HomeMy WebLinkAboutHomestead_Green (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slate Form 5473 (R817 -07)
•� ro• '� Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
FORM YEAR
HC10
I (We) certify �thart, on the 1 sttdd'ay of March, 20_
I (We) occupied as our principal place of residence the following describ eal property for which a Homesteadpropsa>�Tilt? �t is hereby claimed:
®I (We) owned ❑ Are buying under contract GIBSON COlUUNTY AUDITOR
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.
If buying on contract, Fee Simple owners name
Recorder's office where contract is recorded
Toanship
Taring
Record number I Page
13 /ryes nu]m eer../� Legal tlescnpGon I I roperty in question:
LQ-(J�(J (-/ 4-YD� —c 1 1 Z WVA � Meal property ❑ Mobile Home (IC &1.1 -7)
If any portion of the residential structure or the land not exceeding one (t) acre That immediately surrounds that Wre is used to produce income, describe the use and portion 1
of the property Wfized to produce income.
2C_ pay 20
Lesser of 12
Homestead Valuation
or n
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
•
• .•
rr
Land not exceeding 1 (one) acre immediatety,
surrounding residential improvements.
Other land
(2)
-
Total land (line 1 plus line 2)
(3)
Dwelling
(4)-
� -,
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Trial improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month. day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
2C_ pay 20
Lesser of 12
Homestead Valuation
or n
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
.0' VniE FORM!J,tede MAMMA FORM StA
.'MOVED BY RAE BO■RO Of nerCE:7S9w EREAMBEU BY nu DEYMTMETOF LO:0.rtwatNY.lT,MANCE MH.1 -ti
Gibson County Auditor
1014N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to one homestead standard deduction.As the receipt of this deduction become,
mere beneficial,there is more incentive than e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• ILEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to teethe the
benefit and to provide additional identifying information ncessany to allow county government to better monitor homestead
filings.This information will he kept cnnlidenrial and can only he accessed by huthorired county officials.The Ikpannent 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
Green, Ronald R Jr/Sherry L
5039 S Lincoln St
OAKLAND Cffl IN 47660
3225 •
Ronald R Green Jr.
5039 S Lincoln ST State Parcel Number Legal Description
OAKLAND CITY IN 47660-7659
I I I I III I I I I I III I I I I I I I I I I I 26-20-02-404-000.147-003 020-00147-00 MILLERS ADD 17/18/19
t u tilt fit n fit urr ntrr rnn rrunr
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 II First Middle Last
/1914 •-`) �,/ �zeti. K
Ong Address(number and street.city.state,and ZIP code) / ZLSame as property address
57)3el LinCDl4 44-
Spouse First Middle Last
S\. tf1-1\ e._ G
Mailing Address(Number and street,city,state.and ZIP code) . ® Same as propeny address
502 $ S S4
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.
Ow. ahu/L' Date
PART 4:ADDITIONAL INFORMATION
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