HomeMy WebLinkAboutHomestead_DrennanCLAIM FOR HOMESTEAD PROPERTY TAX FORM
YEAR
CREDMSTANDARD DEDUCTION HCto
Stile Form 5473 (R71546)
Prescribed by the DePerenent at Local Governnnard Finanoe
INSTRUCTIONS: See reverse sle for filing insitructmDris
CEIZTEFICA710NKATE31101T,,
I (we) aAalt�; that on the 1 at day of March, 20_
1 (We) occupied as our principal place of res ence the following described real properly for which a Homestead Property Tax Credit is hereby danned:
I (We) owned ❑ Are buying under contrad
Have a beneficial interest in the entity that is liable for the property laom on the property and that owns the property or is buying under a contract.
GUNTRAGTKl
If buying on coneacL Fee Simple owners name,
Page
:PROPERTY 0011IFNE613YCLAAMTEN O_THERCOUNTIIESf ;'41
PROPERTY OESCIFtIPTIM
Township
Cminty
Thenstup
Taft distr ki
I
M 1 0 WnS4-1
Wess'(number and i0roat ody, dear, ZIP code)
l ,"".VALUE
Signahze of Auditor
U7 Ir-
Parcel number
Leo description
Is the property in question: At)?
Land not exceeding I (one) am irninediately,
I
� Wperty ❑ Mobile Florne (LC. 61.1 -7)
H any portion of the msicim sbuilure or the land not exceeding one (1) acre, dud inunedialmly surrounds
04 struclure is used to produce inocirme, de9mbe to use and portion
of the properly utilized to produce ancorne.
15 6
- 1_\ 6'1 —
Other land
:PROPERTY 0011IFNE613YCLAAMTEN O_THERCOUNTIIESf ;'41
County
Township
County
Township
I hereby certify the above staternents are true. Conrad and couplets.
Signature of daimart
Wess'(number and i0roat ody, dear, ZIP code)
STANDARD DEDUCTION ALLOWANCE --
TAX
TRUE f
ASS'
�f.HOMESTEAD,�t
5q
AMMOR USE ONLY (1 1. 1
VALIJE
Valuation or $35,000
l ,"".VALUE
Signahze of Auditor
Date signed
Land not exceeding I (one) am irninediately,
surouding residental imprvanert-
0 I
X6. &X,
Other land
(2)
Tcbd kind (Iiine I plus fins 2)
(3)
Residential ffriprovernents; or Annually
Dwelling
(4)
Assessed Mobile I Manufactured Horne
Garage
(5)
T
Other improvements
(6)
Tcbd ffriprovernents (finis 4 through fine 6)
(T)
Td al value (lire 3 plus fine 7)
(8)
1 hereby certify the above is true, correa and
Sigrobirs of Assessor
Date signed
complete.
Vary" adion - Signaliffe of Auddix
Deft signed
STANDARD DEDUCTION ALLOWANCE --
20_Pay20_
Lesser of 112 Homestead
Valuation or $35,000
Signahze of Auditor
Date signed
STATE FORM 555M(0.3/8-10) TREASLRFA FORM TS-IA
APPROVED Ely STATE BOARD OF ACCOUNTS.WO PREscramnv THE DEPARTMENT OF LOCH.GOVERNMENT FINANCE IC 61.1324.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
• 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 - more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
FILET)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.
PART 1: PROPERTY INFORMATION - .
_ APR 1 5 2011 • Taxpayer Name •Location Address
C.rJ.m
Drennan, Robert R/Christina M
419 W PLUM
GIBSON COUNTY AUDITOR HAUBSTADT IN 47639
2361
Robert R Drennan II]I�III.�III III I �IIII _II_�II0111ini III II_Ill111BIi IIIDI iiBill11_II I I�II
511WSR68
HAUBSTADT IN 47639
State Parcel Number Legal Description
26-18-36-404-000.165-009/PT SE 36 311 .38 AC
- 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.
r 1 .. PART 2: TAXPAYER INFORMATION
.:_. Inn First Middle - Last
Mailinngg^Address(number and street,city,state,and ZIP code)
1 ' 1 - Ei Same as property address -.
J 1\ W S '\- . \ COO A CA-V‘bs 4^d.)-- 1,n I-1 7 Fo 3°1
Spouse First
. Middle Last ,
C--\(\e' ‘73..\-` .t‘-. \(
LA s Dre n (\e.,.
Mailing Address-(Number and street cirY suite,and ZiP code)... - - ' _ -----_ __--._f.Same as prefeity address - ——— --
S\ l Le St" ( coo RA U.los-c J-4— If _y 71.39
.
. PART 3: CERTIFICATION H
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 Signature Date