HomeMy WebLinkAboutHomestead_Skelton (2) • MATE FORM!!K IR:/YNI TREtSULER FOAM TS-IA
APPROVED BY 51,TE MARO OFMY'v„NTS."+n PRISCIUDo BY THE DEPARTMENT OF LOALr,varrMEFr F1NASCE lee-Li-rat
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 es er for homestead fraud Ilomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flings.This information will he kept confidential and can only be accessed by authorized county officials.The Ikpannaetn of
Local Government Finance"ill use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Skelton, Dianna G
1113 S Stormont
Princeton IN 47670
1525
Dianna G Skelton
1113 S Stormont State Parcel Number Legal Description
Princeton IN 47670-3039
IFlttllttTlFllrtllttlll IIIII Iltll Ilttlllltttll 26-12-18-202-002.619-028 019-02619-OO SS ADD 271
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
,A 4) 04, 64_/ L SK .Lin/0
Sling Address(number and street,city,state,and ZIP code) El-Same as property address
Sage?
lll3 So . S,rfo,er° C 4J e(oa . . 417k!/o -
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZII'code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
. _ - _ --_ _ sne
• 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
unlawfidly,he or she may be liable for back taxes and substantial financial penalties.
fnuer 1 l:nature
Jp Date
•
a=—"R'c CLAIM FOR HOMESTEAD PROPERTY TAX
z��� CREDIT/STANDARD DEDUCTION
�„�,,'� State Form 5473 (R2 / 5-92)
,.�.
INSTRUCTIONS: See reverse side lor filing instrucfions.
�w c . ; � ; '.��:�I
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LC/Y�n�� �;. '�
�'"Ne) � �.�` �„`, �� o u Y_ c� � certify that on ihe 7 si day of March, 79
e) occupied as our principal place of� residence ihe following described real property for which a Homesiead Property Tax Credit is hereby daimed:
�(We) owned ❑ Are buying under coniract � �
Have a beneticial interest in the entity ihat is liable for ihe property taxes on ihe propeny and thai owns ihe property or is buying under a contraa.
,
- CONTRACTRECORDED � -
It buying on contract, Fee Simple owners name . ' .
ReCOrder's oflice where contract is recorded Record number Page
Coumy
Parce(l n`�umber
� � "� ' � ��
It any portion ot the resitl
of the property utilizetl to
PROPERTY DESCRIPTION
Township
Legal description
fown, rownship)
sWCture or Ne land not exceeding one (1) aae that immedia,ety surmuntls i�at strucmre is used ro produce i�ome. descnbe the use antl portion
�ce income.
OWNED BY CLAIMANT IN OTHER COUNTIES
Counry
.by certify the above siatemenis are true, correci and complete.
Address (num6erantlstreef. aty, slafe. Z/PCOde) �
�� 3 S S�o o � �/iflCETa
ASSESSOR USE ONLY . TRUE TAX
VALUE
Land nol exceeding 1(one) acre immediately
surrounding resideniial improvemenis. (�)
Otherland _ (p)
Total land (line 1 plus line 2�
Residential improvements
Other improvements
(3)
Dwellin9 (4)
Garage (5)
(6)
Total improvements (line 4 through line �
Total value (line 3 p�s line �
I hereby certify the above is true, correct. and
complete.
Vo._�� action - Si9nature of Autlitor
79_Pay79_
Lesser of tl2 Homesiead
Valuation or 52.000
l�l
(8)
Signature of Assessor
STANDARD
S
ASSESSED I �HOMESTEAD
VALUE VALUE
Township
NON-RESIDENTIAL
VALUE
Date signetl
Date signed
— 1_1_._