HomeMy WebLinkAboutHomestead_Shanks .;TAI[FORM±t ,Ri?'.101 MR`ASURER HMU ISLA
.PniEO tIV qUE tO RP Of A ttnyr<.At rmsYJDED DI MI DII'ARIMBl OF LOC1LCOVIR N%ILCI IINACL IC t!.1"-ti
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS.
101 N. Main Street Individuals and married couples ale 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 sauces higher tax bills for all:th refore.
Ask
IDEA 1344-2009 requires taxpayers who receive:he homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying intbrmation necessary to alkmw county government to baler mentor homestead
filings.This information will be kept cmfufemial and can only be accessed by authorized count'officials.The Dapanmem of
Local Government Finance will use this information to crape tools;hat will help county officials eliminate homestead Iraud.
PART 1: PROPERTY INFORMATION. • .
Taxpayer Name Location Address
_ Shanks, John L/Kendall A
313 N EMBREE ST
PRINCETON IN 47670
1694
1101I 1 I�Bill 11111 m1111I 1111I 11111111_II- I J_III 1 11 Hill Bil John L/Kendall A Shanks I II
313 N Embree
Princeton IN 47670-1321
III1IIIIIII'I11"IIIIIIII"I"I1I111II1Irlllllrll1lrllll1Irllllr State Parcel Number Legal Description
26-11-12-204-002.081-028 LESTER ADD 2
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.
fART 2:TAXPAYER INFORMATION
s .er l First Middle n�/�•L[ _ - _- Last
-.lo An [ec LJ/1G'r?(LS
Mailing Address(number and street.city,state.and ZIP code) El Same as property address
Spouse First Middle Last
c\0.-\\ CA ■ C\Cn*3
Mailing Address(Number and street,city,state.and ZIP code) El 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 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 Signature Date
•
Si�iF
4� �
e a
.���� ' �.
,,'i'�7�7<r
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / 592)
FORM
HC10
YEAR
INJ' I hfUG I IUNS: SBB lBVBISB SIOB !OI tll/ng InStNCtlOnS. -�—; ,
- � � �� ,
� C FICATI TEME ��6-
I(We) certify that o��lst�day W�Ch, 19_
�
I(We upied our principal place of resid ce the following described real properry tor which a Homesiead Properry Tax Credit is h�ere�'�y claimed:
I (We) owned ❑ Are buying under contrect � � � • f (1 // �
�l ix
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pro�tty�or-is�buying under2a;6rNe'st:;
� GI3S0\ Ci:;�,�Ty nOC�TCS
CONTRACTRECORDED
If buying on conVaci, Fee Simple owners name .
Recordefs offxe where contract is recorded Recortl number Page
PROPERTY DESCRIPTION
Counry Township Tarzing district (ciry, fo w i
=be�n �/' O (^% Legal descnplion
U `-'
If any poNOn ot ihe residential swc[ure or Ne la� noi exceeding me (1) acre thai immediately sunourWs that swcture is used to protluce income, tlescribe Ne use arW portion of
the propeM w��� ro praduce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry 7ownship
—_` Signature of claimant
�ereby certify the above statements are true, correct and complete. �
Address (nomber and streel, ciry, state, ZIP cotle)
I �
ASSESSOR USE ONLV TRUE TAX ASSESSED HOMESTEAD NON-HESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediately (��
surrounding residential improvements.
Otherland (2) "
Total land (line 7 plus line 2) (3)
Dwelling (4)
Fesidential improvements
Garage (5)
Other improvemenis (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, cortect, and Signature of Assewr Date signed
complete. "
Verityin9 actbn - Signature of Audiror Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 7/2 Homestead S
Valuation or 52,000
SignaNre ot Autlimr Date signed