HomeMy WebLinkAboutHomestead_RiggCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Fenn 5473 (R7 / 5-W
Prescrbed by the Depertnmt of Lo®I Ga armatl Fxmu®
INSTRUCTIONS: See reverse side for Ring instructions.
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u1s Ili
^, .. •.,. CER7ff7CA7WNSTAIEN0ff., e
I (we) . _ - _ __ . ce" that on the l st d of Mad 20_
I ) occupied as our principal place of ence the following described real property for which a Homestead Print F i� R'n d:
I (We) owned ❑ Are buyng under omtract
Have a beneficial interest in the entity Mat is liable for the property taxes on the property and that owns the property or is buying under a contract
'..`3'• - - cONTRACTRECORDED:'? °�','r
If buyxg on oontrad. Fee sirtiple owrefs name
Remrde/s dke where m&W is recur ded Record number Page
.'PROPEiiT,Y OWNED BY:CLADIANT DI OTHER COtitiTlES, i "'
PROPERTY bFSCRIPfION
' ' , ::•� r;m
Carly
Toxrsldp
Township
Tang d' ( , town,
signalise of kawr
Parcel number -
L P
51
p everts
f.
y r ��
surrounding ndining residential improvements-
Real properly ❑ Mobile Hare (LC. s1. 1-7)
It any porVoA of the residential structure or the lard not exceeding are
(1) acre Mat mffmclaley surrounds del fitructure
b used to produce �. describe the use and portion
of Me Wr W&md to produce income.
- ^' •15 A, `
.
Trial land (!ere 1 plus lute 2)
(g)
- 04
.'PROPEiiT,Y OWNED BY:CLADIANT DI OTHER COtitiTlES, i "'
Count'
Township
Couny
,k,NONyL�';+��t,�r'
tF.`.iVALUE�:.'..jyi<:4 };nr
Township
I hereby certify the above statements are true, correct and complete.
signalise of kawr
3x.
(number end sunset cry, Safe. ZIP Ocala) T /^ /
51
L,V
:. .ASSESSOR USE ONLY „ Sr
§..
TRUE:TAX
-.VALUES
ASSESSED VALItE
':AT10 OF TTV
`HOlIESTFIID
} `.maVALUE..
,k,NONyL�';+��t,�r'
tF.`.iVALUE�:.'..jyi<:4 };nr
Valuation or $35,000
f
signalise of kawr
3x.
Land not exceeding 1 (ore) acre IrmneMBtely
f.
y r ��
surrounding ndining residential improvements-
a
Othe land
- ^' •15 A, `
.
Trial land (!ere 1 plus lute 2)
(g)
Residential trrnprovenents oAnrnualy
Dwelling
(4)
t,�i:!"
£4
Garage
5
Assessed Mobile / Manufactured Home
Other unprovements
(6)
`'0l
Trial "vnpravemerds (Lila 4 evough fine 6)
(7)
Trial value (Iee 3 pals fire 7)
(6)
I hereby oe" the above is true, correct, and
s nsture of Assessor
Date signed
Vaiyi V action - siruahse of Ardrmr
Date signed
' . STANDARD DEDUCTION ALLOWANCE -' i _�� Vi'
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or $35,000
f
signalise of kawr
Dste signed
clilE rntM!)v+Ile/.+.I RIATIIUER FORM'MIA
.VYRm'En BY'TATE MN0.D T✓CrySrt Tn prrnmrD BY 7111"DEPARIA Q.`MTrwux:ALroTtNMnIo MB:ANCEit l.lr-s.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they are elicible to reeene the
benefit and to provide additional identifvme information necessary to allow county government to better monitor homestead
filings.Ibis information will he kepi confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Jost, Sarah 0
fi 2 Box 372
Ilaubsadt IN 47639
2728
Sarah 0 Jost
307 S West
PRINCETON IN 47670 State Parcel Number Legal Description
26-18-36-404-000.040-009 013-00040-00 PT SE 36-3-11 .51 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Save , J cS$
•Lg Address(number and street.city,state,and ZIP code) [ Same as property address
c o� S, L S� fit-} 4c bS-1Jt— y-1639
Spouse First Middle Last
Mailing Address(Number and street city,sate.and ZIP code) it Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sem
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 Signa c Dare
• JAI\ 3eAk'w,3 (Mro,r r:tck Oc 4bloe.r 30, .2c 0 .