HomeMy WebLinkAboutHomestead_ConnerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Ststa Fam 5473 (R7 I SM
Presmited by the Deparlumd of Local Governrnerd lFinance
FORM F—YEAR
CIO
..... Is — 1 0 9 '01j,
CERTIRCATM STATEMENT: 1 � " I - - "-.-
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I (Vye) Q t�A 4)MY L'141A�- —cmfrfy that 171&9 d1118`y=i
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I (We) occupied as our principal place of residence the Wowing described real poperty for which a Homestead pT tai
I (We) owned El Are buying under contrad
Have a bereficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying Under a CGhtraCt
T Cy� C
RA IRE ORDEW"
54
If buying on conbacL Fee Simpie ownses narre
RB=deea of5m where cm*W m momded Record number Page
miid0iml IC11111MEd BY CLAIIIIANT IN OTHER C�
Csounty
Tmnship
County
Township
Taxing district Wx r
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and street chy, aatm, ZIP code)
WS07 W - F- (.. He.
=7 w9,3 3
6081 ption
is the pwarti, in �uesum:
1 Paw property
Mobile Horms(M&1A-7)
H any portion of theresidei structure or the lend nok exceeding (1) acre thal wn"mclately vanounds Umd sb�jcture is used W produce ewprne. deembe the h and portion
of &* property utilized W Pmdum
miid0iml IC11111MEd BY CLAIIIIANT IN OTHER C�
Csounty
Tmnship
County
hip
I hereby certify the above statements are true, correct and complete.
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and street chy, aatm, ZIP code)
WS07 W - F- (.. He.
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USE01LY
!',TRUE!TAX
ASSESSEDYALUE
HOMESTEAD' .
-
s"SESS&
Lesser of 112 Homestead
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V ALLE
;w'
Land not exceecling I (one) acre iffirnedately
Slim
wnrounding reSKlential irnprovernents.
T
Other law
(2)
Tdal land (1kne I Plus &m 2)
(3)
Dwelling
(4)
Pesidentialenprovesnerdsor Annually
Ep
Garage
Assessed Mobiles I 16ftudactured Horne
Other improvements
(6)
Total irnprovernents (&w 4 thirnuo fine 6)
TcW value (line 3 p1m line 7)
(8)
I hereby om* the above is true, correct ancl
connplete-
Sgrob"OfAssessor
Date sVmd
%Wdywo action - suma" af k
Date somd
STANDARDDEDUCTION ALLOWANCE
20 Pay 20
Lesser of 112 Homestead
Valuation or SM.000
$
Slim
ST AIR FORM!ORE IR_/Awl 'MUSLIM TORY SIA
APPROVED A Y BOARD OF AOROUED%.2On PRIYNBHI BY TIE oEPART@V TCYLM'AL GOATRYs1rA'T FINANCE IC 4.1.1-2:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and harried couples are limited 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'as bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept cnnlidential and can only he aecesal by authnrired county nficials.The Depanntent of
Local Government Finance will use this information to create tools that will help cone officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Conner, Brock S/Kendra S a
_ ____ ___ —. __ __ _ —___. _-._.__.__ _ _ - _ _ Haubstadt IN 476 9 _
8269
Brock S nner
(310-21I State Parcel Number Legal Description
HAUBSTADT IN 47639
26-19-31-304-000.341-009 013-00341-00 E PARK ADD 370 P1/371
\y- PT/372 PT 373 PT
J`
PART 2:TAXPAYER INFORMATION
Owner I First L Middle Last
_ Rro � S`TeWart Cori r
ie
elm Address(number andsacet,city,state,and ZIP Code)_ ❑ Same nspropeiv address —— — __ __
p o . Boy ass H-awbs+Ad+ TDv/ q1'to 39
Spouse First Middle last
kendrix. Sue Conner
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
P. O. BOY a53 , H.ubslad-1-, 17q 1 4163
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 Si Date
PART 4:ADDITIONAL INFORMATION
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