HomeMy WebLinkAboutHomestead_McIntire (5) SLATE rot tRCf-1 t TREASURER FORM—tA
AFFRP'EO BY STATE BMKDOFA X•$5S.9w PIISA@rn BY TEC BEPARTMEST OF LOCAL COVERYMIWT FINANCE IC 6-1.1-22-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and ma:-ried couples are limited to one homestead standard deduction.As the receipt of dds deduction becomes
more beneficial.there is more incentive than gust for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
® HEA 344-31109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necesan'to allow count'government to better monitor homestead
filings.This information will be kept conlidential and can only to accessed by authorized count'officials.The Ikpanntent of
Local Govamncnt Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
McIntire, Jaunita M
504 W Mulberry
•
Princeton IN 47670
966
•
Jaunita M McIntire
504 W Mulberry State Parcel Number Legal Description
PRINCETON IN 47670-2348
lllllllllrlr'Irrlrtl IIII Illlllllllltllll 111 llll'IIIIIIIIII IIII 26-12-07-303-000.965-028 019-00965-00 PRINCE PLACE 43 PT/44 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.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
4
�g Address(number and street.city,state,and ZIP code) I'Same as property address
SO W. hi U,�P rri - � vlrv,Jaii .H 217G7p
Spouse n 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) Driver's License/State ID Number (last 5 digits)) Other(please specify in Part 4 below)
star
PART 3:CERTIFICATION - ------- --- - - -
- Each undersigned certifies,under penalty of perjuy.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.
I Signature Date '
•
d'y •uac
, CLAIM FOR HOMESTEAD PROPERTY TAX
��-°�" � CREDIT/STANDARD DEDUCTION
S / State Form 5473 (RS / 10-01)
Prescribed by the Depanment of Local Govemment Finance
INSTRUCTIONS: See reverse side lor filing instructions.
'� "t . _ . -. - " CERTIPICAl10N STATEMENT � � � �
= O�v.�a. 4 � �
FORM
HC10
YEAR �
�
I(We) __� • certify Ihat o 1 srt� day of Mnaqrch, 20
I(We)�upied as our principal place of residence lhe follow �bed real property for which a Homestead Prope�c (&ed�it �Ae�by daimed:
l/ //
�❑ I(POe) owned ❑ Are buying under contracl h�m/�[9P���3/P Y�9� �6 V$
Have a benefidai interest in the enfity that is liable for the property taxes on the property and lhat owns t y nder on ct.
i.,'s-' a .4 3f�.•�, .
ci _,�sr.� �•.,... -_r:�'�..•�:`.e i � .,ie:.•..•�CONTRACTRECORDED'9 . .
If buy'vig on contract. Fee Simple owners name
Recordets office where contrad is recoraed Rewrd number Page
3
Couniy
Tavnship
V ���dLT10J' l'J� I LlaiM.t..t,l"•.J�O�GI
If any portion of Ne residential sWCture or Ihe land ml exceeding ane (1) aae t�at
of the property utilized to produce inwme.
County
-... .:PI
Township
I hereby certiy lhe above statements are true, correct and complete.
��1ress (number and 5treet, ciry, sfafa, ZIP cade)
i — _ . . . _n n / . . _.
� . . .:...... . . . . .r., .. _-.
?SCRIFTION � - -.,,-._.: �_., .�;.... ...; ......t".. • ,. . _.�.'„
T�cing Eistrict (ury, fown, fownship)
I Ne O�op rty in question:
❑ Real Droperty ❑ Alubile Homo (I.C. 6f.7-7)
�
ialel surtounds l at swcture is usetl b produce income. describe the use anA portion
MANT IN
County
Claimant
•.n• .}: s.�•�y •r
Tavnship
'�`�'�� �' 3�ASSESSOR USE ONLY � �R TRUE TAX � �-� �ASSESSED VALUE � HOMESTEAD ' � �✓ NON4RESIDENTIALK,r �� �--
}f-�"��� �:.T_>i ,�£,'.".�r.'tp:. ,:, r ' - VALl1E:. � AT 100% OF.��.TN � � V/1LUEf � w � _ ,� . . VALUE _:s.>•�-`•
Land not exceeding 1(one) acre immediately y � � � ti�;° i� ".'..
surrounding residential improvements. (�� ,. x � s `. ,.x. .; �.y .� �..�
Other land =?'''�"•'- `�" "'
(2) .:eii.' :"a_,
Tctal land (line 7 plus line 2) (g)
.^s � .- t ,�. ..'s,q r ..;
Dwelling (4) ".. Y �' �: �
Residential improvements �' " "'f '��°�r � f �� Lu'� ��t
.. 3 . � � ��C ..
Garage (5) ::;M' ,�t`�.su.����i*`5. «.S"
�.4 �LZ" Ah.:Y.ii
�s-1..� :,� v �,;�.�
�Y :iT
Otherimprovements (6) �`, y'.
-'K u..:..
Total improvements (line 4 through line 6) (7)
Tdal value (line 3 phs line n (g�
I hereby certify the above is true, cortecl, and Signature otasseswr oate signed
complete.
Verirying aclion - Signature otALditor Date signed
Signatura oflwdilor
20_Pay20_
Lesser of 7!2 Homestead
Valuation or 56,000
��
3
Date yy�e= a a-o a�
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