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HomeMy WebLinkAboutHomestead_CaskeyCLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION State Form 5473(R2/5-92) INSTRUCTIONS: See reverse side for riling instructions. FORM LYIAR HCAPR ©1 96 I (We) _ _'_ *o ` certify that on the 1 st day of March, 19 LA �) occupied as our p , . ipal place of residence the following de bed r I property for which dHomestead Property Tax Credit is hereby claimed: f (We) owned ❑ Are buying under contract ❑ Have a beneficial interest in the entity that is liable for the properly taxes on the property and that owns the property or is buying under a contract. CONTRACT RECORDED It buying on contract. Fee Simple owner's name Recorder's office where contract is recorded Record number Page PROPERTY DESCRIPTION . County _ Township Taxing district (city town, township) Township �eby certify the above statements are true, correct and complete. Sign rur of dafma t Parcel number Legal description Other land It any portion of the residential structure or the land not exceeding one (1) acre 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 Township �eby certify the above statements are true, correct and complete. Sign rur of dafma t Address (number and street. dry. state. ZIP code) p S r7 (o ki ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Sign cure of Autlltor Date signetl Other land (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 p6s line 7) (g) I hereby certify the above is true. correct. and complete. Signature of Assessor Date signed Verifying action - Signature of Auditor Ift Date signed STANDARD DEDUCTION ALLOWANCE 19 Pay 19 _ Lesser of 112 Homestead Valuation or $2,000 $ Sign cure of Autlltor Date signetl Fi ATE FORM 53569(R3/8-10) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1 22-8.1 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS "i7-M Individuals and married couples are limited to one homestead standard deduction. As the receipt of this duction 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. }, '` • PA' I: PROPER INFORMATION _ „rat"st r;u x: Tasnaver Name )roMrn'Address State Parcel Number Leeal Description: Barry II/Christina L Casket' 707 N JEFFERSON ST 26-20-02-204-000.084-003 MOORES ADD 32/33/34/35 SOMERVILLE IN 47683 Complete and r_entrn to: - 211011:11111111111111[1111111111111111111111,111111.11101111B1111 GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 PART 2:TAXPAYER INFORMATION' S,u Vii;, `:" Owner 1 First Meddle 1/ Last ex)orhl l N os hrt l ej I CesIKet 1 Marring Address(numb.and street.aty,state and ZIP code) J ame as property address licxa4-p-, 707 N .\-E C'cvncoMS-L Soynt,-v° IfeI len 47cp`83 Spouse First Middle Last �Y�V,` c Kty �s�`�not ��. M ar _hamber and street,qty,state and ZIP code) r eme as property address 1 )R - '\ e ,n-P2v corn <S+> cSC> \rvl eArV? (,1 Zk LL7cg> u:-2-_ 1 - .. e .. u y✓...� s K .,..�.. - -..7_..-� :.. - a`-�O _'..�-!`PA'R�j�: }-� a ..� s«.i l '! - R�__ E9iVr .._ 1 x. '1r ':YRter'eeAttr�r 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. pSigrtat.'/// Dare x eYwe' N' -"S&, ht'.. ._ <w PART-4:ADDITON.A INFORM ATION ,x ; -^" ,. _z 4:1 . r ::cj ,r IP FILED • NOV 26c011 c .r GIBSON COUNTY AUDITOR