HomeMy WebLinkAboutHomestead_Mullen 5155E FORM!!M IR r.,ro TREASURER FORM i5-1A
!SPEC-WED nMPORTANT?NOTICE TO PRESAIBED BY TIM DEPARTMENT Of LOCAL GOVERNMENT FINANCE IC
PROPERTY OWNERS I ,
Gibson County Auditor
101 N Main �
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becdmes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1341--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 nemsarn to allow county government to better monitor homestead
filings.This information will be kept confidential and can only In accessed by authorized county officials.The Ikpanntent of
local Government Finance will use this information to create muds that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address 1
Mullen, Jeffery T/Carolyn 1
R2 Box 282 H / �/
cof rec f Oakland City IN 47660 NJ-
4960 evil t'55 -3 304 5 /225 F
Jeffery T Mullen
309 S 1225E State Parcel Number Legal Description
OAKLAND CITY IN 47660-8145
Itlullu tlt ilntlIuIIu tInInu11t1u1t1r1t 11ru1r 1tt11trt1 • 26-14-07-400-001.416-006 003-01416-00 PT w SE 7-2-81.58 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Settef* Todd f/4v ��P�
re.Address(number anchtreet.city,state,and ZIP code) _ - - - Same as property address
3O 1 S 12-5 Oa Haw/ 1 a+/ 4/7& &o
Spouse First Middle Last
Carlo %4 in(17/P,7
Mailing Address(Number m d street,city,stale.and ZIP code) X71 Scone as property address
3oa S '/7o6r,
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
} CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions. .
i '.77lc 6 w ' C FICAT1011 STATE ; a @,%j
Ir
I (We) that onahe /1st dayioWarch, 20
I (We) occupied as ou 'nci t ce of r I nce the following described real roperty for 111h a Homestead Property Tax Credit is hereby claimed:
❑ I (We) owned ❑ Are buying u er contract JUN 2 2 2004
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 owner's name
Recorder's office where contract
Record number I Page
„ry
'. �- �^ f, ?>: 1' �'` �. b_-'% �?�t�a�' zr`• x' �1sTra' �5'„ P,RbPERTY :DESCRIPTION��"k?�i:,. _,,,�.- ,.,;., >"�r ", ��,
Tovmship
County Ta nship
Township
Tadng district (city, town, township)
dr s(numberaM Sheet, sfat�ZIP e)
Lega es ion "7 s uestion:
/ d Real property ❑ Mobile Homo ( /.C. 6-1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that s cture is used to produce income, describe the use and portion
or the property utilized to produce income.
6'�'- -- - -
z -4 s r���ri'`STANDARU :DEDUCTION ALCOWANCEts
law 20_Pay 20_
Lesser of 1/2 Homestead $
uaum or .000
Sign of hor Date signe
.d.1
County
Tovmship
County Ta nship
I hereby certify the above statements are true, correct and complete.
" nature of clai ant
dr s(numberaM Sheet, sfat�ZIP e)
ff , , v
s - �;ASSESSOR�USE ONLYw 3�j
yALUE�e
ASSESSED VALUE
ATz1OF TTV>
1�HOMESTEADi"
'"v= VALUE
NON = RESIDENTIAL
=�'
OnrfS..VALUE g;.: El
Land not exceeding 1 (one) acre immediately{
surrounding residential improvements.
""iw�ry
Other land
(2)
i` V
-
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Y
Residential improvements or Annually
Assessed Mobile I Manufactured Home
tiara a
P ' "- z.
-t r rs9, -R r. �.7
Other improvements
B
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of/wdilor
Date signed
z -4 s r���ri'`STANDARU :DEDUCTION ALCOWANCEts
law 20_Pay 20_
Lesser of 1/2 Homestead $
uaum or .000
Sign of hor Date signe
.d.1