HomeMy WebLinkAboutHomestead_HigginsonCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (112/5 -92) T
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INSTRUCTIONS: See reverse side for filing instructions.
I IWe) l _ �pnni ` Mify ho oljRe 1 st day of March, 19
�occupied as of residence the f I wing scn al property for whi a Homestead�P� a redi reby claimed:
U l(We)owned ❑ Are buying under contract AA''''nn11" ((��p��
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that ownAiUPATeOA 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 district (city, town, township) -
Parcel number
Legal description
If any portion of the residential structure or the land not exceeding one (1) acre that immediately su o nds 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
�eby certify the above statements are true, correct and complete.
Signat• of claimant -
Address (number and street. city, state. ZIP code)
.2- S -f- Zd 4 76 3
ASSESSOR USE ONLY
TRUETAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL.
VALUE -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or S2,000
Signature of Auditor
Other land
(2)
Total land (line 1 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 pfu line 7)
(g)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 112 Homestead
S
Valuation or S2,000
Signature of Auditor
Date signed
5- O-
MTAit FORM';5t-,r:t Y•l TREASURER FORM 11A
APPROVED BY STATE BMPDrc An-i csrs.9n Pt!YRIDED By i11r DEPM1 MENTOFLOAL rovrt MEAT FINASCE ICVEI--_al
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and mviied couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ear for homestead fraud.Homestead fraud causes higher tax bills for all:therefae.
HEA 1344-2009 requites taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit anti to pr vide additional identifying information iwcesma to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized county officials.The lkpartnmrt 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
Higginson, Harry K/Shirley A
1002 Adam CT
Ilaubstadt IN 47639-8164
7284
Harry K/Shirley A Higginson
1002 Adam Court State Parcel Number Leal Description
Haubstadl IN 47639-8164
11111111;11111111.11.1111111111.11111111.1111111 111nt1- 26-18-36-401-000.650-009 013-00650-S—WEST HGTS 4TH ADD 3
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Hatt Ka 17 l� I GG
e Address(nnumbler and street.city,stale,and ZIP code) L - / - "Same as property address -- —
/00a7`Ajanit ( l HCU b5fC d&, .�N 4" 67 3'1
Spouse First Middle Last
;1%I Ann U IGG Al 60N
Mailing Address(Number d street,city,state,and ZIP code) R,5ane as property address
/b OA- ,1r4,am a)qih )9'a.uh Shari & _LA/ 41639
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
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