HomeMy WebLinkAboutHomestead_Reynolds •
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AFFRtY'tD BY'Tin..YARD OFMSCR:\Ti,B.. mREsWBEm BY Tilt DrPART56`rr(FLOCAL novpmxarl.'r FIANCE 1C41.1-2211
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN,47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than tier for homestead fraud.Homestead fraud causes higher to bills for all;therefore.
HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow count).government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorised county ofticials.'fhe Department of
Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
' Reynolds, Jason S
1530 S Madison
Princeton IN 47670
1585
Jason S Reynolds
1530 S Madison State Parcel Number - Legal Description
Princeton IN 47670-2928
I Ilt(ttEt(tl(tt It tt(Itl( �� 26-12-18-302-003.655-028 PT SW 18-2-10.852 AC
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.
v PART 2: TAXPAYER INFORMATION
Owner I Pint Middle Last
_ 1—C4so1, CCOH ReyvtvlcJ S
g Address(number and street,city,state,and ZIP code) agomc as property address
I5-3 S. Marl C an - - Al Lq7 to-1 0
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) [] Same as property address
-_ Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sow
- .. 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 1 Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
} CREDIT/STANDARD DEDUCTION HCto
� State Form 5473 �R61 {-03)
Presaibed by Ihe DeparUnent W local Govemmeni Finance
INSTRUCTIONS: See revc�se side lor lilinq insl�ucfions.
I(We) C— " j ceNfy Uj3t on tN��1s�y of Mar�chq, 2'0
I(We) occupied as ou principal place of resi en e foilowing descnbed real pmperty for which a Homestead Propeny T�e Gredit i� h�r�o�uaaimed:
❑ I(4Ve) owned ❑!ve buying under contract /��7
iV u v
` Have a benefidal interest in ihe entiry that is liable for �he property taxes on the property and that owns the pmperty or is buying urM� er a w�VaU�
I( buying om m�uaq. Fee Simple owners name
Recordefs ofice where mnuacl is remrded
Counb —// ..
TavnshiP /���� � I Tating distri ty, ta .
�
/✓�Z/
Remrd number � Page
Pa/rce umber/� � Leg c`9�0t/�6n Is Ne property in uestion:
�/ `� // � l0 �� 0O d/ l l � �'�' �b �eai YoDertY ❑ Mobtla Homa (/.C. 6/.1-7)
H any portion o/ tAe resitlenllal sW cture w the Wnd not erceetling one (7 ) acre lhat immediatey wrtounds that sW cture is usetl lo produce income, deuribe Ihe use and portion
oF Ihe O�operry ulilized tn produce incame. z ��/-�
/. �d /l�-�
�` �,�.,;�,.zyy�,3��,�'�-`-�'� [ � . . +sY. . „ . y_ ...�,.. �.v..r �;:
_.. i ..w -.. . xn
'" ` v�ASSESSORiUSEONY�- *:�+� TRUETAXrii��SSESSED�VALUE�`?HOMESTEAD�`� NON�tESI�ENTIAL �?
�sj�� ..����kr.,�t��.-,+��. �i��`��' ,Y,ALUE��;� ATa100%.�,OF�TTV��Sr��;y�;�VALUE�`i'r��5k��y��+r'-tn4'�.VAI.UE�=' 9y.��`
Land not exceeding 1(one) aae immediatey . k�,.,r,3F�.��.°`���'�i}z..3,.,s??
surtounding residenGal improvements. (�) ����'�`�"� r���--�,,� :�
ji+".xT<�`'�S.°��'"_��; .
Other land (y) �E��t� h r��',�.'s-.'�
+k�,:. �'�_a..
Tdal land (line 1 plus line 2) (3�
.•��, -'�;ri��'�!'v.7y�c.. _FY�'Sr� �'i}
Dwel�in9 (4) ��''�"" � s �+e:�
Residential improvemenLS or Mnualy
�_ ��.�s'S�ti�s?x.�:�:.�'.t�.�i�.�
0.ssessed Modb I Manufadured Hame Gara e ��'' � -` �+''`��� �"
9 (5) � : c�a ��'�zR�'�?
i� ."'-r,y� �-a�l
Other improvements (6) �.K
r��'^s°�
TUaI improvements (line 4 through line 6y (7)
Tctal value (Gne 3 plts line n (g�
I hereby certify the above is We, corred, and Signawre of nssessor Date signed
complete.
Veritying aclion - Signature ofNiaimr Date signed
-iir'�. . r '_``�'.•. � <'w t` � rrs X-. , ro� �'ii'� �'t��..`rL_"'�'.�3%"r'd'Ei d.E " ..Yd r .'�.
,���'��,,.���-`s�..�'�%'�,� _ �STANDARD'.DEDUCTION�ALLOWANCE�C_ _� �. ,... .�,, -�..�<
_
20 _ Pay 20 _
Lesser W 1/2 Homestead
anon w 535.000
S
Signature of Audit Dale signed
-/D - O