HomeMy WebLinkAboutHomestead_Robison (3) SIAM rnt.M!J•N ln_/• •• 11LEAtit2 r.AV'MIA •
.ArrwwED BY SIMI IIIIHRDOf.M',YtNIS3' Pn(YNam BY 711E DEP/ATMFROE LrSAL COVER:01MT MANCE M I-1.14:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sondeN deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eycr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
ILEA 13+62009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
�' 1,, benefit and to provide additional identifying information necey be a to allow county government to better monitor homestead
1.
filings.This information will he kept confidential and can only 1w accessed by authorized county officials.'the Ikpartnwnl of
Local Government finance will use this information to create awls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
.— APR 1 6 ZU1U Taxpayer Name •rupertv Address
AsaRobison, Scott A
te/.y-g R2 Box 354
GIBBON COUNTY AUDITOR _— Ilaubstadt IN 47639
3432 i
Scott ARobison �
420 S West State Parcel Number Legal Description Y/
HAUBSTADT IN 47639-8155
1t1u11uJt11nt111t111n1u1nn11t1tin1t1nt1t111nt11ttt1 26-23-06-301-000.344-009 013-00344-00 PT W 6-4-10.75 AC
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
s- co—rr A- I it n o b 1 so ti
•thg Address(number and street,city,state,and ZIP code) Same as property address
1 $ wesr ST }�qubST4dT �_—Pri LI76 3q
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number past 5 digits) Other(please specify in Part 4 below)
_ sox
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
•
n YEAR
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
ry rt• CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R2 / 5.92)
au
INSTRUCTIONS: See reverse side for filing instructions. -q
i .. -•r •- t - -+ -.� isxa- -- .cEwr>frcnrrora s- rnreellerrr` - . -� ..- _r -e.- ::c i�ut -.a e>_ ,. -.. - ;. - .I
1 (We) YAAU / Uk� `I I "L,7u-(/ I VC.�- �-!f9k � certify thatFon a rest d�(
March, is
1 (We) occupied as our principal place of residence the following described real property for which a Homestead Properrak Credif�l5`flEreby claimed:
f' rt
❑ I (We) owned ❑ Are buying under contract AC-1 � �:� , -
YHave a beneficial interest in the entity that is liable for the property taxes on the property and that owns 'or buying under ra contract.
;Lr.,, �- r i r, nn,IC
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name '
Recorder's office where contract is recorded Record number Page
PROPERTY "DESCRIPTION
Coun
Township
Taxing disc' . t n towns i
P 3- 3 7
Legal tle 'pti _ — D
It any portion of the residential structure or the land 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.
" PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES _ - -
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
ign a iman ,
I
dress ird 5lreer, dry state, ZIP code) -
L f sou. 3
ri
- _ ASSESSOR USE ONLY
_ ..
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL ".-
VALUE . -.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
_
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 pfu line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
' - STANDARD DEDUCTION ALLOWANCE` -
19_ Pay 19_
Lesser of 1/2 Homestead
$
Valuation or $2,000
Sig at of Aud or
Date si ed
7-3-99