HomeMy WebLinkAboutHomestead_Stuckey STATE mR}I!J!M IR_/.Wl TPELNN&UA FORM 11A
At/ROVED BY STATE BOARD m'M?Ya:\TS ANN PLES11lnm BY mi.DEPARTMEn OF LOCAL OOVEICOAD.7 FINANCE IC 6-1.1-1:4.1
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
r • more beneficial,there is more incentive than eter for homestead fraud.Ilomestead fraud causes higher tax hills for all:therefore.
® HEA 1347-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receire the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This infnnrnatinn will be kept confidential and on only he accessed by amhorved county officials.The ISepanment of
Local Government finance will mac this information to create tools that will help county officials eliminate homestead fraud.
- PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Stuckey, Misty J
—
RI Box 85
Oakland City IN 47660
1681
Misty J Stuckey
R1 Box 85 State Parcel Number Legal Description
Oakland City IN 47660-8652
26-13-13-401-001.017-006 003-01017-00 PT SE 13-2-9.767 AC
ltlnllurtrllntllullndnlu llntlrintl,___ n r�r�t�� rl — / 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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
in i5il T (ofuI?e ) 5p,-ter
illAddress(num and Stray,city,state,and ZIP code) ❑ Same as property
nib El 100 S formerly RR ■ Box go) OnW nd CI-h� TIU 4/6CD0
')
Spouse First Middle Last
.)Oremq b 5pteer .
Mailing Address(Number d street,city,state,and ZIP code) 0 Same as property address
1 1 0 1 5 k. 100 S O o K land Tsu Li 76 /00
• •
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eliuible 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
CREDIT /STANDARD DEDUCTION
• /' State Form 5473 (R215-92)
INSTRUCTIONS: See reverse side for filing instructions.
l
FORM
HC70
YEAR
CER IFICATION STATEMENT
I (We)
c ' th A� iF�e t d of Mach, 19_
I (We) occupied as our pri al pl o residence the
following desc ' real property for which a Homestead Property Tax Credit is hereby claimed:
❑ I (We) owned Are uying under contract
FEB 17 2000
❑ Have a beneficial interest in the entity that is liable
for the property taxes on the property and that owns the property or is b g under a c
//ontract.
I/
CONTRACT RECORDED
_
GIESON 67u _m7TV AnntTrl? r
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
Cou
Township
Taxing district (dry, town, township)
Parcel number O/
Legal descripti
It any potion of the residential structure or the land not exceeding one t1) acre that immediately surrounds that structure is used to prodwe income, describe the use and portion of
the property utilized to produce income.]
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
Counry
Township
Sig ture of claimant
0 ereby certify the above statements are true, correct
and complete.
Address (number and street, city, state, ZIP code)
Rr-4— gS
I �o
0,lkICA Ct+1 J Lf�i2
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line I 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 plus line 7)
(S)
I hereby certify the above is true, Correct, and
Signature of Assesor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 112 Homestead
S
Valuation or 52,000
Signature of Auditor
Date signed