HomeMy WebLinkAboutHomestead_Lee (3) SLATE FORM.!!.N I R:1 NMI 1RFASURIR PORN 13-IA '
APPROVED BY MATE BEARD OF ArretNrt Y,, MFYAIIED BY Tor BrPAATMErr OF LOCAL CMERNMINT FINANCE M 11-I.1-r-s.i
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 deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
III HEA 1344-2009 requires laxpayets who receive the homestead standard deduction to verity that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized county officials.The Depanntent of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
��(( E 1 PART 1: PROPERTY INFORMATION
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APR tutu HI Box 208 A /
Oakland City IN 47660
AtiOcCen
CO
State Parcel Number Legal Description
Oakland City IN 47660-8421
Midi 26-13-26-200-001.405-006 003-01405-00 PT S NE 26291.277 AC
C-1
A
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/Statc ID Number (last 5 digits) Other(please specify in Part 4 below)
Sat
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
•
r,
t CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
f State Form 5473 (R5I 10-01)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) e ty at n the ay f M ch. 20_
I (We) ocoupi sour princ' 1 place of residence the following described real property for which a Hom lead o it Is hereby claimed:
❑ I (We) owned ❑ Are buying under contract APR 2 6 2002
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.
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded
Record number I Page
y.�2i... P.ROP,ERT.Y<DESCRIPTION,r.; �"'g•''�'`.F'� ¢�3.��p� �}.'(y °` y�
County
Tavnship
Taxing district (dry, town, township)
Patwinunj
L I n -
a-
Add 'V/ (number and street, dry, state, ZIP code)
Is the property in estion:
���,3: VALUES
-. a��
Land not exceeding 1 (one) acre immediately
Real property E) Mobile Homo (LC. 6-1.1-7)
If any portion of the residential sWcture or the nd 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.
-/3 act -'W -
��- '�y`- �'�.r -�. PROP. ERTY, OWNEDIBYCL ''AIMANT- :IN.'OTHER`COUNTIES �.%v �' "-�` �
County
Tavnship
County Tovnship
I hereby certify the above statements are true, correct and complete.
Si ature oLqfii qAnt
Add 'V/ (number and street, dry, state, ZIP code)
= :a'r�- `.`;'TRUE
ASSESSORrUSE ONLY
TAX
','e., L
ASSESSED VALUE
Jr. Jr ti OMESTEAD
NON`•RESIDENTIALL -r,ra
�.e�3�i..VALUE.
,. �,
M'0 --N* UWA -- � R -En
yd- VALI_lE`
,
;ATt100%OFTTV�,
���,3: VALUES
-. a��
Land not exceeding 1 (one) acre immediately
z
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
Other improvements
(6)
Trial improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature ofA editor
Date signed
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuation or $6,000
Signature of Auditor
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