HomeMy WebLinkAboutHomestead_Martin .5147E FORM 5 7eatx:t!+rr, TIVAN1E2 RAIN:YIA
A/PRIWEO BY SIAM BOARD Or.MRBNIS.!on PRI]LAIBm BY nw DEPAETMEM1 OF LOCAL GOV7BNMOr nN'AMCE r VI.t-r41
Gibson County Auditor
101 N 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 becomes
more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tat bills for all:therefore.•• HEA 1344-2000 requires taxpayer who remise the homestead standard deduction to verify that they are elicibie to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept cnnlidmslial and can only be accessed by authorized county officials.The Depannnent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORAIATION
Taxpayer Name Property Address
Martin, Catherine T
510 S 9T11 AVE
HAIIBSTADT IN 47639
10817
Catherine T Martin
508 S 9th Ave State Parcel Number LeEal Description
HAUBSTADT IN 47639-8238
Itl ��rr r�r��rrrr��r�r�t t�tt�rt t�t�tt��t�tt�t��t tt�tt�lII�t�� 26-23-06-200-000.790-009 ALTS DEUTSCHE START 24PT UNITS
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PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
�Ri�l�l�r/E TE2�sA �'fI nieriit/
ling Address(number and street,city,state,and ZIP code) (i Same as property address __ _
sb� .comet q It astir (/A S�D rLJ //V 2 3
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) El Same as property addtns
Social Security Number(last 5 digits) Drivels License/State ID Ntmtber (last 5 digits) Other(please specify in Part 4 below)
see
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 elieible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfrtlly,he or she may be liable for back taxes and substantial financial penalties.
Owner I • ature Date
( )
PART 4:ADDITIONAL INFORMATION
S
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R6 / 4-03)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for (ling instructions.
FORM YEAR
HC10
Ix- :zi_.i t - ;. n{ {. °_- "_4;':2's _ � - J-.ry- u,a�- «CERTIFICATION STATEMENT --
1 (We) I I 0 j&LXL r ► certify that on thOSci ¢ d(JLQ 20
I (We) 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 ,Qnayl
'Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pro
p9dtgyljlpe LL/111 &{Wt.
-... ze•.a•Ln _ > . ' rte{` ,4k�
<CONTRACTRECORDED: `.`,.�:�s`�u- ,'.!qk';5� .�r33� ��?•'gs'`. Y;�s a? �� ?"5 r:,
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
i
�!r �` �+. .:FROP,ERT,Y:DESCRIPTION- .�:��. v., 3rd.'. af;;;; �1..',, _a'yc�"„,��`�- .'.rn'i�?i;�_ -,•`
County
Township
Taring district (city, to , townsh' )
Parcel number
Legal description
Is the property in question:
VALUE .con
❑ Real property ❑ Mobile time (I.C. 6-1.1 -7)
If any portion of the reWentlab structure or the band not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
O
3 0
T iG � �� 'S2' '�''rri -z's
`£rK� y'..- .}ASSESSOR USE ONLY
County Township
County Township
I hereby certify the above statements are true, correct and complete.
Signature of claimant
,4dress (number and street, city, state, ZIP code)
r
T iG � �� 'S2' '�''rri -z's
`£rK� y'..- .}ASSESSOR USE ONLY
r""TRUE TAX -r+P
Sh ry,r
ASSESSED VALUE
.e
Z HOMESTEAD
C,.r,
N
3- NON - RESIDENTIAL ,
VALUE .con
* VALUE, i
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
O
i+ r
Other land
(2)
}r`
Total land (line 1 plus line 2)
(3)
Dwelling
(4)'�4
'Residential improvements or Annually
Assessed Mobile / Manufactured Home
Garage
� Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus linen
(6)
1 hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARD.DEDUCTION'ALLOWANCE- j, ;F<a,?a"i4' l-,.t' -,i_. _„E
20 _ Pay 20
Lesser of 112 Homestead
Valuation or 535.000 S
Signature of Auditor Date s red