HomeMy WebLinkAboutHomestead_BarthJ'S�
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION
State Form 5473 M715-013)
Prescribed by to Depertrrent of Local Govermnert Finance
INSTRUCTIONS, See reverse side for filing instructions. FILED
I (We) X X/A/W, t,-- 'F / ' I C"A, �- �'r / — certify that on the 1st day of March, 20
I (We) occupied as our prind of residence the Womng described real pup" for which a Homestead Pmp"
��eftZreby claimed:
'a
1 (Vie) awned ❑ of
under contract GIBSON COUNTY
under Have a beneficial interest in the entity tot is liable for the property taxes an the property and that owns &a property or is Wyhg tr , a contract.
A
-CONTRACT RECORDW,`;J'/"y;1
County
Township
If buying an oontracL Fee Simple ownees narnr,
Timor %hp
Tadry district (cly. 10_0=1b"
I hereby caddy the above staternents are true, correct and complete.
Vx
�r nuffdw -
Legal description
Ls the property in question:
I
Pa=deft office where contract is narvded
ow-M-91-303,00. 7
0 //
Record number
WW"
Page
A
I-Ald.
County
Township
County
Timor %hp
Tadry district (cly. 10_0=1b"
I hereby caddy the above staternents are true, correct and complete.
Vx
�r nuffdw -
Legal description
Ls the property in question:
I
,�ZIZ
ow-M-91-303,00. 7
0 //
JaReal
WW"
❑ Mobile Horne (W. 6-1.1-7)
ff arty portion lfthe rasiderrtial NnxAUe err the lad not ermeading one (1) acre that irnmellately surrounds Dud str6ctunr
is used to prod" income. describe them and pubm
of the property utilized to produce inrmne.
OMED BYC]LAIJAMTIN OTHER COLl1fT1U1P,-`
I-Ald.
County
Township
County
Township
I hereby caddy the above staternents are true, correct and complete.
Vx
Signature aLclamacd
( number andgl city, sale zipcods)
-ZOO j
DZA16e2l 61
,�ZIZ
Vlr76 _R
','-,,ASSESSOR USE )NLY
�I�TRUE.TAX��,;..
4AL!ii
Q
"AT .100%OFTrv;
Vx
. �
fA
.44
Land not exceeding 1 (am) acre inrinediately
x'57 3\nTi
surrounding residential innpravernents.
m
Other land
(2)
Tdal WW (lone I plus Em 2)
(3)
gm
Dwelling
(4)
Residential irnprom.,ents or Artroualty,
Garage
(5)
x
Assessed Mobile I Manu%clured Horne
Other arTravernents
(6)
k
Tdal (Zine 4 ftmigh line 6)
(7)
Tdal value (line 3;*n fine 7)
(8)
1 hereby certify the above is true, correct. and
cornplete-
Signature of ASMOSSM'
Dater sond
%kn" action - Signature of AxfitN
Date signed
'- " I I - I ,
1-;STMDARD DEDUCTION ALLOWANCE
• 1 _"5
low 20_ Pay 20_
Lesser of 12 Homestead
Valuation or $36.000
SuSIE FORM,JR0InI•-NF IFF-'SUFER FORM ISAA
nrPRFn'Eony4UEarMRDOFAftVRgTs.aIM Prl3AmWDYTIL DFPARIl`Rf fLOCALCovEt-s,rsrwuaseEIPH.L-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 home stead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 requires taxpalers who receive the homestead standard deduction to verify that they am elieide to recche the
benefit and to provide additional identifying information necessary to allow county go ntrnent to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by auhnrieed county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Barth, Benny C/Mika L
710 E FDINHOUROUGII
Ilaubstadt IN 47639
8239
Benny C Barth
701 E Edinbourough State Parcel Number Le_at Description
HAUBSTADT IN 47639-8232
11111111 ttlrIlttt 1111111IIlttltttlt 11111,111.111 !Mild - 26-19-31-303-000.782-009 BRIARWOOD 1144 AC o-9
PART 2: TAXPAYER INFORMATION
Owner I First Middle ions Address(number and sneer.city.state,and ZIP code) - 0 Same as property address -- — - - -
707 e 6240 p�U/I-0 064/ Conn-r %&/(557g)1r ,& '17639
Spouse First Middle Last
/171,44 L eC 04477/
Mailing Address(Number and street,city,state,and ZIP code) i'3 Same as property address
7 0/ 6: gpi 0 5 6'4 0 v 5/✓ C0 41th5&T,1 DT /i) 9773Y
- --
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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
PART 4:ADDITIONAL INFORMATION
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