HomeMy WebLinkAboutHomestead_JarboeCLAIM FOR HOMESTEAD PROPERTY TAX
CREDMSTANDARD DEDUCTION
State Fonn 5473 (R7 / 5-M
Prescribed by the Deperbrent of Local Govermhad Fr
INSTRUCTIONS: See reverse side for Nina instr dinnc.
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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#P,�'..`,=
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Racmder's dice where contract is recorded Record number Page
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I hereby certify the above statements ate true, correct and corrplete.
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Data signed
Wilyirg action - Signature dMuditor
Date si{phed
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STATE FORM 5356.013/PAO) TREASURER FORMTS-IA
APPROVED BY STATE BOARD OF ACCOUNTS mQ FRESCRIBFD BY THE DEPARTMENT OF LOCAL GOVERNMENT TOMMY.IC 6-1.1-22-8.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street • Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever 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
• F I LED benefit and to p amide additional identif ing information necessary to allow county government to bens monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county ofbcials.The Deparmtrnr of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORDIATION
MAY 9 2011
_ Taxpayer Name Location Address
C. .n Jarboe, Karen L
v Cv\ 527 S 8TH AVE
GIBSON COUNTY AUDITOR HAUBSTADT IN 1 47639
11276
KarenLJarboe Ill 1111] 111011111111111111 mihLII_IIh011.IIilEillfuliiil ii[h1IDIllIIIU
527 S 8th Ave
HAUBSTADT IN 47639-8237
I111I1II'III'III'II'IIIIIIIILiillliI"1I11'III'I'IIIIIPIIIIILI State Parcel Number -, -Legal Description
26-23-06-200-000.796-009 /ALTE DEUTSCHE STADT 1 (UNIT 2)
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:j_Ax?.AYERINFORNIATIOy___-
Ow I First Middle Last
. /4A RE Ai L . JAR ROE
Mailing Address(number and street,city,state,and ZIP code) El Same as property address
La? S. S'H 4AVE, NA(,(z3sTADT M f 476 35'
Spouse First Middle Last
•
Mailing Address(Number and street,city,state,and ZIP code) 9 Same as property address
Social Security Number(last 5 digits) Driver's License/State ED Number (last 5 digits) Other(please specify in Pan 4 below)
I I 1 , It 1 1 I sus:
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. -
OwnerISigna . - Date
PART 4: ADDITIONAL INFORMATION