HomeMy WebLinkAboutHomestead_Potts (5) i
SATE fORM53.w IR:/wo MAMMA RAM:S-IA
Mitt-BED BY MATE BARD Of W)Y L%7&2US PEEYA®m BY ME DEPARTMENT OF ILMAL tY)VELNMENT FINANCE IC 411-raj
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couple..are limited to one homestead standard deduction.As the receipt of this deduction bitoimzs
''' mote beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to creche the
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 he accessed by authorized county officials.The Ikpanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1:PROPERTY INFORMATION
Taxpayer Name Property Address
Potts, William A/ Bonita
529 G Broadway
. Princeton IN 47670
3070
•
William A/Bonita Potts
529 E Broadway State Parcel Number Leeal Description
Princeton IN 47670-1845
Illttlllttl111ttltttlll Ilittlttltllllllttflllllltflfttll 26-12-07-402-002.188-028 019-02188-00EVANSENLG 1 PT
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
01 l I I tel m iT 11 A -t-4-s
•1trxdd)css(nwtb..�andsage:;city; ZIPcode)-- _ _ ____ _ _ .__. ®.Setae nproperty add: - -_ __ . __
Spouse,...) First Middle `^� Last
�1JOI-I t-t�. co E. \ GtT1 S
Mailing Address(Number and street,city,state,and ZIP code) N.I Sane as property address
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
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 share
• Date
IP
°'" CLAIM FOR HOMESTEAD PROPERTY TAX
r �- '� CREDIT/STANDARD DEDUCTION
Stata Fortn Sa73 (R8 ! 7-07)
•� ` Prescnbad the D
by epanmeM of Local Govemment Finance
INSTRUCTIONS: See reverse side !or filing insWctions.
FORM YEAR
� � �
I(We) l��(a�.�A.�d./Y�'� r� `� L1i1Ai�Ol� �G1.1� :.c`.6f'bfit th�¢�We i st day of March. 2b_
I(We) occupied as our prindpal place of residence the follovring described real property for which a Homes �pertyT C it is hereby daimed:
� I(We) owned ❑ Ne buying under contract GIBSON COUNTY AUD�ISiO�
' Have a benefidal interesf in the entity that is liable fw the property ta�ces on the property and that owns Ne property or is buying under a contrad.
If biry'vig om m�iract, Fee Simde ownels reme
Recwdefs aFfice where corNap is recorEed
Counry
Tawnshlp
Ta�ing district (crty, town. tovmship)
Recadnumber �Page
Parc� � a-o � ��. �.� �lepal desCriplion I Is ihe prope O Rea P Pa�Y ❑ Mobile Home (/C 6-7.1-7)
8LbC0
If any pwtion of lhe residential strucWra w the IaM not exceeding one (7) acre Ihat immediately wrtounds that sWCture is used lo produce income, describe Ihe use and portion
of Ihe properry utiGZed �u produce incoma.
( � � � � •
_ •
•'�• • � : . • •
Counly Twvnship County Tarnship
I hereby certify Ihe above sfatemenCS are true, correct and complete. Si9 ur of a
ress (number an0 sfreet cdy , and ZIP�e) � Y t
n4
•' �
� � . � � I
�1'. �
Land not exceeding 1(one) acre immediately -�., - �
surtounding residential improvements. (�� . � � .
OMer Wnd (y) - ' �
Tdal land (line 1 plus line 2) �3)
Dwelling (q) µ.'t' � . .
Residential improvemen[s wMnualty � ' �===.'���,�'�•' � �
Assessed Mo6ile I ManuTacWred Home Ga2 e y-��=: �r r., ,, .
9 (5) . :.,.,,..a - _ -
Other improvemenLS (6) -
Tdal improvements (Irne 4 through line 6) (7�
Total value (line 3 plfs lirre � �g�
I hereby tertify Ne above i5 bue, correU, and Sig�uWre ofAssessor Date signed (monN, day, year)
complele.
Vaifyirg aclion - SignaWie of Audilnr Date signed (monN, tlay, yea�
2� pay 20 _
Lesser of 12
Homestead Valua6on
w
45,000 for 2007 pay 2008 42,000 for 2070 pay 2011
44,000 for 2008 pay 2009 41,000 for 2071 pay 2012 $
43,000 ior 2009 pay 2010 40,000 payable after 2012
SignaWreofAyditor ^ w ��,,, � ��— (Date�ed(
I� V �