HomeMy WebLinkAboutHomestead_HauerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTIONG Hc10
State Form 5173 IRS 14-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing insfrI ctions.
YEAR
I (We) i certify that on the 1 sl day o Ma cn, 20_
(We) pled as our principal place residence the following described real property for which a Homestead PropertyRf Eref it 4 11eEebv claimed:
I (We) owned ❑ Are buyi nder contract LUU6
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or , �b i gAmoer a contract.
GIBSON COUNTY Ailnirno
' ; =`a is `.' , . tip':.` - � :e�• � a°3Y .s7'o i',, NTRACT-!RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
"a, t j 'M' .A•52:,�.(r`53
s:': �''` .A5_P,ROP,ERT.Y:DESCRIPTION.:.. ,x,. -,.,
�7"i'�3fJ�C:Y'r:i'r: S
:, .,w:.
County n �N
�8 N
Township
Taxing distri (ci , t ownshiP)
are true, correct and complete.
I hereby certify th=77
r mgr
®O
Leg escriptbn
I e perty, in question:
Land not exceeding 1 (one) acre immediately
'
property 0 Mobile Homo (I.C. 6- 1.1 -7)
y portion of Ne res denaal aWCa re o he Wnd not exceeding one (1) aue that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized! to produce income.
A
c?G -43-o(, Jo%coo• coJ
ti; �t�Ya.. r•. r��.,_, v,... rs��'. •�*_�?y- .'�P.ROP.ERTY.OWNEDBY CLAIMANT'IN: OTHER' COUNTIESir�_. 'f`g.�?�',.>�js'"�j`'�l�g'y.?^•
County Township
County Township
Lesser of 112 Homestead
NON - RESIDENTIAL C,
are true, correct and complete.
I hereby certify th=77
Signa r of clai a t
address (n er an
code)
A'yASSESSOR U EON Y;+t "rj
.e- TRUE TAX K
��ac+..VALUE- ':'f�,
ASSESSEDVALUE.HOMESTEAD5"
Lesser of 112 Homestead
NON - RESIDENTIAL C,
-�:.� ct5?'kgr;: •., F t,c,,d
'ATc100 %`OFTTV
r fVALUEY`:rn.��r
a?�VALUE{ -r'
Land not exceeding 1 (one) acre immediately
r� •mss,, ,
'
surrounding residential improvements.
Other land
(2)
Trial land (line 1 plus line 2)
(3)
Dwelling
(4)
vs�
��
'Residential improvements or Annually"
Assessed Mobile I Manufactured Home
Garage
(5)
1, 't,
` S
tit
Other improvements
(6)'
ARM
aro R.
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(6)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
MZV -- , '7q; —,.�9STANDARb .DEDUCTION�ALLOWANCE�r'�'-
20 _ Pay 20 _
Lesser of 112 Homestead
S
Valuation or $35.000
Signature of Auditor
Date signed
RAF mrM!3t IR'r++"t TflNmmm FORM TltA
nrrKmEnav RAE WNW oFNylanTSa," PRtSARED BY Till Orr, fl .sr OFL(cpa.Go rANMrNT FINANCEMH.I-Dal
Gibson County Auditor PROPERTY OWNERS IMPORTANT NOTICE TO HOMESTEAD P
101 N Main
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 ncr 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 reeche the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings. information will he kept confidential and can only Fe accessed by:uthnrved county officials.The Depannrm of
Local Gmernrnent Finance will use this information to create cools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hauer, Ashley R — \
420 Bradl lane i-/C
llaubstadt IN 4,
Ashley R Hauer
420 Bradley Dr State Parcel Number Legal Description
HAUBSTADT IN 47639-8157
II III II I I I I II I I I I III ' " 26-23-06-301-000.676-009 013-00676-00 SUNRISE ACRES INC 21
f n nt f nu r t n u uu t e r ur n r runt D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
g Address(n�(number and sueet,city,state,and ZIP code) - ,� e as San property oddmss - . -
Spouse First) Middle Last
Mailing Address(Number and Street,city,state.and"LIP code) n Same as property address
Social Security Number(last 5 digits) Driver's Lieense/State ID Number past 5 digits) Other(please specify in Part 4 below)
State
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 Si Date
PART 4:ADDITIONAL INFORMATION ,
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