HomeMy WebLinkAboutHomestead_Shawhan (3) SLUE FOR4 !N It f W t TREASI1rlR FOtV',SIA
.APPROYm BY515LEMMADOFMTYR4%TA 1.r, PEr3R1"EmBY nn OEPMn6.Yr(FLOCAEr.ovsr1v.rrn racaNer Ms-t.I-L'-!.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples ate limited to one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fmtML Homestead fraud causes higher sea bills for all:therefore.
HEA 1344-3009 requires taxpayers who remise the homestead standard de duction to verify that they are eligible to recene the
benefit and to provide additional identifying. information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance%sill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Shawhan, Dayna
425 S hall •
Princeton IN 47670
979
Dayna Shawhan
425 S Hall St State Parcel Number Legal Description
PRINCETON IN 47670-2315
1t1rr11rrr1r11rr1rrr111rrrr tlrlrtllttt rlltltltttitit ltltlt tlri 26-12-07-303-002.165-028 019-02165-00 HALLS 2ND 41 PT
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.
PART 2: TAXPAYER INFORMATION
Owner I First Middle //- Last
ow rjCL Ile. `I t IQcJYlCct 1
ig Address(number and street.city,state,and ZIP code) Same as property address
i/otS % Sf Vic n cef, n , 7T.4J 'f 74, 70
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as propeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
_ _ saw_
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.
Owne I t-yd-f4� r 9/ /v
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
t State Fpm 5473 (R6 / 6-03)
Presaihed by the Departrnent W Lmal Gwemment Finance
INSTRUCTIONS: See reverse side for filing ins[nections.
�'� Y�EAR
FORM � F----�
HC10 I I
u
, N,,e> �IAN 1 9 ZUU/
. �ceN(y.t at on the 1st day of March, 20_
I(We) occupied as ou principal place of residence the (ollowing described real property for which a Homestead Pro erty Tac Credit is hereby daimed:
�owned ❑ Are b �Q� '� �
) uying under cont2ct
Have a beneficial interest in the enlity fhat is liable for the property taxes on the property and ihat ownsQli��ib�e�}iii�TbYiy�ni�LnTaCt'a conVact.
If 6uying on contract, Fee Simp�e owners name
Remrtfefs otfice where wnVacl is recor0ed
County
H any portion ot Me residenU.
of tha pronperry Wlaed tp pra
/ (�!/�(� �
Tamship
sWdure w Ne Wnd not axceeding one (1) aae that
ce inwme.
7aing
ihe property in question:
Rewrd number � Page
�'� �7i;eal property U Mobila Homo (/.C. 67.1-�
wnounds that swcture is used b produce income, describa Na use and portion
�3 ��,,,,�.F ,.�i ���'�'Y;.� 4'r'l� 4' rry . ..�y: . . P q.��,...��..- r.z c . , r . _
���`�'+�1: ,TRUET��r ASSESSEDVALUE ��HOMESTEAD.v NON=RESIDENTIAL�� `
� E �}}* Rfy ASSESSOR USE ONLY < �-�. k., �- ��y�UE.yl,z � _ AT 700 /e OFTN� ��y.� VALUE � � VALUE�': "'�
� �.�.��i.'a���,r e�s.' +�.�!°�.. , ya�'3xm .�S%.�,3 ` �� _ .+._.t � � .cs .L?Lt:. ...�;a�L �r_
.� .._ . ,_. .... ....� , .x-.,-. .... -a
tand not exceeding 1(one) acre immediately ' �s�-a'��- y'�'+ s�;
� �'" t ''xck
surrounding residential improvemenis. (�� �'>"��,�,`PV ,. � - ��,�'.°r���'S
r�,�;��;si�- rr.,awt{r .
Other land (2) ������
ry,a-;.. '�. �.¢
Tcial land (line 1 plus line 2) (3)
�' � �{" °'-�`�_''�
Dweiling (4) �%4�� � - ='� ..... v= �a7�r.�"a.��
�Residential improvements or Mnually '�"ti`'�� ~'
�&- -t.-�--
Assessed Mabila / Manufactured Home Garage (5) h^ ,�g. ��Y� -�'s,� �'�.���
,r,.'., x..,
a':2�s?: c-y: �i
Otberim rovements ""�` `" '*�' -".,�a
P (6) �.=s� _
' Y-d 1Y. r r�
Tdal improvements (line 4 fhrough line 6) (�)
TUaI value (line 3 phs line � (B)
1 hereby certify the above is We, corred, and SignaNre olASSeswr Date signed
complele.
Verifyinq aclion - Sig�ture otlwditor Date siqnetl
20�Pay20�
Lesserof 1/2 Homestead
valuaLOn w E35.000
SynaWre
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