HomeMy WebLinkAboutHomestead_Perry (12) •
STATE FORM!AM DC/BOO TELEASIDLER FORM ig.0
AFPROVEO BY STATE ORM/DOE ACCOUNTS.rx rtLwBIBmnr DIE DEPARTMENT OF I-CM'AL 00VRILNMENT FINANCE PC 4-1.1-2T-CI
Gibson County Auditor N IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 PRINCETON PRIETON IN 47670 Individuals and married couple 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 causes higher tax bills for all:therefore.
HEA 1344-2069 requires taxpayers who receive the homestead standard deduction to rerifv that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling'.This information will be kept confidential and can only Sr 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 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Perry, Voris J
510 S Prince St
Princeton IN 47670
1116
Voris J Perry
510 S Prince St State Parcel Number Legal Description
Princeton IN 47670-2428
ltinlintltiinlutIll unr�r�r�u 26-12-07-403-000.095-028 019-00095-00 WILLIAMS ADD 3 PT
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
•
Mailing Address(number and street,city,state,and ZIP code) [Mme as property address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and"LIP code) D Same as propcny address
Social Security Number(last 5 digits) Driver's License/Stare ID Number (last 5 digits) Other(please specify in Pan 4 below)
ace
PARTS: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 I Signat Date
CLAIM FOR HOMESTEAD PROPERTY TAX
-' " CREDIT/STANDARD DEDUCTION
t � Slate Form 5473 (R5 / 10-0t )
�� Prescribed by ihe DepartmeM of Local Gavemment Fviance
INSTRUCTIONS: See 2verse side /or filing insfructions.
. 4
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i-r
MAY 15
� M'e) certity'�i2f6n'thew�si-d'a�/otafar�hn2.o !/
�- GI c �� �����_v �
'�I e) occu as our principal ce oi residence lhe following d or which a Homestead Pro�elt�'FaKEredi( is Iiere6y�cFaimea
I (We) owned ❑ buying under cwiVact �
� Have a benefidal interest in the en6ry that is Gable for the property taxes on the property and ihat owns the property or is buying under a contrad.
I( byvg on contratl. Fee Simple owners name
Recwders offim where contracl is recorded
County
Tovmship
V/ / � UU v 7 0 �� i i///H/K.� ( llil4� �
H any portion of Ne residentlal aWcture w Ne IanA not exceeding one (t ) aae Net
of Ne property util¢ed to produce income.
°'="::�s% ` �,���t-�ssr -.�, _' ._ __. . . . _ . _._
�.,'aa,���. " - �z–� P,ROP.ERTY'OWNEDI6Y
County Tavnship
I hereby certify the above statemants are W e, coned and complete.
Address (num6er and str�et, cig; e, IP rode) �j �
Tating
Is Ihe prope in
wrtound5 thel s ctu
County
ot
Record number � Page
al propeRy ❑ Mobile Homo (I.C. &1.7-7) .
is usea to praduce income, desai6e Me use and poNon
Twvnship