(Number and street,city,state,and ZIP code) I,Same as property address
x}22 5 o r-4- S-1-r14-r u
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
unlawful] ,he or she may be liable for back taxes and substantial financial penalties.
Owner I S.:A ature Date
- -. ,
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` ` Stale Form 5473 (R8/7-07)
Prescnbed by Ne Deparlmerrt of Local Govemment Finence
INSTRUCTIONS: See reverse side Por fili� ins6uc6'ons.
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JUN 2 5 2009
I(We) �(��� � 1`� 0 L �(]1 ��.. _/�AabfC�-Ihalon�he`�s�a`���
y of March, 20
I(We) occupied as our prindpal place of residen�owing des ' ed real property ta which a Homestead F�gg��pf�WBiY h���8�ned
' I(VJe) owned ❑ Are buying under contrad
J Have a benefidal interest in �he entity that is IiaWe for the property tazes on the property and that ovms the property or is buying under a contrad.
Ii Grymg on caniracl, Fee Simple amera rmme
Recorders d5ce whare crntraq is recordad
Counry Twenship
Tac"uig diWrict (cdy, fown, townshiPJ
Record number ' Paga
Pa nu �y� Legal tlescripGon Is Uie propetty in question:
" A���� C.iJ�• �� Q� ❑ Real ProPertY ❑ Mobile Home (IC 61.1-7)
If arry portion of �he residential sVUCture a �ha lar�d not exceedirg orre (7) aua �hat immediately surtounds Umt sUUCture is useC b produca Inmrtre, desc+ibe Ure use and portion
d tha properry uGBZed tu produce inmma.
��.�.�- �S�-
20 pay 20 _ qs,ppp for 2007 pay 2008 42,000 tor 2010 pay 2011
Lesser oi 12 qq.ppp for 2008 pay 2009 41.000 for 2071 pay 2012
Homestead Valuafion $
« 43,000 for 2009 pay 2010 40,000 payable after 2012