HomeMy WebLinkAboutHomestead_Morris (2) SIATE FORM!)!,w Ix:I-.MI TREASURER PORN 73-IA
AfROVED BY ST1tt OWL)OF.ArCOUYTn._u" Prl9RAlam BY stir DEPARTMENT OF LMAE rov:IYMTFT FP:A CE icteu-_RI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead saandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than escr for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive a the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filinta.This information will be kepi confidential and can only be accessed by authorived county officials.The Depanmem of
Local Government Finance will use this information to create tools that will hdp county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Morris, Teddy L/Shirley S U.
RI Box II Ad
Oakland City IN 47660
4946
Teddy L/Shirley S Morris
40 S 1150E State Parcel Number Legal Description
Oakland City IN 47660-8606
26-14-07-300-000.416-006 003-00416-00 PT NW SW 7283.748 AC
11111111111111111111111111111111111111111111111111111 1i11
X
9
PART 2: TAXPAYER INFORMATION
Owner I First
Middle Last
L �- N d 15
tg Address(number and street,city,state,and ZIP code) — - -- - - - Same as property oddw - — — - — -
qas 1 GSbE °HAITI) @ Th- -ty 6bv
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) []Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sass
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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
e °� ; CLAIM FOR HOMESTEAD PROPERTY TAX ={ i1j,is CREDIT /STANDARD DEDUCTION 4 :� State Form 5473 (R2 / 5 -92) 9
0 rue 1 W
INSTRUCTIONS: See reverse side for filino instructions.
CERTIFICATIO STATEMENT - -
on
(1 Y AUDI
Nt on the 1st day of March, 19
�) occupi as our principal placlTf residence the following descri real property for which. a Homestea l Property Tax Credit is hereby claimed:
❑ l(We)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 property or is buying under.a contract.
CONTRACT RECORDED - - It buying on contract. Fee Simple owner's name -
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES '
- PROPERTY DESCRIPTION -
County
Township
Taxing district (city, town, township)
Parcel number
Legal description
3
It any portion of the resident. 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/.
(2)
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES '
County
Township
County
Township
®eby certify the above statements are true, correct and complete.
Signature d t
Address (number and street, city, slate, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2.000
Signature of Auditor Date signed
Otherland
(2)
-
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
I
_ -
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7) -
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
g—ifying action - Signature of Auditor
L
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2.000
Signature of Auditor Date signed