HomeMy WebLinkAboutHomestead_Pottorff STATE FORM 5350 IRO/B-1a) TRFAStin MEMTSIA
APPROVED BY STATE BOARD OF ACCOUNTS NW PRESCRIBED BY THE DEPARTMENT OF LOCAL COMMA FINA'A:IC Ali-MA.1
Gibson County Auditor ItMPORT• NT 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 who receive the homestead standard deduction to verify that they are eligible to receive the
F 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 Govemmen Finance will use this information to create tools that will help county officials eliminate homestead fraud.
1• 'PART 1: PROPERTY INFORMATION • ,
MAY 6 -2011 Taxpayer Name Location Address
n`-�
Pottorff, Lyle E/Debbie A Reynolds
c
v, \ 1201 S Gibson ST
GIBSON COUNTY AUDITOR Princeton IN 47670
1327 pp
Lyle SGibson St 11110111]011111110111 11111011111111111111011.11III1011I I1f11110111111 ill III
PRINCETON IN 47670-3003
I1'II11IIIFllllllllll1llll'llllllllllll'I'II'llllIll'llIII'III'I' State Parcel Number Legal Description
26-12-18-203-001.669-0205 ADD 80
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.(5
- - PART 2j TAXPAYER INFORDIATION • _ - - .
O w,er I First Middle - Last
Mailing Address(number and street,city,state,and ZIP code) Same as property address
Ianl 5 , (3ihSo11 jv ' L7/o70
Spouse First Middle • / Last
. P6ie 6 - .�� i�o(0S
—'Maii�,nAddrea;(Number and strut,city,state,-aud Z;reode)_____ . .--'-'" . _ _ -. _- . --- ___ l t Same asropenyandress- -- - - _ .._-.--
do 1 i bsr Ls/ 47 b-70 - -
-
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 1 Signature Date
° CLAIPA FOR HOMESTEAD PROPERTY TN(
CREDR/STAfdDARD DEDUCTION
State Form 5473 (R614-03)
RexAEed by the Depamrront d Wral Ga.romrnent Finaxe
INSTRUCTiONS: See rewrae mma kx (�p i�ffivalp�a.
� FORM YEAR
6 H�,o
�G ����
I(We) /�tiLQ,.V V{.Q.J � `�c�y�+� � I� � certiry lhat on the 1s`�y of ��cKh�20
I(We) occupied as our pnnGpal place of s�dence Ihe follovnng de nbed real prope y omestead Property T�c Credit � hereby daimed:
❑ I(We) owned ❑ fve buying under contract GIBSON COUNTY AUDITOR
' Have a benefidal interest in the entity that is liable (or ihe property taxes on the property and that owns the property or is buying under a conVact.
If buying on conirad, Fee Simple owner's name
otfice where conirad is recorded
Counry
Tamship
P�,� legal tles�
� �
1 arry poNOn a( Na reswfential struc4ire w Me land nd a
of the pro`� tn produte intome.
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c�� -�a - /�-o?on3 -�lc
°��.�� �'�� -�� i��-'�r'�`,�-aI
County Tawnship
ReWrd numEer
Tating disUict (city, tawn, fownshiD)
Page
�� /� /f qJ ^ I Is the Oroperty in quesUon:
�� 6U ❑ Real DmpeM ❑ Mobile Homo Q.C. GiJ-7)
one (t) ace tAat immeaiatey wrrounds that swcWre is used W produce income. desaibe Ne usa antl portion
complete. I Signature ofclaimant
Tpvnship
�"�°�':;��;. ,�r�7�"�°�,` ;aK3c��»T��,�--�`-STANDARD:OEDUCTION'ALLOWANCE �'srP`: =�u�_. �i»: ��'��'�������� ��
20 _ Pay 20 _
Lesserof 1R Homestead g
ValueLOn or f35.000
SignatureolAUditor � Datesigned
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