HomeMy WebLinkAboutHomestead_Hensley t• 5 LOW FORM!Me.IR r%API TWXYL LR FORM SIA
APPROVED BY STATE MNR°OF MrYR:VTS. PRE%IWBM BY nit DEPAIUNENTOF LOCAL noVELV.MrwT Fn:A\'CE ICVI.1-r-aI
Gibson County Auditor •101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and hurried couples arc limited to one homestead standard deduction.As die receipt of this deduction becomes
more beneficial,there is more incentive dun nor for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-7009 requires taxpayers who receive the hotestead standard deduction to verify that they arc eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This inanimation will he kept conlidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hensley, Bruce M/Norma Jean /3003 C
— CR'OOS -Oakland City IN 47660
5647
Bruce M/Norma Jean Hensley Ss
R30 251 New egfl, PP2&_ �
Oakland City IN 47660-7685 73o a9t�1 e20O S.
State Parcel Number Legal Description
III I I I I ' III I I I I I I 111111111 26-14-20-400-000.378-006 003-00378-00 PT SE 20-2-8 1 AC
1 n nl r ul n nl ul 1 li il ,, 1 1 C-1
x
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
•
42e-,« /11r yc,USL s-y
•tg Address(number and stmet,city,state,and ZIP code) ❑ Same as property address - -- --- — — -- -
/ .10o3e. 200 SF ogKuW. (.,2t74‘ otv y7660
Spouse First Middle Last
/1/o, 11 • f/c t/1Le y
Mailing Address(Number and street,city,state,and ZIP code) / 2-Same as property address
• Cam.
/30o, , 2.0o S. OAKt"i)D ' L'�tlti in) V76,70a
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 1 Signature Date
a.� CLAIM FOR HOMESTEAD PROPERTY TAX
is CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 592)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC70
I ravel ` certify that on the 1 St day of March. 19
.1 occupied as our principal place of residence the folio g des Jibed property t r vhich a Homestead Property Tax Credit is hereby claimed:
r�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 pjj }"rW buyIjl"n¢S6Z contract.
If buying on contract. Fee Simple owner's name
contract is recorded LCVtejQq2Aujer /'h. _ I Page
PROPERTY DESCRIPTI
County Township
Taxing d tricl city.
wn. township)
Address (number and street. city. state. ZIP code)
P rce- number I Legal description
(7_5 - n 0378.0 0
It 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.
- /- D , 0- X06
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Cou Iy ' Township county ITn.... s•
®eby certify the above statements are true. correct and complete. I Signature of claimant
Address (number and street. city. state. ZIP code)
(/TRUE
ASSESSOR USE ONLY
TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately I
surrounding residential improvements.
(t)
Other land
(2)
Total land (line I 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)
(6)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
I Date signed
.1-Varifying action - Signature of Auditor
I Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
S
Valuation or 52.000
Signature of Auditor
Da _ -gnetl
/