HomeMy WebLinkAboutHomestead_Metzger STATE FORM!l.'M 10.1- t TRFA5UIIR FORM}-IA
.APPROVED BY tMLN1&RoOr AM1n,NTSYn+ PFCSRREDBY il1E DEPAATHEROF uraar'oYCLYMEFT FI:.NCE 11-4.1-L-1.1
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.I lorttestead fraud causes higher tat bills for all:therefore.
• HE.\ 1344-2000 requires taspalers 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 homestead
filings.This information will he kept contidential and can only he accessed by authorized county officials.The Depanmenl of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
102 N Eileen ST
llauhstadt IN 47639-8113
7299
102 N Eileen St State Parcel Number Leea1 Description
HAUBSTADT IN 47639-8113
II III
In nor nn 26-18-36-402-000.178-009 01300178-00 WEST HGTS 1ST ADD
'ItItI eiI ilI nn II ur II u II r II antI rI t I I
3OPT/31PT
Social Security Number(last S digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
srax
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 Date
I
CLAIM FOR HOMESTEAD PROPERTY TAX FORM EAR
sa
CREDIT/STANDARD DEDUCTION HC10
State Form 5473(R2/5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
/le) I certif t1'(���1��' a std rc 19
e)� of r idence the fallowing desc e r al property for which a Homeslead PN2)ert�a Cr b aimed:
I (We) owned ❑ Are buying under contract 1Leq' 1QQ�
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the propenjL'ddi9 b4� dhii€r'a contract.
CONTRACT RECORDED - 1AUDITOR9
It buying on contract. Fee Simple owner's name ,
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTIO
County Township
County
Township
Taxing di
(it, t vn, row hip) ,
Parcel number
013-06171-00 '
Legal descript n
- - 0
If any portion of the residential structure or the land not exceeding one (1) arse that inumecifately surroun&
of the property utilized to produce income.
that structure is used to produce into e, de/ailbe the u'e and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
I County ITownship
:reby certify the above statements are true. correct and complete.
Signature of nt
Zd
Address (number and street. Gry, stare. ZIP code)
v it 14 w 7 D 6
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
-
Total land (line I 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 pUs line 7)
(g)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
ying action - Signature of Auditor
Date signed
19 —Pay 19_
Lesser of 112 Homestead
Valuation or $2.000
n
-mac
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