HomeMy WebLinkAboutHomestead_Bittner (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fcmr, 5473 IRS / 4-03)
Prescribed by the Department of Local Gowemment Finance
FORM YEAR
HC10
I (we) I I j —It r ZIr I - Y �f J 117 /'"a A certify that hT 1st qy2003,,h, 20
I (We) occupied as our principal place of residen the following described real property for which a Homestead Property Tax Credit is hereby claimed:
ER"'f(We) owned ❑ Are buying i 2'r tract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the piopertyrlor is'hu'q'ing
under contract.
G:LISUN COUr, - �U!J!Wa ri :
NTRACT,'RECORDED
If buying on contract, Fee Simple owners name
Recorder's officer where contract is recorded Record number Page
ON
NU-AWT 1 I
I
County
County
Township
Taoing district
Signature of claimant
Parcel number
L scription
Is Ing property in question;
QIIQ property
❑ Mobtre Home (tC.6-1.1-7)
I
It any portion of the revi an cture or a no iix c4ding one (1) acre that med . un surrounds that structure is used to produce income, describe the use and portion
of the pro erty
!Zyf
I the pro Zf
071-u
ON
NU-AWT 1 I
I
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city, state, ZIP code)
a
ON
NU-AWT 1 I
I
ETAXW
A L
SSESSEDVAUE
OESTEA D
WNftN-
"
IrEiirA*SSESSOR,USE
MZ
VALUE-
AV
I
Land not exceeding I (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
�2
Total land (fine I plus line 2)
(3)
Dwelling
(4)
Residential Improvements orAnnuagy
Assessed Mobile It Manufactured Home
Garage
(5)
Other improvements
(6)
a.
OR-
MN
Total improvements (fine 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(8)
I hereby car* the above is true, correct, and
Signature of Assessor
Date signed
complete-
I
Verifying action - Signature of Auditor
Date signed
SIAtE FOAM•3Y1,11C ✓>wt nRrAWItmm PoRN 73-IA
.APPROVED nT MATE W fRDnFACCT S_b • PITY-MED BY TIC DEPARTMENT IF LOCAL GOraelNCIT FINANCE IC 4-IJ-L".1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO 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 ncr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
ASTHEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reverse the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.Ibis information will he kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead tmud.
' PART 1:PROPERTY INFORMATION
I
Taxpayer Name Property Address
Bittner, Melvin J -Living Trust
APR 6 ZULU 503 W Elm
Ilaubstadt IN 47639-8106
7412 ea
Melvin J Bittner GIBSON COUNTY AUDITOR
503 W Elm St State Parcel Number Legal Description
HAUBSTADT IN 47639-8106
�r�t r��ttt�t��tt tt��L�r�tr�tr�rr rt����tttt��tt�� 111111111 26-18-36-404-000.358-009 013-00358-00 PT SE 36311 .43 AC
• PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
iiIng Address(number d street,city,state,and ZIP code) V — — - --- Some prope
ru rty -
.Ca 3 w - nos
oddre6s -- -
�Z -S A'ia t u
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) n Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
se,Q 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 1 Signature Date '
\ )
PART 4:ADDITIONAL INFORMATION
•