HomeMy WebLinkAboutHomestead_Passwater •• STATE FORM 535e9(13/Eta) TRFASURFA FORM Ti-IA
APPROVED BY STATE BOARD OF ACCOUNTS.TON FRESLR1a1D BY THE DEPARTMEA'F OF LOCAL COVLEAMEYT FINANCE IC 61.1-2.241.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
v .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.
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benefit t3•nd to provide requires additional ditional identifying who ingrtie the anon ece standard allow county to verify that they are eligible
ni to homestead
the
FILED benc6t and to pro.ide additional idrntifying information necessary to allow comty garemmeot to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR i c ZfII PART I: PROPERTY INFORMATION
— Taxpayer Name Location Address
C. . y Passwater, Rex A
(V\ 7127 s stout
GIBSON COUNTY AUDITOR
Princeton IN 47670
' 3920
— Rex A Passwater III I[III ii[III DI I 111111111111111 !IMF ICI[II[I 1 11[11 I IP 11I11I-I[III 11 II
1127 S Stout St
PRINCETON IN 47670-3041
IrrFIrIIIIII"III"IIIIII"IIIIIIIIrrFIIIIFIIIItrtlllllllllllllll State Parcel Number Legal Description
26-12-18-204-002.095-028/SS ADD 302
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.
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PART?:TAXPAYER INFORMATION
O .. I First Middle Last --
_ lfL�( . RLVIv� 1c{ SsL aler •
Mailing Address(number and street,city.state,and ZIP code) ® Same as property address
/1,27 5, &fowl' St PPrtic JJafa i!u t/76.70
.
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) I Other(please specify in Part 4 below)
r I I _ I . 1 . III
I l I I I I I
L___ JI I I I I I I I lstr.:
Each undersigned certifies,wider 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
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` ' �ate Farm 5473 (R8/ 7-07)
Prescnbed by 1he DepartmeN a! Local Govemment F'vance
INS7RUCTIONS: See ieverse side Por filing ins6uc6ons.
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FORM
HC10
YEAR
I lwe) 1)� ��.(N��L � th�n 67i �L�Q�t daY of March. 20_
1(We) occupied as our prindpal plxe of residence tlie folbwing described real property fw which a Homestead Property T�mc Credit is he2by daimed:
t, I(We) owned ❑ Are buying under contrad `�� ��`+°'�`j�
v
❑ Have a benefidai interest in ihe entiry that is liable tw the property taxes on tlie property and that owns thy �qr i6HCJ�ii�Bnder a contract.
r_iaSON �
Ii bvying on oonLxq, Fee Simple ownels tmme
.^�iTl
�����a-i8 do�_�,t.
Taring tlistriq
�=�e
Record number
❑ M��a ��
Pege
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If any poNOn of the residerrtial slruUUle or Ne land not exceedirg one (i ) acre Ihat imm�ately wnounds Ihal sinicWre is used to produce Incortre, Eescribe the use and porfbn
of Ne property uUGZSd �o pmduce inmme.
�� � � • .� • �
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Land not ex�ng 7(oire) acre irtvnediatey "< 3.'-- �� `. ``; .
surtoundingresidentialimprovements. (�� ��'}4 °...y��s°.'-.�. ..:.�.�=
... � -
Other land �p� � �,-- z: i � ,
Tdal larrcl (line 1 plus Gne 2) �3�
ResitlentialimprovementswMnuaiy �elling (4) ;:,.'��''\ �r4�'���-, S��'` ���"�y� �'..
Assessed Mobile / ManuFacWred Home }' ` Rz> � :.z � � ;
( ) . -V k 1 4,: � `f.-* r
Garage 5 -=`� _� ��� �.;. � ; F iig .,�J�'.
omgr�Pro��rn�� (6) 4 {:a`4!. .�dK��
Tctal improvertients (f'me 4 through Grre 6) �7� _
T�tal velue (line 3 p!'s Grre 7j �g�
1 heteby certify �fie above i5 We, corted, eM SigrmWre of Pssessor � Dale signed (mmlh. day, yee�
complete.
Verifyirg aclion - Sip�Wre of Auditur Date sipned (month, daY• Y�)
�.-� � � � •
p PeY Z� — 45,ppp {or 2007 pay 2008 42.000 for 2010 pay 2011
Lesser of 12 qq ppp for 2008 paY
Homestead Valuatim PeY 2009 41.000 for 2011 2012 §
w 43,000 for 2009 pay 2010 40,000 payable after 2072
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