HomeMy WebLinkAboutHomestead_Hannah STATE FORM!Kt.de '- I TREAUiIIA FORM ZIA
ArIROVEn BY SIAM 001Rn or ArmuNTSa,n PBt RIBM BY THE BEPARMEYr(f LOCAL rovaNMn.T FIANCE IC 41.1-u-41
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard(eduction.As the receipt of this deduction becomes
more beneficial,there is more incenthr than eter for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
14EA 1374-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing This information will be kepi 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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hannah, Kandace K -
R2 Box 59 O�
Oakland City IN 47660
2112
Kandace K Hannah
R 2 Box 59 State Parcel Number Le2a1 Description
OAKLAND CITY IN 47660-8120
I II II II I I II I III it III I I 26-14-19-104-001.060-006 003-01060-00 CAPT MC CULLOUGH
I n tot cat n tar n tan ta r seta tan I n t 4PT/5PT 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
i<44()Ace Kaye- 44a ,i aa,
sling Address(number and street,city,state,and ZIP code) III-Same as property address
In; S 1190E Octk kAid C. y f Di 71n (Ale,w cot adelsss)
Spouse First Middle Last
ditte-
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) r Other(please specify in Pan 4 below)
__ -. - Sum. __ __ __ _
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
Ca.-te_ p(to pee-ftj as ' 2 An .59 Ja,c r' hauged , Ake ✓ 91/ a„ aec1
t
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
'" I• State Farm 5473 (R215-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM
10
YEAR
ED
CERTIFICATION STATEMENT
I (We) rtity t on the st d y of �kh, 19_
I (We) oc resident the following descdbe real property for which a Homestead P e cfai d:
(We) owned ❑ Are buying under contract � N COUNT y AUDITOR
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 owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxin dis it ty town, township)
Parcel number
O -al Dca -a
Legal description
If any portion of the residential structure or the WM 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. /
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
areby certify the above statements are true, correct and complete.
Signaturegs,daimant (z�
Address (number and street, city, state, ZIP code)
C —N ? loo
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
$
Signature of Auditor
Date sued lQ