HomeMy WebLinkAboutHomestead_HeavrinCLAIM FOR HOMESTEAD PROPERTY TAX I EAR
CREDIT /STANDARD DEDUCTION /N H 10
State Fonn 5473 (R817 -07)
•� , ,• Proscribed try the Department of Local Government Finance 1 I
INSTRUCTIONS: See reverse side for filing instructions. OCT 1 5 ZOOS
I (We) 21 d ' certify that Ran (�t1111N 1t � II�R ---
I e) occupied as our principal place of residen a the following described real property for which a Homestead PriS�ip,l Barg rt is ereby claimed:
(We) owned ❑ Are buying under contract
Have a beneficial interest in the enfity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
If Wryuig on contract, Fee Simple owner's name
Recorders office where contract is recorded
County / 11 _ . 1 Twmshlp
Parcel
W If rtion of the residential structure, or the land not exceeding one (1) acre that b operty utilized to produce income.
X /- bcn.o ell -6 Got,
town,
Is the
Record number I Page
Real property LJ Mobile Home (/C 61.7 -7)
surrounds that ttuure is used to produce income, describe the use and portion
•.-• • •
2U — Pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation $
or 43,000 for 2009 pay 2010 40,000 payable after 2012 -
Signature of Auditor Data signed (month, day, year)
IBMrr
..
Land not exceeding 1 (one) acre immediately"=
s .r -
surrounding residential improvements.
(1)
- -
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
-
Total improvements (fine 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, corned, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day. year)
•.-• • •
2U — Pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation $
or 43,000 for 2009 pay 2010 40,000 payable after 2012 -
Signature of Auditor Data signed (month, day, year)
•
I STYE FORM!oN(IC/f+Nt TRFASULtX FORM 79-IA
APPROVED DV xtwL aO1AD OFAcOX'.\Tx.2uv FRSCRIBmfY fir.OEPARTNEW OF LOCAL tOVaNNITWT FINANCE M♦I.1--r-rl
%Gibson County Auditor
101 N Main IMPORTANT NOTICETO 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 goer for homestead fraud.homestead fraud causes higher tax bills for all;therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to revere the
benefit and to provide additional identifying information necesaun to allow county government to better monitor homestead
filings.This information will be kept confidential and can only hr accessed by authorized county officials.The Department of
Local Government Finance will use this information to create ads that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
• Taxpayer Name ; Property Address
Heavrin, Robert L II/Stephanie G
PO13ox32 6
Mackey IN 47654
3266
Robert L Heavrin II
9535 E MAIN State Parcel Number Legal Description
MACKEY IN 47654 '
26-20-14-301-000.041-002 015-00041-00 PT SW 14 3 9.42 AC
•
'
This form MUST be returned to County Auditor'soffice.
Please do NOT send this form back with your tax payment to the county treasurer.
• • PART 2: TAXPAYER INFORMATION .
Owner I First Middle Last
g Address(number and street.city,state,and ZIP code) ❑ Same as property address
q535 E - MAN sr. DA a-P I N 0 CT7y 1 ,-r_1 J q -? ( ,o
•
Spouse First Middle Last
3TEP4-1RN (E C� . . H r_A\Ig1N
Maing.Address(Number and street,city,state,and ZIP code)
li ❑ Same as property address
x'5 3 5 E 1 rift i J 3-C, O A K.-A lib CXr , r-1 Ll 7 ln(60
3:CERTIFICAT •N ,; - - _,x • ,-::' -sax _ -
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.
lane Signature Date
PART 4:ADDITIONAL INFORMATION
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