HomeMy WebLinkAboutHomestead_Hulfachor . TAtt 11b1 M.i#w.P}I wle■ IRLASU PIS WAN IS-IA
• APPROlEnnl Pat.301Rn OF 11 I It NI's,J.M IPLSCRDILD LIY Mtr PARIMLIT Of LOCAL.Ctr'taexetL'I IL I`.el IC!::-r-st
Gibson County Auditor .. IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS.
o 101 N. Main Street Individuals and(tarried couples are limited to one honasead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more iceentiw than ever for homestead fraud.Homestead fraud causes higher lax bill:f therefore.
or all:th fo .
El IIF.A 1344-7009 requires taxpayers who receive the homestead sundard deduction to verify that they are eligible to mete the
benefit and to provide additional identifying irdormation necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only-be:cased 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. 0
FILED
'PART 1:PROPERTY INFORMATION
Taxpayer Name Location Address
_ Hulfachor, Ricky J/Charlotte G
MAY 1 0 2012 2203 S 950 E
C M OAKLAND CITY IN 47660
4663
Ricky fII @Ill � tNf f{ 70R II IElIllEIII Bill�DIIIIIIuu uummIl lILIllElllo_IIiIllEl101111 II Bill I1_II]II_ iI
2203 S 950 E
Oakland City IN 47660-8442
Ill"lIIlI'1IIIIttPl1t�llllrllllllllll1l P.Iltt11lltt1t1l1"111'11 State Parcel Number Legal Description
26-13-22-400-000.298-006 N SE 22-2-9 2.50 AC D-6 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.
et
ali I First Middle Last
11 isKY Tor ilott/aae
Mailing Address(number and street,city,state,and ZIP code) Same as property address
Spouse First Middle Last
CHARto GA/1_ . lint flc�o,Q
Mailing Address(Number and street,city,state,and ZIP code) ly t Same as property address
•
PART3: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 Si mature Date
-
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
�.` State Form 5473 (R2 r 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT -
I (We) 1 certify that on the 1stMr'c>j), ;n
I (We) occu ' as our pnrtci ' ce of residence the following described real prope for which a Homestead Property Tax Cr d ' dal
e) owned ❑ Are buying under contract
ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or Is YVA&?�i
CONTRACT RECORDED -
It buying on contract, Fee Simple owners name
Recorder's office where contract is recorded Recortl number Page
- 1
PROPERTY DESCRIPTION - -
County. -
Township
Township
Taxing district (city. town. township) -
Pa� umber
-06) -&)
Legal description
" -� � a- a- 9
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.
'
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature of datmant
�0
Tess (number and street ar4 state, ZIP code)
ral
ASSESSOR USE ONLY -
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Other land
(2)
'
Total land (line I plus line 2)
(3)
y,-
Residential improvements
Dwelling
(4)
-
Garage
(5)
_
Other improvements
(6)
-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plrs line 7)
(6)
I hereby certify the above is true. correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
_ STANDARD DEDUCTION ALLOWANCE
\� 19_ Pay 19_
Lesser of 112 Homestead -
Valuation or $2.000 $
Signature of Audit Dat igned _
CLAA