HomeMy WebLinkAboutHomestead_BoarmanCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R715 06)
Presabed by the Department of Local Cio%eenvnerd Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (we) &/VAJIL�
I (We) occupied as olrdcipal ptace of residence the
I (We) owned v U Are buying under contract
Have a beneficial interest in the entity that is liable for the
tf buying on contract. Fee Simple owner's name
contract is recorded
FORAA
rr certify that on the 1 st day of March, 20 —
for which a
1i certify
Property Tax Credit is hereby claimed:
property and that owns the property or is buying under a contract
Record number I Page
P-R6PERTYqimdkjiy.n6
C-94 Ihi
Township
Taxvhg district (cily, town, township)
I hereby certify the above statements are true. correct and complete-
0
Land not exceeding I (one) acre immedaboty
SLAMAXI&V residential improvements.
Is the property in question:
ZlPooda)
ft-n� db-4� 1-�
Date Signed
❑ Real property ❑ Mobil. Home (LC, &1. 1-7)
If arty portion of the re5dentud strnc4xe a the IoM nit exceeding one (1) acre that imff*Kkately surrounds that structure is used to produce income, describe the use and portion
of the property Wilbbad to produce income.
t-W%iAw' rl-MINIM PROP. Elkry.OWNE64i�CLWMANT, t"TH EWCOUNTIES W�&UN
County
Township
County Township
I hereby certify the above statements are true. correct and complete-
0
Land not exceeding I (one) acre immedaboty
SLAMAXI&V residential improvements.
(number and street
WMA
ZlPooda)
ft-n� db-4� 1-�
R' 7r "
iXg
,jRUETAt*
-�,'HOMFSTEADW,
a3�7%�j7
Land not exceeding I (one) acre immedaboty
SLAMAXI&V residential improvements.
SWIsture of Auditor
Date Signed
X4 a-
T T
Other land
(2)
TOLEd land (line I plus firra 2)
(3)
Residential improvements or Annually
Assessed Mobile I Mamdactured Home
Dwefli ng
(4)
Garage
(6)
74"
N
Other improvements
(6)
Tdal improvements (line 4 through fine 6)
(TI
Tclal value (Im 3 plus Am 7)
(8)
I hereby certify the above is true, correct, and
complete.
SignatureofAssessor
Date signed
Verifying arson - Signature of Auddor
Date signed
L� ------------- ------- -- ............................................... . ........ ................................... ---- . ........ - - - ----------------------------- -- ---------------- ------------------------ - ------------------ ........
20 _ Pay 20
Lesser of 112 Homestead
Valuation or $215,000
SWIsture of Auditor
Date Signed
L� ------------- ------- -- ............................................... . ........ ................................... ---- . ........ - - - ----------------------------- -- ---------------- ------------------------ - ------------------ ........
STATE FORM 53569(RM-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-5.1
IMPORTANT NOTICE; O HOMESTEAPPROPERTY OWNERS,
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
,causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor homestead filings. This information
will be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
,`. . 34 .. ..7:-:.± ." "' 1..-0 :.T-„...t ;. ;P ARTt.,cPROPERTY:. ..FORMATION-_ 1" s ,,;^: ycl, ,' L 0E e yt,:,: • el,
Tasoaver Name Property Address Slate Parcel Number Ira!Description:
James R Boarman 102 S JEREMY LN 26-18-36403-000.503-009 WEST HGTS 3RD ADD 202 PT
HAUBSTADT IN 47639
Contplete.and return to: IMItill!l Mill I ilM11111 II II llPi9i(3illiiI11111 II —_•
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 f
N-3- tat ai1yy:--. -N1 ` Lt PART 21$TAXPAYER'INFOiiMATION-t?s:.-i s _` r: e'%,71i .,ta +�_'
Owner 1 First Midrib Last
JAMES RD PoE12 T OA-KA/LA-14
Mailing Address(rv:mber and street.city,state and ZIP code) Rig:ame as properly address
Io2 S 5ercw y Lcivle. I lau. s-l-Ad4- I N L'lt 3� -
uu5e First Middle Last
IC 1"r'A- eHC12y - $oAR,t4Mf
Mailuq Address(number and street.city,state and ZIP code) Sartre as properly address
ur :,,;PA T'3C EAT 0 :J`,, At l'4. ? hi..a�'-Mr J9. sr :t...; 7,-4sfa'' t N?j'.:
— Each undesigned canites.'under penalty or perjury;that the above and toreaoinv.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
) WStote1
C::';.=�t*. `taG ? `_... 'r.ts`.*tti . . r?PART„3 iADDITIdNA7'1NFOTRMATIQN' tell w y -'r;.t.:k,.-;Acco 'It ' "b"i+'
I
8� ' i�
alk-
DEC 2 8 Z 01 Z - - - - _ ._ __
etscnN COUNTY AUDITOR