HomeMy WebLinkAboutHomestead_Cox (6) SIATE FOtSI 5a117 SApI TREASURER FORM T5-1A
APPROvEO BY 5tATE Bonn OrAmx'.sll Yrrr PLES1URPD BY Tim OEPARne.T OF LOCAL CIOVER MrNt EB:A•rEr 41.1-22,11
Gibson County Auditor
t 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bilk for all:therefore.
HEA 1344--2019 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
61ings.Ibis information will be kepi confidential and can only he accessed by authorized county officials.The Depanmem of
Local Govcrmnem Finance will use this information to create tools that will h:Ip county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Cox, Rodney A
218 S Gibson
Oakland City IN 47660
1122
Rodney A Cox
218 S Gibson St State Parcel Number Legal Description
Oakland City IN 47660-1520
111111rtrlrlI1 26-14-07-300-000.308-006 013-00308-00 PT SE SW 72 s 1.47 AC
x
S
PART 2:TAXPAYER INFORMATION
Owner 1 9 deft/ First 41 Middle Last
Address mumner and street..city,state,add uP c G-Same ns property oddness--
Spouse First Middle Last
Mailine Address(Number and street,thy,sate.and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/Sate ID Number past 5 digits) Other(please specify in Part 4 below)
Sae
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 elieible 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 Signat i Date
• Ca 141 S .aJJQM\ ti L 1344A214,.a/A/a- astattekra-
CLAIM FOR HOMESTEAD PROPERTY TAX
s CREDIT /STANDARD DEDUCTION
<' State Form 5473 (R2 15-92)
au '
INSTRUCTIONS: See reverse side for filing instructions.
' FOR YEAR
To
OCT 2 4 1991
. - - CERTIFICATION STATEMENT - --
I (We) r; i�r , ay1s� h 19
��) o��ccaappied as our prin I place of residence the following described realproperty for which a Ho esteop� y ax Credit is hereby Gaimed:
awned . 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 property or is buying under a contract.
CONTRACT_ RECORDED '
It buying on contract, Fee Simple owner's name -
Recorder's office where contract is recorded Record number Pag e
' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRI 0 -
County �
Township
Taxi ism city, tow , fowriship) '
Signature of claimant
Address (number and street, city, state, ZIP code)
�o 1e ow ;bs� erg 1
'/ /
(�
Pare um r
Legal description
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 utilized to produce income.
Total land (line I plus line Z)
_Z 6� 300 -cam
' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
eby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city, state, ZIP code)
�o 1e ow ;bs� erg 1
ASSESSOR USE ONLY
"
TRUE TAX
- .VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
Signature of Auditor
Other land
(2)
Total land (line I plus line Z)
(3)
Residential improvements
Dwelling
(4)
_
Garage
(5)
Other improvements
(6)
-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 fobs line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
- STANDARD DEDUCTION ALLOWANCE -
19_ Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date signed