Homestead_Sims STATE FORM M 00/ERR R - '
515 TREASURER FOnt TS-IA
APPROVED BY SLATE BWRn OF ACCOUNTS 2009 PRESCRIBED DRIVE DFPARTMETOF LOGY.GOVERMENT FINANCE IC 6.1.1221.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
' Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher lax bills for all;therefore,
c:/. 1 HEA 1344-2009 requires taxpayers Mtto 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
FILED filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR 2 5 2011 PART 1: PROPERTY INFORMATION
•
C fA -- Taxpayer Name Location Address
fV� Sims, Twila F
_ GIBSON COUNTY AUDITOR 403 S VINE
-
I-AUBSTADT IN 47639
11253
•
Twila F Sims 11111 lil �lll�llll� hull ll oiii l�lil �l lll�ll�ll_lll�lll l�ll�ll00ll�llQllll�l��ll� o
403 South Vine
Haubstadt IN 47639-8152
111111111111111111111111111111"111111111111111111111111111111W State Parcel Number Legal Description
26-23-06-101-000.350-009/PT W 6-4-10.35 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.
-.s v . • 1'
0. r- - First Middle Last—'
�x()110- Tcill-1 Jr'imS
Mailing Address(number and street,city,state,and ZIP code) Same as property address
463 S. Vine S1 bSItl.dt IN 4-7& 39
Spouse First Middle Last
_A_f_/A _
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 (last 5 digits) Other(please specify in Part 4 below)
I I , I' I - I I I' i 1 sine
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 1 Signature Date
PART 4: ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
ate' 4, _ FORM
:CREDIT /STANDARD DEDUCTION Hcto
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for tiling instructions.
CERTIFI ATION STATEMENT ILE
FF 4.199c11a
I (We) certify that on the 1st day o arch , 19"
5 1 (We) occupied as our principal place of residence the following described real prope f r c���aTT(n�ad
Wroperty Tax Credit is hereby claimed: ❑ I (We) owned ❑ Are bu Qi 00contract
❑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 it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
axing
P rcel u b 3 50 Legal Description I / — / , /0 35 A(,--
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture 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 Signature
i mplete.
Address (Street. number, city, state and 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
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19— Pay 19—
Lesser of 112 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2.500
(3)
Valuation or $1.500
Valuation or $1,500
(4)
Signature of Auditor
m�1/C/1'i D
(5)
(6)
(7)
(8)
I hereby certify the above is true.
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor T777
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19—
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2.500
Valuation or $2.000
Valuation or $1.500
Valuation or $1,500
Signature of Auditor
m�1/C/1'i D
Date i n