HomeMy WebLinkAboutHomestead_Shelton . •
. %TATE FORM AIN•O=/f-NI MEASURES FORM 73-IA
AFMO'En By SRTL Bnup OF A 1Y*:V S Noe PRAIRramD BY TIFF CEPAaW:afF LICAL GOVERNMENT FINANCE MH.I-_-R.I
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 lomestead fraud causes higher tax bills for all:therefore.
• ILEA 1344--21109 requires taxpascrs 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 confidential and can only be accessed by authorized county officials.The Dimonrent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
— Taxpayer Name Property Address
Shelton, David L/Linnie
—. - 507 S SFlt AVE
Ilaubstadt IN 47639
10810
David Shelton
507 S 8th State Parcel Number Legal Description
HAUBSTADT IN 47639-8237
lull tllrrtltlIIll Illrlll IIllIl lllhI lII llr lrr rlllr lIh II rlr lrr ll 26-23-06-200-000.771-009 ALTS DEUTSCHE START 6PT UNIT 2
_ _____K .
..
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
L A,✓ r/e, �e She /fen
•ra Addax(number and street.city,sate.and ZIP code) _ __ _ -__ __ _ - 2 Same as propene nddrtas — — —_—_ __ .. _ _ .
5-07 s. 874- avc. t&2 z1- £ 74 3?
Spouse First Middle Last
VI)e ireen She. /fair
Mailing Address(Number and street,city.stale,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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
s Any
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (RS / 4-03)
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for (lino instructions.
FORM 1
MM YE��AR
FfHC1
I (We) /A! / /N./]/ f �J /`' F YI certify that N€�fs' of March. 20_
I (We) occupied as our principal place of residence the (iiiollowing described real property for which a Home ft00yjTg1PrA0
jljRlWby claimed:
(VJe) owned El 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 property or is buying under a contract.
ONTRACTRECORDED_'.. -"z+
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
Ai N ^ PROP.ERTY: OWN ED BY CL''AIM.4NT;IN OTHER "COUNTIES
'
County Township
Twin disui (city, town, township)
Parcel number .711 Legal description
�— '7 -00
Is the property in question:
eat property ❑ r: labile Homo(LC.67.f -7)
If any portion of the residentlal structure or the lantl not exceeding one (1) acre mat i
of the property utiH7 to Produce income.
w sun nds that structure is used to Produce income, describe the use and portion
Ai N ^ PROP.ERTY: OWN ED BY CL''AIM.4NT;IN OTHER "COUNTIES
'
County
7ovnship
County Twvnship
hereby certify the above statements are true, correct and complete.
Signature f claimant
X
'dress (number and f, cih: slat ZIP code)
y : g'" a sASSESSOR USE ONLY' itxy�TRUE
.,". ° °i �`�"iS}"e::uiy ,�
dy_r � nsri ,a.�,
^w +•fig
TAX R, $ c
,r VAI:UE_j,F6�-
ASSESSED VALUE
AT.t 00Ye-O! T
.. .t.
.HOMESTEAD
YVALUE
.y aS` u..:p -
NON RESIDENTIAL x
� `' �. VE Sri. N.
Land not exceeding (one) immediately
surroundinresidentii alimprovements.
S
Date signed
"� "',, .t Y
�
Other land
Trial land (line 1 plus line 2)
(3)
Dwelling
(4)
'ry'
(Residential improvements or Annualty
Assessed Mobile / Manufactured Home
Garage
(5)
Other improvements
(5)
Lta?i
-.. - -s
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 pies line 7)
(6)
hereby certify the above is true, corned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
i- [_STANOARD:DEDUCTION :ALL0WANCEf
20_Pay 20_
Lesser of 112 Homestead
Valuation or 535.000
S
Signature of Auditor
Date signed