HomeMy WebLinkAboutHomestead_Traderfyf!T`.rt
CLAIM FOR HOMESTEAD PROPERTY TAX FOR�7uq•
a CREDIT /STANDARD DEDUCTION L
�;. State Form 5473 fR2 / 5 -92) J�i1 Q
Hsu 'APR Q 5 1994
INSTRUCTIONS: See reverse side for tiling instructions.
_ Y
CERTIFICATION STATEMENT _ _ __ „ x �•. ( {'tom /S'.
6n rr
J = certify that on the o ® 1 nnn
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby c air. 939
❑ 1 (We) owned ❑ Are buying under contract
❑ 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 uncle! r3 contra t ".
"CONTRACT RECORDED
It buying on contract, Fee Simple owner's name +
Recorder's off ice where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
' PROPERTY DESCRIPTION -
County
Township -
Taxing district (city. fawn, township)
Parcel ) I numberOO�� —oo
Legal descripti n� ` (4 ` 3 — , /
If any portion of the residential structure or the land not exceeding one (NII acute that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County --
Townsh'
hereby certify the above statements are true, correct and complete.
i re lai ant
'M (hum n streel, city, state. P code)
W / n
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
luation or S2,000
Signature of Auditor (Date
Otherland
(2)
Total land (line I plus line 2)
3
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7l
(g)
1 hereby certify the above is true, correct, and
Signature of Assessor
I Date signed
•mplete.
itying action - Signature of Auditor
f
I Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
S
luation or S2,000
Signature of Auditor (Date
STATE RAM!a'NI R'/%Wt nr Slur&FORM TS-IA
�EIMPORTANT NOTICE TO HOMESTEADEP OPERTY~OWNERS t-ia.t
Gibson County Auditor
101 N Main
PRINCETON IN 47670 IndividuaLs and married couples are limbed to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser 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 receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling,.This information will he kept confidential and can only bit accessed by authorized county officials.The Depanntcnt of
Local Government Finance will use this inhumation to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY E\FORMATION
Taxpayer Name Property Address
Trader, Nona L
PO Box 2
Mackey IN 47654
3261 Ci
Nona L Trader 11
II/.
P O Box 2 State Parcel Number Legal Description
Mackey IN 47654-0002
1111111111111111111111111111111111,111 I I I I IWild 26-20-14-103-000.057-002 015-00057-00 PT NW 14-3-9.15 AC
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 1 _ First Middle Last
DIVA I Ye L FR D E
y g Address_ ��number and street.city,state,and ZIP code)�,Q,i- /D, �(. �l�l Some as property address
Other(please specify in Part 4 below)
Spouse ''*/K//,,//11 First Middle Last
Mailing.Addumber and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sae
PART 3:CERTIFICATION
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
unlawful ,he or she may be liable for back taxes and substantial financial penalties.
a i.e Si :fine / Date
Spouse Sift to Date Telephone
( )
PART 4:ADDITIONAL INFORMATION
•