HomeMy WebLinkAboutHomestead_Portee (3) STATE FORM 5356(5)/&10) vaEASL'ata Fe-t31 TS-IA
' APPROVED BY STATE BOARD OF ACtONTS]C3 PRESCRIBED BY 111E DEP.ARMEAT OF LOCAL rovR\MEYT FNAVl IC 6-1.1-334.1
V
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 bills for all;therefore.
HEA 1344-2009 requires taxpayers e receive the homestead standard deduction to verify that they are eligible to receive the
ili FILE")
benefit and to provide additional identifying information necessary to allow county government 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.
PART I: PROPERTY INFORMATION
APR 11 2011 _
- Taxpayer Name Location Address
C tt Portee, Gloria D
�` 606N Race
GIBSON COUNTY AUDITOR Princeton IN 47670
747
Gloria D Portee I II I�III�DIII uII�I III II II�III�I III I �II�II_II�I�IIDI.II�IIII.�IIOII IOII I II
•rinceton IN 47670-1740
tIIIIIIItt111"1 1111iI11iIIIIltt"IIIIllllllIIIIIIttIIII'IIIIIII State Parcel Number Legal Description
26-12-07-201-001.646-028✓STEELES SUB DIV 9 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.
allk PART 2: TAXPAYER INFORMATION
Owner II qqe r� First Q Middle Last
Mailing Address(number and street,city,state,and ZIP code) ❑ Same as property address -
pa /3t& 15--7°-co‘cttor-' cto-et- L/h 6y 0
Spouse First Middle 4 Last
` Mailing Address(Number and street,city,state,and ZIP code) -- - - - — - D'Same as property address - - - -* - -- -
Social Security Number(last 5 digits) Driver's License/State m Number (last 5 digits) Other(please specify in Part 4 below)
t 1 I I F 1 1 1 1 stet
L 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
•.:ceive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
_nlawfully,he or she may be liable for back taxes and substantial financial penalties.
=Jeer I Signature Date -
-
c.
%-'"R°4 CLAIM FOR HOMESTEAD PROPERTY TAX
i��`� CREDIT/STANDARD DEDUCTION
.�;y�� State Porm 5473 (R2 / 5-92)
�ai�
INSTRUCTIONS: See reverse side !or filing inst�uctions.
n _ � . . , � CERTIFICATION STATEMENT
_
FORM
HC10
�
I(We) .L� 1.,(,U�. \\ (il X.X-1LJ � certify-that on the 7st day of March, 19�
e) upi��ed as our principal place of residenceAhe following described real pmperty for which a Homesiead Property Tax Credit is hereby daimed:
I(We) owned ❑ Are buying under coniract � �
� Have a beneticiai interest in the entity ihat is liable for ihe property taxes on the property and that owns ihe prop�yr+�W�ying {�pdgr�.rontraci.
If buying on contract. Fee Simple owner'S name
Recorder's oHice where coniract is recorded
County Township
r mber Leqal descriptlon
���' '� f ��(1�-00 �
It any portion of Ne residential stmcture or ihe IarW noi exceeding
ot the pwperty utiiized ro produce income.
Counry
Township
acre that
ry certify the above siatements are ime, wrrect and complete.
s(nu/mber antl s reef, aty, sl(a�fe. ZIP code)
Q (O � � Q�.L .Q�
ASSESSOR USE ONLY
Land not ezceeding 1(one) acre immediately
surrounding residential improvemen[s.
Oiherland
Total land (line 1 plus line �
Dwelling
Residential improvements
Garage
Other improvements
Total improvemenis (line 4 through line �
Total value (line 3 p�s line �
1 hereby certify [he above is true, correct, and
complete.
19_Pay19_
Lesser of 1/2 Homesiead
Valuation or 52.000
SignaNre of
DESCRIPTION
Taurg disvict (
that siruciure is used ro produce
BV CLAIMANT IN OTHER COUNTIES
TRUETAX ASSESSED
VALUE VALUE
(�)
(2)
(3)
(4)
(5)
(6)
(�)
�8)
ofASSessor
STANDARD DEDUCTION
E
HOMESTEAD
VALUE
I`�
aM ponion
NON•RESIDENTIAL
VALUE
Date signed
Da;e signed