HomeMy WebLinkAboutHomestead_Hill (2) •
• SIAM FORMS".tle)•+•l flEASUM FORM:}IA
a IMPORTANT NOTICE TO MUM-RIMED BY THE
OWNERS '
Gibson County Auditor
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more and married is couples are limited se one homestead r standard d. deduction.fraud the receipt r t t b bills for all: becomes
1p1p�1 _1/.•�' morc beneficial.there is more i couples are li than eter for homestead fraud. deduction.n.As
causes higher tas bills for all;therefore.
HEA 1344--2009 requires taspners who receive the homestead standard deduction to verity that they are eligible to recehe the
benefit and to provide additional identifyme information necessary to allow county government to better monitor homestead
filing..this information will he kept confidential and can only he accessed by authorized romuv officials.The lkpanment of
APR1 3 ZU1U Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
yz�'?le Taxpayer Name Prot env Address
GIBSON)COUNTV AUDITOR Hill, Jeffrey A/Kelly A
R3
Oakland City IN 47660
5553 .—
•
Jeffrey A Hill
11437E 150 S r State Parcel Number Leal Description
OAKLAND CITY IN 47660-7853
1r1u11nt1r11rui1u11nt1ut11t t1n1r1nt11ut11dnt1t1u11 26-14-19-200-000.888-006 003-00888-00 PT NE 1&2-8.6068 AC
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
6/4"t //). c
in Address(number and street.city,state,and ZIP code) U Same as property address
//1S7 et /s"U o4/C.4.4- 0 eir-, 22; 47
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) Same as property address
//q37 te- /CD S. 674iC4. y�o Gird, -�- 47o 'O
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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
unlace r- r r she may be liable 'or back taxes and substantial financial penalties.
•ner I Signature Date
0
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEaR
CREDIT /STANDARD DEDUCTION HC10
` State Form 5473 (R817 -07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) • certify that on the 1„„st day of March, 20_
I (We i as o
LI
'ndpal place of rasiderU the following described real property for which a Homestead Propertyil claimed,
I (We) owned ❑ Are buying under contract GIBSON COUNTY 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 m.
•-D .
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
County
Township
Taxing district (city, town, township)
I1 W9it Is the property in _� DD—�• Kl�r ` o I RpropeM ❑ Mobile Home (IC 6-1.1 -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 to produce income.
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ASSESSOR USE ONLY TRUE TAX VALUE.
ASSESSED VALUE
.. D 13
County Township
County T ship
I hereby certify the above statements are true, correct and complete.
Sign re of claimant
less (number and street, cdy;Ote, and LP ) /1 (0(0O
q3j
LWl
ASSESSOR USE ONLY TRUE TAX VALUE.
ASSESSED VALUE
I HOMESTEAD
TIA
NOWRESIDEN L.,,,,
Land not exceeding 1 (one) acre immediately
- •.
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus fine 2)
(3)
Dwelling
(4)
Residential improvements or Annually
_ -
-
Assessed Mobile I Manufactured Home
Garage
(5)
_
Other improvements
(6)
-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus fine 7)
(8)
1 hereby Certify the above is true. Correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day. year)
20_pay 20_
Lesser of 12
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
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