HomeMy WebLinkAboutHomestead_Perkins • STATE FORM 535.0(R31 B-10) 79E•SLIF,FORM TSIA
, APPROVED BY STATE BOARD OF ACtW(t5.EON PRESCRIBED BY THE DEPARTINECT OF LOCAL GOVERNMENT FmA`CE IC 61.1-141
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 hills for all;therefore,
HFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they art eligible to receive the
0 benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
FILED 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.
PART I: PROPERTY INFORMATION
— MAY.1 1 2011 ., Taxpayer Name Location Address
`=. C.'J.n - .. ' Perkins, Charles M/Judy A ,
501E Broadway
GIBSON COUNTY AUDITOR Princeton IN 47670
3054
Charles M/Judy A Perkins 1 10101111 ffl UI I l l II II_ II DII 11111 al /DID IL II 1011Il l I�11111 MI II.1 Il III.
501 E Broadway j
Princeton IN 47670-1845
III'III"'IIIItIIII'II'IIIIIII"IIIIIII'II'I'IIIIII'IIIIIIIIIIII' State Parcel Number Legal Description
. 26-12-07-401-002.549-02V`ARCHERS ENLG 11
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.
— ir ---------- ,_-_._._._-P-AR1_2:1'ASP_t]'ER.INFO. IATIO\_.- _
''CI.N ..- I First _ Middle I .. `east•
Char k_5- / Qr-ri1h , erkllik5 , ,
Mailing Address(number and street-city,state,and ZIP code) - Same as property address '
_ ..
. Spouse First A Middle Last
Jud;-f1t N,AA �e � 'r, s
Mailing Address(Number and street,city,state,and ZIP code) f a-Same as property address
Each undersigned certifies,under penalty of peijury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the 1.•-7:-4 - •••.r deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
:•is 1F ,.he-or he may be liable or back taxes and substantial financial penalties.
..• ^�
a/ °„ CLAIM FOR HOMESTEAD PROPERTY TAX
i;�a�': CREDIT/STANDARD DEDUCTION
� State Form 5473 (R2 / 5-92)
�..._su `� . .
INSTRUCTIONS: See reverse side (oi liling inshuctions.
FORM
HC10
�Y
I We ��_Li/Wc-F� certif .that on the 1��Nd a�o �{\ 9
�ccupied as our principal place ot sidence i foliowing described real property for which a Homestead Property T�'CY�dit Ss�r�tiy�aimed:
I(We) owned ❑ Are buying under contraci . . G n
❑ Have a beneficial interest in ihe eniiry that is liable for the property taxes on ihe property and that owns the prop r i .�et_ayonpaoi_
. . _ . .�i�-.
:r.-:.�rtni��;�•� �-��?n:
� �� ��� � - � CONTRACTRECORDED �
If buying on contract, Pee Simple owner's name . � � -
Recortler's oHice where contract is recordetl Record number Page
"�' PROPERTY DESCRI ON ' � � �-
Counry . - Township . � . . . Taeing i5[ � t � . tow�t. tv . - . .
qK ber _� Legaldescription
J�
It any ponion of the residen[ial structure or the land not exceeding one (11 acre t�at immetliately wrtountls that sirucNre is usetl m produce income, descdbe the use and portion
of Ne properry utilized to produce income. .
Counry
PROPEflTV
the above statements are true, correct and complete.
' and slresi city, stafe. ZIP code� `
. . ��, ��
� ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediately
surroundinq residential improvements.
Other land
To�al land (line 7 plus line 2�
Dwelling
Residential improvements
Garage
Other improvements
Total improvements (line 4 through line 6�
Total value (line 3p�s line �
I hereby certify ihe above is true, correct, and
complete.
79_Pay19_
Lesser of 1I2 Homestead
Valuation or $2.000
TRUE TAX
VALUE
(�)
(z)
(3)
(4)
(5)
(6)
l�l
(8)
Signature ot Asseswr
Ilil
� �. � ?
ASSESSED HOMESTEAD
VALUE VALUE
STANDARD DEDUCTION ALLOWANCE
S
i
NON-RESIDEN'fIAL
VALUE
Date signetl
Date si9ned
���I� ' � � /
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