HomeMy WebLinkAboutHomestead_Thompson (2)CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
State Form 5473 (R12/6-09)
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
i
OCT 2 8 2009
CERTIFICATION STATEMENT
I (We) certify thaat� IR vre ccct� as m our 4n cipal
lace of residence or am are b g property Property SlSWrd U 21t7 tTY. rO�U1-
p (are) crying the following described real ro for which a Homestead Pro a Tax a ct on rs h re aimed
r contract on the date this application is filed, (date of filing):
(We) own ❑ Am (are) buying under recorded contract
K
Am (are) entitled to occupy as a tenant - stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
INFORMATION
Name of claimant (1 I n ) '
µ So
Soda) Seaaity
(/ name)
Social Security number of claimant's spouse (last five digits) Driver's license / Idenblicalion I Omer number Issuing State
of cla'unant's spouse (last five digits)
CONTRACT ••r .
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
Court
Township ,{��7,ng and (city, town, township)
Parcel number
Is N perry in question:
Real property ❑ Annually assessed mobile home (IC 6-1.1 -7)
If an41portion of the residential structure or the land not exceeding one (1) acre that Invuladiately sumo6nds1hat st u=re is used to produce Income, describe the use and portion
of the property utifaed m produce income.
ooe.
PROPERTY OWNED BY
County Township County 7ewrushlP
I hereby certify the above statements are true, correct and complete.
S of cI
Address jnumber arp strae( dry, s1a , al?e)
//�lO /.lJ,
[T
l
ASSESSED VALLI
TRUE TAX VALUE
ASSESSOR USE ONLY AT 100% OF WUVE
Land not exceeding 1 (one) acre immediately ww ,, rr ,.,� <x • e-j3�
surrounding residential improvements. (1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Annually
Residential Improvements or Annual
Dwelling
Garage
F'�i^�..:�jat2,' PPt•
Assessed Mobile I Manufactured Home
(5);4;a,zenr
Other Improvements
(8)
1 •u1 f�P'
R1wSxa
Total Improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct,
Signature of Assessor
Date signed (month, day, year)
and complete.
Verifying action - SignaNre of Audior
Dale signed (month, day, year)
20 _ pay 20 _ Lesser of fie% of the assessed value of the homestead or $45,000
Notwithstanding any other provision, the sum of the deductions pmvkw in IC 6-1.1 -12 to a mobile home that is
$
rot assessed as real property or to a manufactured home that Is not assessed as real property may rot exceed
one -half (12) of the assessed volue of the nobde home or manufactured home.
Signature of Auditor
Date signed (month, day, year)
STATE FORM 53569(R2'5-09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1
a IMPORTANT N.OTICE.TO'HOMESTEAD PROPERTY OWNERS •
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 ever for homestead fraud. Homestead fraud
uses higher tax bills for all; therefore, HEA 1344-2099 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 filings. This information
will be kept confidential and can only be 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.
• PAR I: -PROPER Y INFORMA ION -
•
Taxpayer Name Property Address State Parcel Number Legal Description:
Ruth E Thompson 0 26-13-19-202-000.229-005 012-00229-00 OLD PLAN 35PT
Francisco IN 47649
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2:.TAXPAYER INFORMATION
Owner 1 First
,Qua h EvANyeL / N e Middle //7oMPSoN ��
Mailing Address(number and street.city.state and ZIP Code) Sarre as property address
E D. Boy 3i FRTIlvc/scol SN i/74yr
First Middle last
Mating Address(number and sheet.city,state and ZIP code) Sarre as property address
Social Seamy Hunter(last 5 digits) Driver's License State ID Hunter(last 5 digits) State Other(please specify in Part 4 below)
PART 3: CERTIFICATIOrN _
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��Signnature Date
•
PART 4: ADDITIONAL. INFORMATION
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