HomeMy WebLinkAboutHomestead_Smith (65) 5TATE fTIRSI!J'W IR-T`wl TREASURER FOAM?SIA
APPROVED BY 515T ∎RDOEMVYR:T&51N PRESCRIBED BY THE DEPARTMENT.0E KCAL GOVERNMENT FINANCE IC II-1.1.21.1.1
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 ner for homestead fraud Homestead fraud causes higher to bills for all:therefore.
IP HEA 1344-2009 requires ta.xpat ers who receive the homestead standard deduction to verify that they am eligible to reeeue the
benefit anti to provide additional identifying information necessary to allow county gmemment to better monitor homestead
filings - '`nformanon will he kepi confidential and can only be accessed by authorized county officials.The Department of
I a; - en' Finance will we this information to create tools that will help county officials eliminate homestead baud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Q.° Smith, Robert V/Rubey/Aubrey V
cy 6 107 S Han
‹cos‘ Princeton IN 47670
1045
Robert V Smith , co
311 S Seminary �g0 State Parcel Number Legal Description
PRINCETON IN 47670-2121
IIIrrllrrrllllrrlrrrlllrrrrrlllrtrllrrlFlt PtlltuPllturIII IFI X26-12-07-401-001.173-028 019-01173-00 PT SE 7-2-10.18 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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
/
/ / / / f
—
Ong Address(number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
SpoTU First Middle Last
•
Mailing Address sure l city,state.and ZIP code) ❑ Same as Same as property
3I A •
• --- '------! — -
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
•
��� CLAIM FOR HOMESTEAD PROPERTY TAX
' ` CREDIT/STANDARD DEDUCTION
"� j Sfate Fwm 5473 (R4 / &00)
a.
INSTRUCTIONS: See reverse side for fi/ing ins6uctions.
FORM � Y R
►,�,0 6 6 �
I(We) V U certify that on the tst day of March, 20_
I(We) ocwpied as our princip place of 2sidence the foliowing describ al property for which a mestead Property Tac Credit is hereby davned:
�%I (VJe) owned ❑ Are buying under contred
�ave a benefidal interesl in the entity thaf is liable tor the property taxes on the property and that owns the property or is buying under a contrad.
It buyinq on contract Fee Simple ownefs name
Counry
Parcel number
�IQ '�Il'1�C
If arry portion ol Ne resiEential str
W Ne property uilizeA to produce
Tpmsttip
Legal description
eisviU (cih town,
Record number . � Page
the land rrot exceeding one (1) acre Ihat immediately surrounds Nat sVUaure is used to produce inoome, desaibe the use and pntion
""` „�'.__F'"'. 4, ,'„"T-� `�i'� _'F;-%"�-T'$,x STlU1DARD'-DEDUCTION'ALLOWANCE�`n��'�"?,,,`s"�,���,-��'���j�,n�� :,e:.�
es"�et .���ar�R.,.�� . �.'�i•,.....� es°t.�i;._.,zc _.. _ .�.�.,_..__— --w.
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valua6on or E6,000 $
Sgnature ofAUditw Date si9� �jeC T
U'�"V