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Home My WebLink AboutHomestead_Knight e STATE FORM 53509(R3'8-10) 'TREASURE].FO1231 TS-IA APPROVED BY STATE HOARD OF ACCOUNTS.2W • PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE ICbl.l-lld.l Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS _101 N. Main Street - Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the :. benefit and to'provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will"be kept 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 FILED Taxpayer Name Location Address 201 Knight, Beverly J MAY 9 4223 S TALEIA DRIVE C.rJ.n^ �' V OAKLAND CITY IN 47660 4955 g po . BeVeldy KmghOUNTY AUDITOR II_I111RUIII IIII� IIII1II 11II011�11_IIB0II0II_1111110I1Ii�� iiioI coninII_II II 4223 S Taleia Dr . OAKLAND CITY IN 47660-7649 ttIIIIIIIIIIIIIrllrllrlllllllllllll"'Illrrtllrltlllllrtllllllll State Parcel Number Legal Description 26-13-34-400-000.672-006 PT SE SE 34-2-9 5 AC 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. ._ . __.—_______-_, ___--_-_______._eAR- 22, rAXeA tRI\FOR:MAT1O\ _ _..___._ ___ ________. . __ Ow. I First Middle Last 0evPr? L 1 a.ni �� 17 �ghf Mailing Address(num d street,city,state,and ZIP code) a as property address te-ad2 rtl, Oat{Lan C,a*y/IR. 7ItInO . Spouse First Middle - Last• s,se - - o u.rt'Ss KY/tit V Mailing Address(Number and street,city,state,and ZIP code) 11R s Same as pro address kr, fideAS5 Pid Aw y ir8' taApoor Social Secunty Number(last 5 digits) Drivels License/State ID Number (last 5 digits) - - Other(please specify in Pan 4 below) I I I l I I I I 1 - stile 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 o. PART 4: ADDITIONAL INFORMATION ' ,--1 m 4_9_a -Oi cRSLPel, in 1?9_C avl4-[-,<+Y L 4:1-114 t I CLAIM FOR HOMESTEAD PROPERTY TAX FCREDIT /STANDARD DEDUCTION State Form 5473 (R2 / 5 -92) n: INSTRUCTIONS: See reverse side for filing instructions. CERTIFICATION STATEMENT IAUUIIVKV I (We) G certify that on the 1st day of March, 19 occupied as our acipal p of residence the following (9 scribed real property f liviiljch a Homestead Property Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract LJ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the properly or is buying under a contract. CONTRACT RECORDED It buying on contract. Fee Simple owners name Recorder's office where contract is recorded Record number Page PROPERTY PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County Township �reby certify the above statements are true, correct and complete. Signature of claimant Address (number and street, city, stare. ZlPCOde) kU�/ Piz M ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON - RESIDENTIAL. ,VALUE VALUE VALUE VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Other land (2) Total land (line 1 plus line 2) (3) Dwelling (4) Residential improvements Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 pUs line 7) (6) I hereby certify the above is true, correct, and Signature of Assessor Date signed complete. 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 signed PROPERTY DESCRIPTION County � Township T Toxin dis ct = ��-�/ T =hip Parcel number L Legal description O0a — 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. ;7,? PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County Township �reby certify the above statements are true, correct and complete. Signature of claimant Address (number and street, city, stare. ZlPCOde) kU�/ Piz M ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON - RESIDENTIAL. ,VALUE VALUE VALUE VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Other land (2) Total land (line 1 plus line 2) (3) Dwelling (4) Residential improvements Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 pUs line 7) (6) I hereby certify the above is true, correct, and Signature of Assessor Date signed complete. 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 signed ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON - RESIDENTIAL. ,VALUE VALUE VALUE VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Other land (2) Total land (line 1 plus line 2) (3) Dwelling (4) Residential improvements Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 pUs line 7) (6) I hereby certify the above is true, correct, and Signature of Assessor Date signed complete. 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 signed STANDARD DEDUCTION ALLOWANCE 19 _Pay 19_ Lesser of 1/2 Homestead Valuation or $2,000 $ Signature of Auditor Date signed