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Home My WebLink AboutHomestead_Fuller CLAIM FOR HOMESTEAD PROPERTY TAX ,�• FORM YEAR S a A STANDARD/SUPPLEMENTAL DEDUCTION % OU'Y HC�o State Form 5473(R12/6-09) rr •� „�� Prescribed by the Department of Local Government Finance r INSTRUCTIONS:Seerevers.)s"•e for filirginstruc.ns. , , \ J - 1, :., 4 t;. - y - CiERTIFIr:ATION STATEMENT - ' • - I(We) ` e certify th e)�pittt ny(our)principal place of residence or am(are)buying the following described real property • - ich a Homestead Property Tax and Deduction is hereby claimed under contract on the date this application is filed, (date of filing): ❑ I(We)own 0 Am(are)buying under recorded contract r ❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation ff,� $ON COUNTY AUDITOR ❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualifieII rsonal residence t ust If buying on contract,Fee Simple owners name Recorder's office where contract is recorded Record number Page PROPERTY DESCRIPTION County .1 Township Taxing, mum•-r Legal des ption Is the property in question: -)a -07- )Cx -�8 -Dc L Weal property ❑Annually assessed mobile home(IC 6-1.1-7) ®If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income,describe the use and portion of the property tithed to produce bonne. • PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County I Township • I hereby certify the above statements are true,correct and complete. Senatu ma. Address number and sheet. slate,and ZIP code) s .2 S C. c.5 71-7 S.. tAfeerent /„, - 417G 72) .. ASSESSOR USE ONLY - I TRUE TAX VALUE I ASSESSED AT 100%OF VALUE I HOVALUEAD I NON- VALUENTIAL Land not exceeding 1(one)acre immediately -S }` /"i£,E„^ Stier >?zr`r: surrounding residential improvements. (1) a4'".-r2 'iiNI—g r -t.:rP 3 Other land (2) �y: Y 4 Total land(line 1 plus line 2) (3) Residential improvements or Annually Dwelling (4) : 'I`,t, i �:t -3t`.cz. f-r...•3 Assessed Mobile(Manufactured Home Garage (5) _: f�}+"'-.i"'x„', -e"+'i' r1ii. Other improvements (6) iF-fi Gtr„iteT r$;. Total improvements(line 0 through line 6) (7) Total value (line 3 ohs line 7) (8) hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year) I and complete. Vcilying action-Signature of Auditor Date signed(month,day,year) 0 STANDARD DEDUCTION ALLOWANCE , 20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000 Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $7 not assessed as real property or to a manufactured home that is not assessed as real property may not exceed ne-h oft hthee aacllcsscsseedd veelttr\M�.of bile home or manufactured home. Sig re iL Date sgnep(mron111,tlaY,yedd STATE FORM 53569(8519-10) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 1061-1-22-8 I IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS •Individuals and married couples are limited to one homestead standard deduction. As the receipt of this ' , • deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead .0 dard deduction to verify that they are eligible to receive the benefit and to provide additional identifying • information necessary to allow county government to better monitor homestead filings. This information will be kept confidential and can only be accessed by authorized county officials. The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. T�> .91£ ? t : ,,T �s PARTrPROPERTI ItiFOR\IATIO\. Taxpayer Name Properly Address State Parcel Number Leeal Description: Malinda Simpson 528 E State 26-12-07-204-000.080-028 NS LOT I PT P.2 Princeton IN 47670 Complete and return to: I1111II[10 I13u11l1111mEIMIllmIIIIMMmENm® GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 IIa �u r PART 2:TAXPAYER INFORMATION Owner 1 First /-� Mddle / J / Last (...7.%�4/.j(f /=.o /az> /'�lf//s.� ....Le. Madmg Address(number and steel,dry,slate and ZIP code) - n - f T4 Same as property address 5.zB £. A?� ,'4iA.adfl / -.",d 4F7.4 7a ._ _ _ ._. . illg First Middle Last Mailing Address(number and street.dry,state and ZIP code) /�� I I Same as property address ✓r2$ E. -5--7-44-7— s7 �eE�dcET.r/ /d .'7470 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 ba . •-xes and substantial financial penalties. - Owner I Signature / Date PART 4:ADDITIONAL INFORMATION FILES . _ .__ . _. _ • MAR 2 9 2Di2 - . . 01obLi •, cot..Iry AUDITOR INDIANA SALES DISCLOSURE FORM SDF ID: Pa�e 2 D.PREPARER J. Robert Kinkle Pmpareroj the Soles Disrlaavre Form 219 N. Hart St.. PO Box 13 res (Vumber a� Stree(J nceton IN 47670 Ciry, Srute, and ZlP Code Malinda R Slmnson R.vo .abl . ivin9 Tnict datPd 11-14-?006 Seller l- Nome as appeors am m�veyonce dowmen[ Addrecs (Num6er ond StreetJ Cleveland TN 37312 Ciry, Smre, ond ZIP Code �' E-rnail Title Hall. Partenheimer & Kinkle Compony Email Seller 2- Nome os appears om m�veyanre doaumen[ Address (Number and Sfree[) Cip•. Sm[e. and ZlP Cale E-mail Under penalaes of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct a� c�plete as r ui d by law, ; d is rep�ccordance with 1C 6-1.1-S.S, „Real Property Sales Disclosure Act". � �Signomreoj5eller �� Signatureo(Sellrr TION FOR PROPERTY TAX DEDUCTIONS-1DENTIFY ALL ITEMS THAT APPLY Buyer 1- Name as oppevrs on ronveyonce documen[ 528 E. State Street Addns (A'wnbero+d StreetJ ^ ceton IN 47670 Smte, and ZIP Code Buyrr 2- Name os approrsom m�veyvnce Aommm[ 528 E. State Street dddrea (Number and StreetJ Princeton IN 47670 Ciq•.5[ate, ond ZIP Code THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCf IONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. � ❑ 1. Will [his property be the buyer's primary residence? Provide complete address of primary residence, induding county: 52R 41ate �treet Addres /M1'umber v� 5[reef) Princeton IN 47670 Gibson Ciry. Smte ZlP �ade Covnq• ❑ � 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide complete address of residence being vacated, including county: Addrea (h'um6er ond Streef) Ciry, Smre ZIP Code Counry• � ❑ 3. Homestead a�5 ❑ � 4. Solar Enerp� Heating/Cooling Sys[em qh ❑ O✓ 5. Wind Power Device aC� ❑ Q 6. Hydroelectric Power Device ❑ Q 7. Geothermal Energy Heating/Cooling Device ❑ 0 8. Is this property a residential rental property? �/[ 9. ould you like to receive tax statemencs for this property via e-mail? (Provide conmct informotion elow. Please see instructions�or more informatian. Not availa6le in all counties.) �-�a-o-,-zoti-000�go �ag awner E-moil Under penaldes of perjury, l hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as re by law, and is prepared in accordance with 1C 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note: Spouse inform on, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducdon is bein fi ed.) �.,, 9...SL�.ivx � Nre uyer] l5ignomreuJ'Buyer2/Spause StP�.=.+G FuIIPr Ir ��IO��, nnou�ccal F�Iler PnnredlegalNameofBuyer} SignDate(HM/DD/vYYI') ➢nntedl<golNmneo(Buyer2/Spouse SignDare(MM/DD/Y1'rv� ' SocialSecurityNum6er License/ID/Other Num6er Num6er License/ID/OtherNum6er