HomeMy WebLinkAboutHomestead_GrossCLAIM FOR HOMESTEAD PROPERTY TAX M YEAR
CREDIT /STANDARD DEDUCTION 1
State Form 5473 (R215-92)
e,s
INSTRUCTIONS: See reverse side for (fling instructions. (NOV � 9 1994
CERTIFICATION STATEMENT ' TT//-
�F- - certify that ofi4��'',,nn �IPd�X March, 19
twe) occupied as our princip lace of residence the following described 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 -
It buying on contract, Fee Simple owner's name -
Recorder's office where contract is recorded Record number Page
- PROPERTY DESCRIPTION -
County
Township
Taxing ist icI (uty, t n, township)
Parcel number
Legal de tion -
If any portion of the residential structure or the land not exceeding one (1) acre that immediately 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
I hereby certify the above statements are true, correct and complete.
Signatµr� of claimant
,IN\
Address (number and street, ary. state, ZIP code)
2 -(# s
=Q-, . 3
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE-
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
-
Other land
(2)
Signature of Auditor _ - -
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)
(6)
I hereby certify the above is true, correct, and
— lete.
Signature of Assessor
Date signed
.ring anion - Signature of Auditor
Date signed
" STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2.000
Signature of Auditor _ - -
) n
Aw rORM,Me IR:/ADD TREAD/MR FORM YIA
APPMR'En BT.rsrf RrNPDDFITTteT�Y/n PA(AnEDBY mI DEPMMEYr OF IER'AL CJ.�RVMEA'T FDCSCtM VI.I-"-r.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standand 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;therefarc.
® HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county eovemmenl to better monitor homestead
fling..This infornation will he kept confidential and can only be accessed by authorized enmity 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
Taxpayer Name Property Address
Gross, Bradley A/Diane M
41 I Bradley DR
Ilaubstadt IN 47639
3419
Bradley A/Diane M Gross
411 Bradley Dr State Parcel Number Legal Description
Haubstadt IN 47639-8157
1r1r r11rrr1r11rrrr11r1r1r r1rr1rrrr11r 1r1r1rlrirll llrll lIlrllll 26-23-06-103-000.535-009 00133-00535-00 SUNRISE ACRES 3
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
Brar4le- A--Ile-n I Gross
�g Address(number and s t.city,state,and ZIP code) l yl Same as property address
Spouse First Middle Last
tIan onI , t, Q (lc Grv5S
Mailinc Address(Number and street,city.state,and ZIP code) [Spume 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 ature Date
PART 4:ADDITIONAL INFORMATION
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