HomeMy WebLinkAboutHomestead_Mobley SIDE FORM!!H I2'/,+MI MAWR'S TORN 31A
APPROVED BY SrS1E BOMMO OF Kny:STl l•v PRISRFBm BY 111E oEPARTEYrrw LOCAL OOVPRNSILWI FEANCE IC-I.1�'JI
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 ewer 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 remise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lim confidential and can only be accessed by authorized county officials-The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Mobley, Marion T
610 Mccarty Road
Princeton IN 47670
474
Marion T Mobley
610 MCCARTY RD
PRINCETON IN 47670-2855 State Parcel Number Legal Description
1I1rr11rrrIr11rt1rtt 111 111111111 111 rI 26-11-13-204-000.539-028 019-00539-00 MCKAW SUM 5 PT/6
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
/la OA Th.a ni as /4 o b 1 e�.
Wog Address(number and street.city,state,and ZIP code) 'l Same as property address
l O M e. (a Ro( • Pr I'✓r c eov� , /N 76 -7-0
Spouse A First Middle Last
//T
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
snit
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 1 Signature Date
�,,. R,,
ea `, CLAIM FOR HOMESTEAD PROPERTY TAX
a��� CREDIT/STANDARD DEDUCTION -
SWte Form 5473 (R2 % 5-92)
ti`_.
�au
INSTRUCTIONS: See reveae side foi /iling instructions. -
FORM
HC10
YEAR
� � PROPERTY DESCRIPTIO �
Counry � .-. Township Taxing disiri (d , fm , to1v
Pe;c�ber T �„ ^ �n^ Legaitlescrip;ion .
� —�! L!J y
J
N any poroon of the residential s•,rucwre or the Wnd not exceeding one (7) aae that immedatety surrounds ihat siruciure is used to produce income, describe �he use and
ot Ihe properry utilized to produce income. ,
PROPERTY OWNED BY CLAIMANT IN
Township Counry
eby certiry the above statemenis are irue, correct and complete.
Addre55(num6erandstreel.ary.5fate.ZlP[ode) ^
. _ _� .r � n i ii _
ASSESSOR USE ONLY
Land noi ezceeding 1(one) acre immediately
surrounding residential improvements.
Otherland
Total land (line 1 plus line �
Dwelling
Resideniial improvemenis
Garage
Other improvemenis
Total impmvements (line 4 Ihrough line �
Total value (line 3 p�s line 7�
I hereby certify ihe above is true, correci, and
complete.
Verityi� action - Signature of Autlitor
79_Pay79_
Lesser of 1/2 Homestead
Valuation or S2,000
TRUETAX � ASSESSED
.VALUE VALUE
(�)
(z)
(3)
(4)
(5)
(6)
I�I
le)
Signature of Assessor
STANDARD
S
HOMESTEAD
VALUE
Township
NON•RESIDENTIAL
VALUE
Dare signed
Date signetl
�Sgnature ot Auditor I Date
�. ' _ _