HomeMy WebLinkAboutHomestead_HuebnerCLAIM FOR HOMESTEAD PROPERTY TAX
a CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 15-92)
6
INSTRUCTIONS: See reverse side for filing instructions.
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CERTIFICATION STATf MENT
1 (We) ertity that on the 1st day of March, 19_
I (We) occupied as our principal place of resided a the following described real "per4 for which a Homestead Property Tax Credit is hereby claimed:
(We) owned ❑ Are buying under contract 4
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.
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (atg town, township)
Parcel number
%y
Legal description
portion o Ne residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
ereby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city, state. ZIP code)
P o t?cc ls� F2A.J�.sco �N ��49
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other 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
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
3
Signature of Auditor
Date signed
STATE FORM!)5SIK r.-in1 TREASURER FOAM ASIA
APPROVED BY STATE BOARDr*MTh i:TS.]Iv PRESCRIBEBY no DEPARTxfEN1 OF LOCAL GOVERNMTKT FB:A''CE IC 6-1.1.1:4.1
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 escr for homestead fraud.I Iomestead fraud causes higher tax bills for all;therefore.
• HEA 1344--3019 requires taxpayers who receive the homestead standard deduction to verily that they am eligible to reecho the
benefit and to onside additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county ofcials.'1he Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Huebner, Kenneth A Jr/Sharon
Box 154
Francisco IN 47649
4480
Kenneth A/Sharon Huebner Jr Jr.
Box 154 State Parcel Number Legal Description
Francisco IN 47649-0154
��t�r�t t�tt�r�r�Ir�Ir�ErF��� 26-13-19-201-000.129-005 012-00129-00 PERKINS ADD 43/44
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
K6NN6'H1 4. A-tL&d H kiS 646K. Th
�g Address(number and street,city,state,and ZIP code) — - — ❑'Seine ass property oddr ----- " —'——— • —
is,s1
08 Ckurttk S7', this le IT '? FttarruSCO ?A0 417649
Spouse First Middle Last
-CA ARa rJ SuE Hta,BbM6C
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as propeny address
bob C6uRCk S7 o. ?ox Isy Fie4Nctscsx ZN ring
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.
Owner I Signature Date
PART 4:ADDITIONAL INFORMATION
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