HomeMy WebLinkAboutHomestead_KennadaCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5.92)
INSTRUCTIONS. See reverse side for filing instructions.
FORM
HC10
YEAR
CERTIF ATION STAT NT
I (we) /X , At o n t-A March, 19_
I (We) occupied as our principal c of residence the following desc ' d real property for which a Homestead WroTax 700 is hereby claimed:
C] I Me) owned ED Are uying under contract Ll1UU
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that ow he propertypr �Ymgun on tract.
CONTRACT RECORDED �' =''`ti `•'= ` =` ^T' ;IuDi ?OR
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded
Record number
Page
_ PROPERTY DESCRIPTION
Court
Township
Taxing district ('
o ship)
ryn(nu qy _ DOi9 yOo
�
Legal descriptio
If any portion of the residential structure or the land not exceeding one (1) acre t immediately suffounds that structure is used to prod income, describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County Township 1 County Township
ure of claimant
bereby certify the above statements are true, correct and complete. S
Address u ran reel, d
fe, ZIP cop )�
I/O
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSE ED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
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 plus line 7)
(8)
hereby certify the above is true, correct, and
complete. -
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or 52,000
S
Sig ur of Auditor
Date sign _3 _ 0
MUTE I ORM!l'MIR2r urvu nRFASnrrR FORM TS-IA
MFRIWEO BY STATE WARD rIFMY<4.1M.].n PAIARTFW BY Till OEPARIVEYT(*L OCAL r(VERNMENTFNA%CE M6-I.1-_'_-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY:OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to our homestead standard deduction.As the receipt of this deduction becomes
— more beneficial.:here 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 receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor hotrtesea3
_ filings.This information will be kept nonfat-mint and can only be accessed by authorized county officials.The Depaament of
FILED 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
APR 7 1010 Kennada, Murray P Life Est&James
F/Dor
R I I3ox 639
' a1 gIJ°'� Haubstadt IN 47639 0--"
3100 /� V AUDITOR UL
GIBBON COUNT
Murray P Kennada
311 W Haub St State Parcel Number Leal Description
HAUBSTADT IN 47639-8137
Irltrlltrrlrlltrrrlltirltrltrl...illuilluliu.luuilliiillll.utl 26-19-31-303-000.194-009 ORIGINAL PLAN 161/162
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 INFOR%1ATION
Owner I First Middle Last
it URRA P K NI wA bA
on,Address(number stray,city,state,and ZIP code) g Same as property address
3 ii w /4408 7-r
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Pan 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 Signature Dale
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