HomeMy WebLinkAboutHomestead_Somers SIUEFORM!3M tRr 1 YAI - RAM.73-IA
nresm'Et fly SIMI MUDOF Y*YRSTS._`u PAEAAIBrn BY nil OEPMTMEYT OF LOI'ALC-0SE11.4Mnl FINANCE ICL1.1-E_4.1
Gibson County Auditor
101 N Main r;` 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 e'er for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2000 requires taspa',em who receive the homestead standard deduction to verify that they are eligible to seethe 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 accessed by authorized county officials.The Depanntalt 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
Somers, Walter/Delores
112 S Jeremy Lane
- - - - Haubstadt IN 47639-8160
7355 - — . -
Walter/Delores Somers
112 S Jeremy Lane State Parcel Number Legal Description
Haubstadt IN 47639-8160
1111111111111111111111111111111111111111111 1111111111111 26-18-36-403-000.395-009 013-00395-00 WEST HGTS 3RD ADD 212
PART 2: TAXPAYER INFORMATION
Owner I First Middle 11 11z^Y11 Last
,r i •
g Address(number and street.city,state,and ZIP code) --- =Same as property uddns -- — - --
Spouse First Middle Last
N
De /ore s - k dlornerS
Mailing Address(Number and street,city,state,and ZIP code) )aSame as property address
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
PART 4:ADDITIONAL INFORMATION
as ; CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92)
yu
INSTRUCTIONS, See reverse side for filing instructions. '
We) /e i ,q l 7-f.Y C -1 o lne e _-, certify t�t'eU �b ,�-
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property T I e y Gaimed:
I (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 property or is buying under a contract.
CONTRACT RECORDED
It buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES '
PROPERTY DESCRIPTION
County
06 Qf2
Township
Township
Taxing distd (city, to .township)
Parcel number
0 0o
Legal scription
a/
If any portion of the residential structure or the land not exceeding one (1) acre t at 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
Wereby certify the above statements are true, correct and complete.
Signaturpof claimant
X
Address (number and street city. state, ZIP code)
X -
f/
ASSESSOR USE ONLY
TRUE TAX
,VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL.
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
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 plus line Z)
(6)
1 hereby certify the above is true, correct, and
.nplete.
Signature of Assessor
Date signed
ling action - Signature of Auditor
Date signed
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
VDARD DEDUCTION ALLOWANCE
S
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