HomeMy WebLinkAboutHomestead_Leukhardt SlAiL[ORM eft et:/Y•I TRESSURER FORM iSIA
Atreat!)BY STATE BOARD OFMTU:4S.:WY Plrnmm BY nn OEMRTMENTOF LOCAL rOVERYMP(ENACER 41.1-L-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standani deduction.As the receipt of this deduction becomes
More beneficial,there is more incentive than ner 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 teeehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filiot,..This information will be kept confidential and can nob'be accessed by authorized county officials.The Department of
Local Government Finance will use this triton-nation to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Propertv Address
Besiru}r Jhefnes-B"Etal
/U(r•Vert KGRRy'�t�K R� 2501 S Owcnsville Rd
Ilaubstadt IN 47639
1567
Le.uKWAQCot Mezavcjekcrry
D D a;„g I
12501 S Owensville Rd State Parcel Number Legal Description
HAUBSTADT IN 47639-8703
Illrtlltttitllttttlltltlttlttltltttlll Iltll ILIA! 26-22-16-200-000 -024 004-00081-00 PT E 1641170.10 AC
PART 2: TAXPAYER INFORMATION
Owner 1 First Middle -r 1 Last
N A-N e[J ,e)1 en • (_W o oz's) xN Hcfr—k J i
Addk s(rthmbv and street,c i ty.s a t e.5nd'LIY code) - - _ --.attune as property oddnc a • - • .. - - _ _
51)I S. ®LOt n6u; 11c Pelt, 6srr'r-Dr rN 3f7 .4g 9
-
Spouse First Middle Last
-K ktCR 11 C �7rKN �JR�T
Mailing Address(Number and street,city,state,and ZIP code) IMtne as property address
-
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is we 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
__ STANDARD / SUPPLEMENTAL DEDUCTION
' State Fwm 5473IR13 / 72-09)
t I PresaiEed by tha DepaMrent M Loml Govemment Finarxe
.w
INSTRUCTIONS: See ieverse slde (or filing ins6ucfions.
��I
FORM
HC10
�i
I(We) �:- �- certiry that I(we) occuur�n s my (our) prindpai
place of residence or am ) buying the tollovring 'bed real property for which a Homestead Property Tax Siandard DeduLti��s 1�er��by daimed
iG
uMer contrad on ihe date this applintion is filed, (date of filing). I(We): C. �
� Own ❑ Am (are) buying under recorded conVact
❑ Am (are) entltled to occupy as a tenant-s[ockholder of a cooperative housing corporatlon G/BSpN ��UNTy
❑ Have a heneficial interest in Me wst or the right to ocrupy the property under the tertns of a qualified personal resitlence trust A�C•1rpR
❑ Am (are) ihe shareholder, partner or member of Ne entiry that owns ihe property.
,�..
F�j�.'� ' .
� '.
� ' / i / / �� �I �i
.;�,� t�'��i; �:, �-� j �,.+?A,,.�up�?a�„ E`�y}PROPERTY�OWNEO,BY,CL''AIMANT;
�
I hereby certify Ne ebove statemenis are We, cortect and complete.
a�Z��
Land not axceeding 1(orre) acre imme
surtoundln0 re%�de�Ual �mprovements
Other land
Total land (lirre 1 plus line 2�
Reside�rtial improvements or Annually
Assessed Mohtle / Manufxtured Home
Other Improvemenb
.�.� (1)
(2)
(3)
Owellln9 (4)
Garege
Total improvemerrts (Ilne I Nrough line �
Total velue (llne 3 pfus Ma 7)
1 hereby certity the above is We, correct,
and complete.
Veiymg aIXbn - SignaNre of Autlitor
(5)
(6)
i8)
Stgnawre ofASSessor
Record numbu � Pape
�a�, ro,.,�,�>
� Real {aopeny U Annuslly e5sesseA mob0e home (IC Gt. t-n
that struUUre is used W P�ure income, describe the use and Portkn
oF aaimant
�Y7� y
20 _ pay 20 _ Lesser of 60% of the essessed value of iha hanestead or $45,000
No�viNStending eny oMe�provivrn. Ne wm o7fhe deducliwu provided in IC 6/.1-12 ro a moDile homa Rraf "a
rat assessed es reel pmperty or to e menWectured home Net is not esmssed as real property mey rot erceetl
��o.nAx ifn� N rnw ncw. � vwlrre Nfhe moh7e home ormanNacfurad hort�e.
$
Township
Date aigned (monfh, daY.Y�/)
�Y. Y��
Sigria4ua of NiEila -- __. I Oate signed (rtanth. daY Y��