HomeMy WebLinkAboutHomestead_Gipson UST rn0.M,_11.R21 W+l TnrAAIIIR FORS TS1A
VFX(W1O BY SIMIE W'NDOrMTW%-TS.run PUS TUBED BY 1TIE DEPARTMENT Of LOST COxrLYMEA,MASS IC 114.1-11-1
1 .Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
, 101 N Main
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.I homestead fraud causes higher tax bills for all:therefore.
HEA 1341-2009 requires taxpayers who remise the homestead standard deduction to verily that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi contidemial and can only be acre:sed by authorized county officials.The Depanment of
Local Government Finance will ow this information to create trots that will help county official.eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Gipson, Charles R/Sarah E 41-00 S 0 50 E
RI Dos 129h
Oakland City EN 47660
4881 61......--
Charles R/Sarah E Gipson
4400 S 850E State Parcel Number Le2a1 Description
Oakland City IN 47660-8526
I I I I III I I I I I I I I I I I I I I! III 26-1334-303-001.021-006 003-01021-00 PT SW SW 34-2-9 4.01 AC
I n nt t rat n tit ot n r nt di n to IIII el
k
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Cet-RRL-Es PAY 6tPS01J
apt Adams(number rata sneer,city,state,end ZIP code) - -_- - - ® Same a s property address — - -- _- -
2t 41010 S ''5o E- , ()A KlA ND c t r i x I N 47Gc o - 3526
Spouse First Middle Last
SARAH £L-I2,4*T3F 11-t CIPS01N1
Mailing Address(Number and street-city,state,and ZIP code) El Same as property address
i‘00 S 7 3o E , DAvK LA N`) C D r y , I N z}-7cco -$ sac
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
•
sort o
CLAIM FOR
CREDIT /STANDARDTDEDUCTION RTY TAX ((��
State Form 5473 (112 15-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10 1,
CERTIFICATION STATEMENT •jr
33-'
I (We) certify that o , 1 , of IvYarch;19_
I (We) occupied as our principal place of sidence the following described real property for which a Homestead Property Tax�Crrf ip gei*V( Jimed:
L.V J
❑ 1 (We) owned - El Are buying under contract ry K 1
❑ 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 u der /contra,
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name • ' �'�`
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
T hip .
Tatting district (ciryG)
r -� ^
/av �' I
Parcel number
Legal description
eb3 -O a-)-1 -to o
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.
3o3 -a0/ o�/-��
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
F ounty Township
County Township
,ereby certify the above statements are true, correct and complete.
Sign f imam
Address (number and street, city, state. ZIP code) '
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(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 plus line 7)
(8)
1 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
Les f 1/2 Homestead
$
afu Ion o� S2,000
Signature of Auditor -
Date signed, /
I Do