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HomeMy WebLinkAboutHomestead_MacMunnK CLAIM FOR HOMESTEAD PROPERTY TAX YeAR CREDIT /STANDARD DEDUCTION— -` State Form 5673 (R817-07) HC10 Prescribed try the Department of Loral Government Finance IN 09 INSTRUCTIONS: See reverse side for filing instructions. 1 (we) , 7 / / uxu a -v -P, xi-walu4z ICS v Y z - Y/ /CL/X_/, certify that on the 1 st day of March, 20 [_(ye) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: 1 (We) owned ❑ Are buying under contract , • - :lave 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. RECORDED: If buying on contract, Fee Simple ovmers name - - e Recorders office where contract is recorded Record number Page Township County I hereby certify the above statements are true, correct and complete. Si or a re of daimarri sss (number and street, city. state. and LP code) ASSESSOR ONLY TRUE TAX VALUE PROPERTY DESCRIPTION County Township coq Taxing diytrir,((city, to ,towns p) ththee((,proper Parcel number L desc ti Is in. question: �. surrounding residential improvements. IN Real property ❑ Mobile Home (IC 6.1.1 -7) If any portion of the residential structure, w the land not exceeding one (1) acre that mm lately surrounds that re is used to produce income, describe the use and portion M the property utilized to produce income. y Va`!�— i9 Township County I hereby certify the above statements are true, correct and complete. Si or a re of daimarri sss (number and street, city. state. and LP code) ASSESSOR ONLY TRUE TAX VALUE AT. rr•. Land not exceeding 1 one acre immediately `sue `F..,.,7�- „y,y_, ”` -`• surrounding residential improvements. Other land •: v< ^i +'fir =' a; `y, Trial land (line 1 plus rune 2) (8) Residential improvements or Annually Dwelling 9 () Assessed Mobile I Manufactured Home Garage (5) Other improvements (6) "''' -•l= "•''J"` _' Tctal improvements (line 4 through 6ne 6) (7) Total value (line 3 plus fine 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 Data signed (month, day - year) STANDARD DEDUCTION At . —pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 Sesser e of 1 ad d Valuation 44 Homestead for 2008 pay 2009 41,000 for 2011 pay 2012 S or 43,000 for 2009 pay 2010 40,000 payable after 2012 Date signed (month. day, year) i S TATE FORM!M.it r..MI ' 1&FR FORM TS-IA • R IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS Gibson County Auditor 101 N Main PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than eser for homestead fraud.I Iumestead 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 reeehe the benefit and to provide additional identifying information necessary_ to allow county government to better monitor homestead filings.This information will he kept confidential and©n only hc accessed by authorized county officials.The Department of Local Government Finance will use this infomation to create tools that will help county officials eliminate homcacad fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Geuss,John H/Marcella T Box 192 Ilaubstadt IN 47639 3129 Michael V MacMunn 210S 1st St HAUBSTADT IN 47639 State Parcel Number Legal Description 26-19-31-304-000.122-009 013-00122-00 E PARK ADD 356/357 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 chetCI C-k-or Mo ( Munn fang Address(number and street,city,state,and ZIP code) n Same as property address PO (box 5u3 Motu b s-4-ad4-, h 1-1 �to 39 Spouse First Middle Last Shannon YYlarHQ Y log Munn Mailing Address(Number and street,city,state.and'LIP code) ❑ Same as property address Po epal 'co3 Wn ai Sl-n cH / In 4-2i 9 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 1 Signature p Date PART 4:ADDITIONAL INFORMATION •