HomeMy WebLinkAboutHomestead_Rode STATE FOAM!!H ire/a+NI TREASURER FORM 73-IA
.,.earn IMPORTANT NOTICE TO DEPARTMENTOf LOCAL
GOVERNMENT
Gibson County Auditor
101 N Main
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 tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to Teethe the
benefit and to provide additional identifying information necessary to allow county government to better manor homestead
filings.This infomation will he kept confidential and can only be accessed by authorized county officials.The Di-penmen'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
Rode, Jeffrey Wayne/Kelly Dawn
710 Wilson AVE
Princeton IN 47670
3234
Jeffrey Wayne/Kelly Dawn Rode
710 Wilson AVE State Parcel Number Legal Description
Princeton IN 47670-3130
Itlttlltttitllft1ttt11I Iltttrllrrlltll IlIltrt�trlt� 26-12-08-200-002.125028 019-02125-00 DIKEENLG73-1
PART 2:TAXPAYER INFORMATION
Owner I ' First Middle Last
UJPr / D
ills;..drss(numbs:�d strect,c;mrsr:e;and... code)—-. — - - - --- jr�71J Same 115 property address— -
-71b ka.)r r„Scar• -U2 pA/A,.Cenv- . _It Ai (Lc-7‘70 -3130
Spouse First Middle Last
ktt-L y b Qom
Mailing Address(Number andstrdet,city,state,and ZIP code) - CO Same as property address
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible 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 Signature Date
- i
�a!�,RQ
e.� � CLAIM FOR HOMESTEAD PROPERTY TAX
i'�'� CREDIT/STANDARD DEDUCTION
�.� State Form 5473 (R2 / 5�92)
����.
INSTRUCTIONS: See reverse side lor tiling instructions.
of residence ihe following (fe�cribed real property for which a
FORM
HC10
� i!:�e�
ihat
YEAR
March. 79
ierebv claimed:
❑ I(We) owned ❑ Are buyfng under contract �" �
❑ Have a beneficial in�erest in the en;iry that is liable tor the property taxes on the property and that owns the property or is buying under a contraci.
CONTRACT RECORDED
It buying on comraa. Fee Simple owner's name
Recorder's oHice where convact is rewrded Record number Page
Coumy
Parcel number
Towns�ip
Legal tlescription
PROPERTY DESCRIPTION
� U d�� f�l.�-tk� {s/ %d�.2.� i
ol the resitlential stmcwre or ihe land nol exceeding one ( 71 acre thai immetliately
y utilizetl �o produce income.
rown.
� /
is usetl to protluce i�ome, tlescribe the use and potlion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Couniy Townshlp Caunty 7ownship
�by certify lhe above statements are true. correct and complete. Sgnamre oi cia�mam �
�
Address (numbei antl slreet. ciry, s7afe. ZIP coae) I
�6o w,c���, ft��,
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not e.ceeding 1(one) acre immediately I' ' I (
surrounding residential impwvements.
Otherland (2) I
Total land (line 1 plus line Z� (3) I
Dwelling (a)
Fesidential improvements
Garage (g)
Other improvements � (6) I
Total improvemeNS (line 4 through lina b) (7) I I I
Total value (line 3 p�s line T� (g) I
I hereby Certify Ihe above is true. correCt. and Signa;ure of Assessor I Date signetl
complete.
�ying ar,ion � Signa;ure of Autlitor I Date signed
L
STANDARD DEDUCTION ALLOWANCE
I79_Pay19_ I
Lesser of 7i2 Homestead
Valuation or 52.000 �
5'gnawre o� Autlito� Date signed
'