HomeMy WebLinkAboutHomestead_Douglas F
r VOTE FORM!l'W Itirw'I TPEASUarl TORM 731A
AMOCO)BY STATE WWI)Cif ACYOONIA.2AA PtLw asm BY nil DEPART OF LbAt G%TIOAILCr FINANCE tet•1.1- 4.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standaud deduction.As die receipt of this deduction becomes
4 more beneficial.there is more incentive than e'er for homestead fraud.homestead fraud causes higher lax bills for all:therefore.
HEA 1344-2009 requires taxpacers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information nec sstry to allow county government to better monitor homestead
j' .tl 4_I.., E D flings.This information will he kept conlidemial and can only he accessed by authorized county officials.The Ikpannaeii of
Local Government Finance will use this information to create tivls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR R Zulu Taxpayer Name Property Address
{�� Douglas, David A/Karen
—
, I4O "'ih R2 Box 257 A
AVVUDITOR Oakland City IN 47660
TWON COUNTY
David A Douglas
12558 E 100 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-8135
frlu llntltllnrlluilru luluullnlln�tlnitlr�rr lrlurll 26-14-17-100-000.381-006 003-00381-00 PT SW NW 17-2-81.67 AC
)(/ C-1
PART 2: TAXPAYER INFORMATION
Outer I First Middle Last
tg Address(number and street,city,state,and ZIP code) _- - —�--- - —- -- me as property address
r_rg E /DOS, J4/K,L4 /d (1,")1 N, 4 Cc 6 O
/ .
Spouse First Middle Last
,i/14 R E--- iv LEE ,/) 01, 6457
Mailing Address(Number and street,ciy,state,and ZIP code) ❑ Same as property address .
/z SC8 E /005' (,A f<L 4- o )c, &..-i ,i-W, 2Za
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.
Owne nure Date
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
7�le Form 5473 (R6 /4-03)
re scribed by the Department of Local Government Finance
INSTRUCTYN: See revere side for filing instructions.{1
I (We) VW VI.Y t..�.� ) e,[ .., , v Guu7
e ^t on the 1st day of March, 20
I (We) occupied as o prin ipal place of residence the following described real property for which a esteadrP�operty Tax Cpedit,is hereby claimed:
❑ 1 (We) owned ❑ Are buying under contract V /,Y, ;t
Have a beneficial interest in the entity hat is liable for the roe taxes on the roe and that owns the ro le S oNis COUNTY u A I I aTcrOnVaU
N property M property 1tY P P rtY yI 9
- ��e`hj;7;!CONTRIiCT RECORDED %�._+;-.,c,ti<;r `T ',= ^•>.i";' °'z'":+?r,2
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
SPROPERTY:DESCRIP.TION x• ` - ` - °'YF
Court
Township
Taring distric , to
wnship)
7 natur o claimant
�r
Parcel Legal description
^GYl
Is the pre i question:
O� /
eal property ❑ Mobile Home ( /.C. 6-1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediatety surrounds that slrucu ure is used W produce income, describe the use and portion
of the property utilized to produce income.
2
�'���'�,zr,.s", ~
�?f'2=, aASSESSOR.USE ONLYy
fr sit & u#3 -,Q ?uz'tr,,a�p5rv,.��,.- -� ,'�
County
Township
County Township '
I hereby certify the above statements are We, correct and complete.
7 natur o claimant
�r
ress number and sheel, city, state, ZIP code)
R "7 AAA C i '.v.
�4 .(
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�?f'2=, aASSESSOR.USE ONLYy
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T
.fie
- VANEW �h
ASSESSEDVAL`UE
.r ,
yAT.(100 %._OfTyfV
+HOMESTEAwDF�-
yYVALUE�"':3)e.VALUEr.a?
ANON= RESIDENTIAL
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
xl;u
,T'1.G"- ,""",hw, -;
Other land
2
Mr. v.
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
'
Assessed Motile / Manufactured Home
ed
Garage
(6)
c
Other improvements
(6)
��r,,.++��yt�
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line 7)
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
V4t1,t-. STANDARD:DEDUCION•AL'OWAWCE ® ' - �= =
20 _ Pay 20 _
Lesser of 112 Homestead
$
Valuation or .000
Signature
Date '