HomeMy WebLinkAboutHomestead_Sevier •
STATE FORM!RN*IR:/- t TEAM FORM TS-IA
APPROcED BY Staar.BOSRDOFMYER:V1l 2074 PAF.4RTED BY me DEPARTMENT OF LOLL CAB<RMMFAT FINANCE IC Vl.l-:'4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
• HEA 344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise 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 can only he aere>ml by authorized county officials.The IXpanment of
Local Government Finance will use this information to create Rxjls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Sevier, Misty A
301 W Elm
Hauhstadt IN 47639
3101
Misty A Sevier
301 W Elm State Parcel Number Legal Description
HAUBSTADT IN 47639-8149
I
III IIF II II II nIF II I I I I u I n I u
F r III I n IIt I u II III n I t I 26-19-31-303-000.204-009 01300204-00 ORIGINAL PLAN 201/202 PT
+ — --� – ---- - ----. .. —`--- --'– — – -
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 Ass ��� First �� Middle VQ V I�� Last
ly\yl/ , V l' i
ng Address(number and s ,city state,and ZIP code Same as rope address
1 1 ) ,[lm �- thnc r. / a - Ln.(0%9
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 diairs) Drivels License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
_ . . __ ___ _ _ --_ sow_.
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 .ignat ,• Date
PART 4: ADDITIONAL INFORMATION
•
I (We)
I (Wel
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5173 (R614-03)
Prtreatbad by the Department of Local Government Potence
INSTRUCTIONS- Sex rnsar>Ja ai3. li fair. inm.4i, .
of
1 (We) owned ❑ Are buying 1
Have a beneficial interest in the entity
FORM YEAR
f
certify that on th 20
described real property for which a Homestead Pro�r(Rv Tao 'IN Odd:
contract
is liable for the property taxes on the property, and that owns the property or is buying under a contract.
ONTRACT'RECORDEO'?'`-
If buying on contract. Fee Simple owners name
Recorder's office where contract is recorded Record number Page
=�- .::.[v. _
County
Township
Taking d" "c ci , tow
V i/
lTL/
Legal description
Is the property in pu
Real property ❑ Mablle Homo ( /.C. 61.1 -7)
If 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.
— .va`PROP.ERTYOVJtJED`BY CLAIMANT;IN'. OTHER' COUIJTIES ,;'isxjj„`,= ('p,`'�^Td,?%.2i1
County
I T
Count hip
` NON - RESIDENTIAL
hereby certify the above statements are We, correct and complete. I
g re f ciaidiant
as (nu bar a s , state, ZIP ode)
. �.r,YASSESSOR'USE ONLY- r_"
l'RUE TAX�c
;'' VALUE,¢
AS6ESSED °VALUE
"AT.100Y.AFTTV
aHOMESTEAD'
a
r
` NON - RESIDENTIAL
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
11`
Total land (line 1 plus line 2)
(3)
'Residential
Dwelling
(a)
{{
�M .�-" WR(;�;
�r'"� -^''
Improvements or Annually
Attseseed Mobil / ManuFacbfred Hartle
Garage
(5)
`ham ,�,fi: - £;W r..
Other improvements
(6)
�� s§ i :
'T
2? -
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line 7)
(S)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
_
Verifying action - Signature of Auditor
Date signed
'. � ,+'- .es`3�—''."- ----` STANDARD: OEDUCTIOH' ALLOVIIANCE" y;s,,:'�x';gi�.,,, m swn
20 _ Pay 20 _
Lesser of 12 Homestead 5
Valuation or 535.000
Signature of Audilm Date signed