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HomeMy WebLinkAboutHomestead_Elpers (12)CLAIM FOR HOMESTEAD PROPERTY TAX YEAR i� CREDIT/STANDARD DEDUCTION HC10 9 2 Slate Form 5473 (11215 -92) 11 / .-J raTi R INSTRUCTIONS: See reverse side for tiling instructions. ,L ,a . .S • l/�7 . CERTIFICATION STATEMENT . I (We) certify that on the 1st day of March, 19Q —A, �•e) occupied as our principal place of residence the following describ d real property for which a Homestead Property-Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract ❑ 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. CONTRACT RECORDED If buying on contract, Fee Simple owner's name Recorder's office where contract is recorded Record number Page PROPERTY DESCRIPTION County Township County -- Township bY certify the above statements are true, correct and complete. Taxing distr (dry, lown, township) Address (number and street, city. state. ZIP code) / Parcel number -aco9 q Legal d scription . Other land If any portion of the residential structure or the land not exceeding one (1) acre that im iately 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 bY certify the above statements are true, correct and complete. Signatur of lai ni Address (number and street, city. state. ZIP code) / ASSESSOR USE ONLY TRUETAX .VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL VALUE Land not exceeding I (one) acre immediately surrounding residential improvements. (1) ' 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 plis line 7) (6) 1 hereby certify the above is true, correct, and complete. Signature of Assessor Date signed ty�n- action - Signature of Auditor Date signed 19 _ Pay 19 Lesser of 112 Homestead Valuation or $2,000 Signature of Auditor S -q STATE FORM!3s tI'/v+11 1RFUUtLA TORN su .APPROVED BY,I E¢VmM MTTt“tTS._`nw PIEYlIBW BY PIE DEP.ARTHFIror LOLA'L r.o ttNsrrin FINANCE IC 6-1 I-_-S.I . Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 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 net 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 Tryst confidential and can only be accessed by authorized county officials.The Depanment of Local Government Finance will use this information to create tools that will help county officials eliminate homestead traud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address Elpers, Kenneth A/Alberta A 104 Ben Ilaubstadt IN 47639 697 Kenneth A/Alberta A Elpers 104 Ben State Parcel Number Legal Description Haubstadt IN 47639-8120 l r l.t l l u r l r 1.1 u r n 1 1 l 1 l 1 u 1 n 1 n n n n I_I u I n I_I I u r I_I n n n I n n I nl 26-181-36-402-000.094-009 013-00094-00 WEST HGTS 10 PART 2: TAXPAYER INFORMATION Owner 1 First Middle Last K hI ETN Al DAM (AD ELPERs ill c Address(number end street,cit9,state,and ZIP code) © Same as pruperty uddnas' -- - - — I o il SEM ST , HAU8STA DT, /N• Y7739- '/.2a Spouse First Middle Last ALBE1TA ANN (/a.,) ELPEls Mailing Address(Number and street,city,state,and ZIP code) . ©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 Date