HomeMy WebLinkAboutHomestead_Patterson (4) MR FORM•IM ,R:1 Wo MASLRERfOR4i11A
.APPROVED BYSI'TE BnkR1 Or Nr011•T[.R.N PRrs1NBFL BYInr orPARrxR4r4F LrCALrAVERNNEBT FINA CE1e 11-1.1.2:.R1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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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 e'er for homestead fraud.Homestead fraud causer higher tat bills for all:therefore.
II HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to revere the
benefit and to provide additional identifying information necessary to allow county gmrmment to better monitor homestead
filings.ibis information will he kept confidential and can only M accessed by authorized county officials.Die Ikpanment of
Local Government Fiance will use this information to create tools that will help county officials eliminate homestead feud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Patterson, Michael S/Song Cha
311 S Ilall
Princeton IN 47670
2830
Michael S/Song Cha Patterson
311 S Hall State Parcel Number Legal Description
Princeton IN 47670-2025
I t'l r I I h i l t F i t t t I I I Ill r trErt I ltd ttEtI ltttl ltI I I 26-122--07-301-001.036-028 01401036-0O PT SW7-2-10.25 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
P1le1A,(L 511Awry �A fiSc��
___•ig Address(number und-street,-city;star,and ZIP code) _- _ __ _ .—__.— Same s property add W
_
Spouse First Middle Last
50N6 CH/9 ,��,,�i�77-1/e--(o w
Mailing Address(Number and street,city,state,and ZIP code) I I Xaame as property address
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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.
Own Sgnauucre e Date
9
t.
���"° CLAIM FOR HOMESTEAD PROPERTY TAX
! ; CREDIT/STANDARD DEDUCTION
o State Fortn 5473 (R2 / S92) •
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INSTRUCTIONS: See reverse side far filing inst`ucfions: ��
�� �$ ��,.' �_� .•�\�
AU6 .11 1999
� CERTIFICATION STATEMENT �
S N
� M'e) `� � «i91�OF��U ffdA�blDh�, 9_
I(We) occupied as our principal place oi residence the following described real property for ich a Homestead Property Ta�c Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract � -
❑ Have a beneficial interest in ihe entity that is liable for the property taxes on the property and thai owns the pmperty or is buying under a contract.
� � CONTRACTRECORDED
If buying on conUact, Fee Simple owners name
Recortlers oKce where conVact is recorded Record number Page
PROPERTY DESCRIPTION
Counry Township Taxing dsVict (ciry, town, township)
Parcel number Legal d n
�/ - Z - - - o�J�'
It any portan ot the residential swcture or the land noi exceetling one (1) acre that immediatey surtounds Ihat sVUCture is used to produce incwne, describe the use antl ponion of
Ne property utiiized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Sig re of daimant �
,ereby ce ify the above statemenis are true, correct and complete. '
Atldre .umber and streeG dry, slafe, ZIP code) � �
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatety (� �
surrounding residential improvements.
Otherland (2)
Total land (line 1 plus line 2) (3)
Dwelling (4)
Residential improvements I
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6J (7)
Total value (line 3 plus line 7) (8) .
I hereby Certify the above is true, Correct, and Signature oi Assesor Date signed
complete.
Ventying action - SignaNre of Autlitor Date signed
�• STANDARD DEDUCTION ALLOWANCE
79_ Pay 19 _
Lesser of 1/2 Homestead y
Valuation or 52,000 �
Signawre of Audiror Date signed