HomeMy WebLinkAboutHomestead_Fulling ,a 5151E f ORM!M't°Ik:l sW I TRFASUIFR RAM 11A
Vrnto BY sTITE BOARD nrMRR\sTS.ails Ptf9TUBm BY 111E DEPART/EMT If LOCAL(ARtRYMFFT FTAWE ICH.I14.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tat bills for all therefore.
HEA 1344-20(10 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to leceise the
benefit and to provide additional identifying infomnnon necesa-Iry to allow county government to better monitor homestead
filings.This information will be Leg.confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance sill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Fulling, Robert R/Linda J
No Location Description
Oakland City IN 47660
4273
Robert R/Linda J Fulling
186 N 1050E State Parcel Number Legal Description
OAKLAND CITY IN 47660-8622
III I I I I I I I I I I III I I I III 26-13-12-100-000.229-006 003-00229-00 PT SW NW 12-2-915.285 AC
to utr ru n rnnn nntnt nn nett \X/ C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
IPOSeer /` • Iv/eNli
�•g Address(number and street,city,state,and ZIP code) - - FJ Same as propene address — -- - -
/ 5'a /owl' OAK/4"-J o15r'7 £Ac 1717‘40
•
Spouse First Middle Last
Mailing Address(Number and street•city,stale,and ZIP code) g Same as pmpeny address
JP6ji' /o_TOE o.PK/s.- A a1'77 rir. 1f7Go
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 ott 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 rAX,..; FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
Slate Fonn5473 (R614-03)
prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing FILED
'-- -CERJIFICATIO"TA-rpMENT';
IMAY 0 2 29P
1 (We) V-1/0 -/j q/ certify that on the 1st day o rch, 2 0
I (We) occupied as our principal place of residence the follom 4scribeyeal pr6perty for wh Homestead Pro ax Credit is hereby claimed:
❑ l(We)owned . ❑ Are buyingundpi -contract e • . I. . 10 17/
&��
lk\Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns th GIB '%WTXg46&ir00ontract.
e prc�� 9t
I buying on contract. Fee Simple owners name
Recarder's office where contract is recorded Record number Page
4 P ����IPROPERTY�DESCRIPTION
---�0-0
County Township Taxing d hnvn to b-
Parc,el number tiespi
Is the property
91) Res op Mob Home (I.C. 61-1-7)
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 utilized W produce income.
:,. `� -: w :��Pkdp.EkWbWNEISBY CL'AlgAi4t,114'OTHERCdL1f4fitS'�-
County Township
ASSESSED VALUE
County
Tovmship
I hereby certify the above statements are true, correct and complete.
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SIT v I I ant 'ca i
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d7(p�J;Vn
Land not exceeding 1 (one) ache immediately
IN]
tv,
IKUt:-I
ASSESSED VALUE
Nq HOME6iUb
qv
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Land not exceeding 1 (one) ache immediately
surrounding residential improvements.
Z
Other land
(2)
Total land (fine I plus fine 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
/5
1'
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(8)
1 hereby certify the above is twe, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
` aSTANDARDMEDUCTICIN ALLOWANCE
20 _ Pay 20
Lesser of 112 Homestead S
Valuation or 535.000
Signature of Auditor Date signed