HomeMy WebLinkAboutHomestead_Deal0 t CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Department of Local Gwemmenl Finance
INSTRUCTIONS: See reverse side for Nina inslmclionrc.
I(We)
I (We) occupied a ur principal place of residence the following described real property for which a
❑ I (We) owned ❑ Are buying under contract
FORM n YEAR
-YHC10 t
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Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
o- .zY�,- .a}'d•: :k' sa. =fs c'i- z''' ...... CONTRACT.`RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page'i
-'
P,ROP,ERT.Y.dESCRIP.TIC N r�.�., '3k.riN r'`� � "._' --a _
County
/ /A
amship
hereby certify the above statements are We, correct and complete.
Tain isu ty tw, nshp)
n tier
Le al desuip6o
Is the prope
IV
question:
Real property ❑ Mobile Homo (I.C. 6 -1.1 -7)
H any portion of the residential sWCture or the not exceeding on
of the property utilized to produce income.
) acre that inflnediately surrounds Ural structure is used to produce income, describe the use and portion
''- -- . __..r . *CV __- "r_._..: --_-.-67 i 3`r.• rya, `
ROP,ERTY;OWNED;BY: CLAIMANT: IN; OTHERCOUNTIESI��sr_ :'.�:��"Gi,�+_3,,.�.'�cx- .{r�cv
County
Township
County Township
hereby certify the above statements are We, correct and complete.
Sign ture of cI " nt
dress (number and street, city, state, ZIP code)
' vASSESSORUSE ONLY 7 ° e5.i
�'TRUETAx } g,
VALUEy�
ASSESSED VALUE
*" AT 700 %.OF,tV
HOldESTEAD=`
5 � A r '
,<v ;..VALUE.a
NON E:2 SIDENTIAL j x `
�ea'rFi." = =VAL�E;� »uexi
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
It
Total land (line 1 plus line 2)
(3)
Residential Improvements or Annually�.>~'.�,3."rtac
Assessed Mobile / Manufactured HomeGarage
Dwelling
(4)
$ �fiiYa =S- s _.q
`
-
Other improvements
(6)
i
�'$ "3t s
� -. , ONE
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is We, coned, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
_. x•>. ��'";_'..- .3'>�a'S'�.y-'..fiitt�.,i�i's�
( ., °: �STANOARD :DEDUCTIONiAL'LOWANCE�� �P'i��"n5,s.,;,� � "- `�,'„';'"i �f- �;,v,, sr �'•a
20 _Pay 20 _
Lesser of 112 Homestead
valuation or E35.000
S
Signature of Auditor Data signed
i TITASUILII FORM 7S-IA
nPPIXw'En BY Ci{IEBMADIFA[Ytia�Nrx.9v PEEANBEDnY TIE DEPA IMINT. FLOCAL ro'ttNMrNT FINANCE M 6-1.1_a.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couple,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.
® FIFA 1344-7009 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 count'government to better monitor homestead
filings.This information will be kept mnlidemial and can only be accessed by authorized county officials.The Depannent 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
Deal, Ryan
203 N West
Haubstadt IN 47639-8128
2699
Ryan Deal
203 N West State Parcel Number Leval Description
Haubstadt IN 47639-8128
26-18-36-402-000.133-009 PT SE 36-3-11 .14 AC WEST
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HGTS 1 PT
This form MUST be returned to County Auditor's office. .
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
IAA' K. &A.L
�g Address(number and street, state,and ZIP code) p.„$ame as property address
n70 3 N (,JCS T S T .
Spouse First Middle Last
S 2A-N Nc. �1=A- L
Mailing Address(Number and street,city,state,and ZIP code) cgl Same as property address
_
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 n Date
PART 4: ADDITIONAL INFORMATION
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