HomeMy WebLinkAboutHomestead_Meyer (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
r State Form 5473 (8215-92)
FORM YEAR
HC10
INSTRUCTIONS: See reverse side for filing instructions.
FAL.
CERTIFICATION STATEMENT
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I (We) LL o�-`i' 2 certify that on dtdltll d ®�7ilU 19_
I (We) occupied as our principal place of Fesidence the following described real property for which a Homestead Prop Tax Credit is he y claimed.
(We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the proyt�
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded
Record
number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township)
el number
pbIf
Legal descripti n "� I —
any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to pFodu8e income. describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
ereby certify the above statements are true, correct and complete.
azure qf
claimant
Address (number and street, city, state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Otherland
(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 plus line 7)
(8)
1 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 112 Homestead 5
Valuation or 52,000
Signature of Auditor
D ign
D
^• • MATE FrAW...N.R2t M MI nrASUREA FORM 711A
VrRtA'En ay'MATE BOARD OFArCO.TS.tan PPISLTID BY TIM BEPARTWtlr(i LO At OCWERNMrNT FINANCE Ir FEI ri1
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.Ilomesreal fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information nettssary to allow county government to better monitor homestead
filing,.This information will he kept confidential and can only he accessed by authorized county officials.The Ikpanman of
Local Government Finance will rive this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Meyer, Richard A/ Kathleeen Life
Etal
114 S Weber DR
Haubstadt IN 47639-8130
7423
Richard A/Kathleeen Meyer L. E.
114 S Weber Dr State Parcel Number Legal Description
Haubstadt IN 47639-8130
III I I I I I I I I I I I I III I I I I 26-18-36-404-000.640-009 013-00640-00 PT SW SE 36 3 11 LOT 114
t o ut t uu r r n n nn ti t non t n r rt 287AC
y
'
Spouse Last
1� // First Middle Play e L
15et--rh jeeti
Mailinu Address(Number and street,city,state,and ZIP code) / a Ql Same as property address
//'l 5- aleber .Dr; Nacchs l/Ua�� 4/7-‘39
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is tae 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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature late
PART 4:ADDITIONAL INFORMATION
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