HomeMy WebLinkAboutHomestead_Bostick (2) ` STATE FORM 5t'1^in/o'O TREASURER FORM 7S-IA
.APPROVED BY 5 I Of YNROrw AMOUNTS.9v tRESIUBED BY 711f DEPARTMENT Or LOCAL GO EAYMDTT■K&VCE M. .1-1: .I
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 ineentise than ever for homestead fraud Homestead fraud causes higher lax bills for all:therefore.
al 0\ HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kem confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Sullivan, Ronald D
828 S Race
Princeton IN 47670
3809
Ronald D Sullivan
do Rhonda Bostick
828 S Race St State Parcel Number Leoal Description
Princeton IN 47670-2723
IIIttlltttllllttlElllll I IIttIIttlElttlltttllllllltttllll x 26-12-18-201-002.041-028 019-02041-00 SS ADD 245
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Qhonc.1a 4-s S4; c_ -
--( ng Address(number rand smelt,city,state,and ZIP code) — -- — - -—— --- --IQ Same as property address —-- — ---- - — —�
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
'2Q51 5 (-kite-_ 5+-. r -no UI 7(o rm
Social Security Number(last 5 digits) Driver's License/Sate ID Number (last 5 digits) Other(please specify in Part 4 below)
sue
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.
Owner Dale
PART 4:ADDITIONAL INFORMAd{TIONCJ 'I ln;III COY\ e.rk �/� i (Xti 1 - _ ! Lckf / I/ I
R�
,} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Sute Fwm 5473 (R6 / 1-03)
Prescnbed by Ne Department o( Local Govemment Finance
INSTRUCTIONS: See revcrsc sidc /oi liling inslmcfions.
T— FvORM YEAR
HC10
��'� �, �� -��.
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I(We) / "' '� '�`-'�'-'� '�l�_ certify that on the 1st day�o( March. 20
�
I(We) occupied as our principal place oi residence the following described real property (or which a Homestead Property Ta��Credihs hereby daimed:
��1 ^_..�1-.1��<. ; �
❑ I(We) owned ❑ Are buying under contract ��BSt�tJ COUNTY AUDR;.;, ;
� Have a benefiaal inlerest in the entity that is liable for the property taxes on ihe property and that owns the property or is buying under a wnVact.
iamship
'� I Legal descripGon
(
If any ponion of Ihe residential sW cWre w the land not axceeAing one (1 j aae tnat immediatety wnounds Ihat
of the propery utilaed to produce income.
County
Toxnship
I hereby certi(y ihe above statements are true, correct and compiele.
(num6er and sGeet, cq sfate, ZIP code)
queslion:
Real proparty ❑ Mobile Homo (I.C. 61.1-n
ire is used b pmduce income, describa Ne use antl portion
'�3-�,"� �-zcX���'"a �, �.a?,�u a"5�E e�.�-a�,- .< „> . ,y_ -�,` , �wr+.. - j:..
�� rYASSESSOR�USE ONLY -�'��"��'�'�� ' TRUE TAX�� ASSESSED VALUE � HOMESTEAD•� " j NON,-RESIDENTIAI ��, �
��� -"'>T?&..°4 ..f3�S'��.w.°.� }'�- �;�'�34��. .,� �_,VALUE���,�� �, AT 700%.OF�TN>� e1ta� VALUE .�H.� ��s�i,,,VALUE'T��..��t'.r��
Land not exceading 1(one) aue immediatety �.,�,:,� '�"'�'�F� �'�� �
surrounding residential improvements. ��� �Y� r`s"'��� ,+�. `�.-t���>E
rewZ-:tz�;il4s �
Other land 'r .�?�`--w=-�
iZ) ?�'�`�„s-�:' �
:r m�,��..:w
TUaI land (line 1 plus line 2) �3�
Owelling (4) C>� �'�.'=ir $y � . �;h�kh>-�
Residential Improvements or MnuaOy
t��'�.�:'��t.��..+�
Assessad Mo60e / Manu(acturad Hvne Garage �5) ,—�i�i' �,a� . -.. :� „ ;���,�'�`.
{ �Ji� �he��� I��z..i� Fzir, S'�'n'S�
+�4�'•�v�.�S[.�C
Other improvements (6) ;<;�:�,
�:�r� -u��`�
TUaI improvemenis (line 4 fhrough line 6) �7�
T[!al vatue (line 3 plus line n (g)
I hereby certify the above is We. corred, and Signawre o�Asseswr �ate signed
complete.
Veriying action - Signature of/Wtliror Date signed
20 _ Pay 20 _
Lesserof 1/2 Homeste
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Data