HomeMy WebLinkAboutHomestead_Casey %TATE FORM me IR'I Yrvl IRE SULLR FORM 15-IA
AIIRP'ED BY crATE BD\ROOF✓TTA.NTs.tan IREYAIB(D BY THE DEPARTNE`R(F LOI'AL GOVERNMENT FIANCE IC 6-I.1 424.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead saandani deduction.As the receipt of this deduction heroines
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tan bills for all:therefore.
HEA 134-1-7009 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 he kept conlidcmial and can only be accessed by authorized county officials.The Dcpannrent 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
Casey, Connie J agog I E. -26bS
R3 Box 249
Oakland City IN 47660
2137
Connie J Casey
R3 Box 249A = S28tol Eck 3i aCYC
OAKLAND CITY IN 47660-7684 State Parcel Number Legal Description
26-14-20-300-000.781-006 003-00781-00 PT SW 20-2-8 2 AC
lllllll11illlllllllllllllllllllllllllllllllllllll 11111111 C-1
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
eOttIN i -e- v.\ n C AS t y
Tg Address(number and street,city.state,and ZIP code) Some as property address
% 2 ._t EAST app SOuia OA- LA AO CTy TANI H1 (n1,d
Spouse First Middle Last
Mailing Address(Number and street city,state,and ZIP code) ❑ Sante as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Svm -
- _ _ .
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 I Signature Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stela Form 5473 (R6 / 4-03)
Prescrilmd by the Deparontent of Local Government Finance
INSTRUCTIONS: See reyw= aids J 0V raftacdofm
FORM YEAR
HC10
I (We) Lid IV certifyXotica� the lstMf March. 20
-��!e following es real property for which a Homestead operty Tax Credit is hereby claimed:
I (We) occupied as our principal place of �resde the
❑ 1 (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pro 1?�a
os?�utn�quncfer a contract.
pe
OuNTY AUDITOR
NTRACTfRECORDED--.-
If buying on contract. Fee Simple owners name
Recorder's office where contract is recorded Record number Page
li-Wo ME lkfY, &WN E 6 MX N t I h6 T H E R �Cd&--h
County
Township
Taxing district (oly, t tb-nS40)
ParcsUl6be�
_oo 7
Legal description
Is the pro question:
PWR My
':p property Home (].C. 6-1-1-7)
If any portion of the residential structure or the land net exceeding we (1) acre that immediately surrounds that structure is used to prod" income, describe the use and portion
of the property utilbrned to produce income.
AjV-A-0 �o?6 -1z1c;?o-,3co-cc0 -721-CC6
li-Wo ME lkfY, &WN E 6 MX N t I h6 T H E R �Cd&--h
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
ignatureCaimant
im dress (r?Tber a
qp—L:�> ut, —, q--1 U
rMl
'5� !
�
W-T RUE.TAX�
ASSESSED VALUE
-�1�100%0FXiv-
R-jHOMESTEAD�
!
ZV
' "p
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
=60-00
Total land (fine I plus line 2)
(3)
"V4
IRestidentiefl Improvements or Annually
Dwelling
(4)
A Mobile Manufactured Home
e
Garage
(5)
4 I
RE-^ 5" A
P
S-'P 'V20
L
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus Me 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Data signed
complete.
Verifying action - Signature of Auditor
Date signed
TANDARUMEDUCTIONIALILOWANCE
20 _ Pay 20 —Ts
Lesser of W2 Homestead
vatuation or 535.000
Sig A - Date 6?b - 03 -D
A oV