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HomeMy WebLinkAboutHomestead_Foster (2)CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION e State Form 5.473 (R2 / 5-92) INSTRUCTIONS: See reverse side for filing instructions. A FORM HC10 YEAR CERTIFICATION STATEMENT I (We) certify a o e t _ I (W upied JUN 2 s our rincipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract 8 1999 ❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pro�erty or is buying y5ider a contra 61 ( /Y CONTRACT RECORDED_ It buying on contract. Fee Simple owners name "- Recorders office where contract is recorded Record number. Page PROPERTY DESCRIPTION County Townshp Taxing d u to , townshi a I ber ©0 O '0 at description P. If any pblfion of the residenu stm ure or the land not exceediry one (1) acre that ingmediately 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 COUNTRIES County Township County ITownship Sgnat e o c nt hereby certify the above statements are true, correct and complete. Address (number and street, city, state, ZIP code) _ -0. 4-3o S'Z 11A &STAIF7 -LnI �✓763� ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Otherland (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 plus line 7) (8) I hereby certify the above is true, correct, and complete. Signature of Assesor Date signed Verifying action - Signature of Auditor Date signed STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 Lesser of 1/2 Homestead - Valuation or $2,000 $ Signature of Auditor Date ignetl f ) STATE FOR"s5-,Pi tt-tel 1P ASINA tORN IS-1A .PfOVEO BY T.aiE Nt WO OF V Nr5.}.w ryRt_YRJBEDEWTHE WAR-Masa OEta'A1.COVER."tEYT IL\s`CCIC t-,I"4.1 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS -'dl N.Main Street Individuals and married couplesare limited to one homestead standard deduction.As the receipt of this deduction becomes Princeton,IN 47670 more beneficial.there is more'reenlist than ever for homestead fraud.Homestead fraud causes higher tax bills for ell:therefore. HEA 1344-2009 requires taApayers who rceise the homestead standard deduction to serify that they are eligible to receive the benefit,and to pow'de additional identifying information necessary to allow county government to better monitor homestead filings.This information will be kept confidential end can only he accessed by authorized count'officials.The Department of Local Government Finance will use this information to create tools Ihal will help county officials eliminate homestead fraud. PART I:PROPERTY INFORMATION Taxpayer Name Location Address Foster, Ryan/Sarah M 206 S FIRST AVE HAUBSTADT IN 47639 8302 IIII IIII I II - Ryan Foster a II.I�III��III ull I IIII�I �II�IIII �II. II IIOII_II_II��I�II �I II_�II�IIlII.I lu II d 206 S 1st Dr— Haubstadt IN 47639 State Parcel Number Legal Description 26-19-31-304-000.406-009 E PARK ADD 355 FILED FEB 0 5 2013 This form MUST be returned to County Audi ;•,r,',. ;;a,.';,; Please do NOT send this form back with your tax pay: If ttothAtbt%V ff treasurer. • I •I • • I :r I First Middle - -_-- Last-- SPciaA-N- IM FD 5TE12 Mailing Address(number and street,city.state,and ZIP code) vi Same as property address Spouse First Middle Last R A. Foci- Mailing Address(Number and stmt,city,state,and ZIP code) ( 5ame 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 1 igmature / - — Date PART 4:ADDITIONAL INFORMATION •