HomeMy WebLinkAboutHomestead_South SIVL FORM!!!M IR_/Iwl TREASURER FORK TS-IA
ArrROVEo BY MILIXsRI)01,ACYRdrs,Ipn PR/S(1MM BY nil nFPARTSL^r(Or REAL roVrRNMNT fn:sNcE IC 1.-1.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
— more beneficial,there is more incentive than her for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to rarity taut they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This inhumation will he kept conlidemial and can only he 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.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Kramer, Timothy J/Angela D
205 S 4th AVE
• Ilaubstadt IN 47639-8219
3124
Samuel J South
205 S 4th Ave State Parcel Number Legal Description
HAUBSTADT IN 47639-8219
M r r l l r r r i r I I t r r r_,t i t l t t I t t I t t t I t I t t t...t I t t I I t r r r I 1 I Ir rIIrtI 26-19-31-304-000.053-009 013-00053-00 E PARK ADD 447/446
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 nmUd s \
•410 mg Address(number and street,city,state,and ZIP code) Same as property address
ZO6 Salt„ 4' ( A O
_ _
Spouse First Middle Last
Mailing Address(Number and street,city,sate,and ZIP code) f Same as property address
Social Security Number(last 5 digits) I Driver's License/Sate ID Number (last 5 digits) Other(please specify in Part 4 below)
sox •
- — PART 3:CERTIFICATION - , ' — t - ---
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.
PART 4: ADDITIONAL INFORMATION
■1
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
- CREDIT /STANDARD DEDUCTION FORM
State Form 5473 (RS I7 -07) V ,
HC10
�• Prescribed by the Department of Local Government Finance V
INSTRUCTIONS: See reverse side for filing instructions. 1-71 T Ir ---)
I (we) _1C L(liYL L11�� 1'� 6=�C i� - ce that on � � sta y °pgUrJ h ' 20 _
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tat Credit is hereby daimed:
I (We) owned ❑ Are buying under contract `-7 na�
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pro}p�eerrttyy or is 7luying un� a contract.
GIBSON COUNTY AUDITOR
CONTRACT •-r .
If buying on contra0. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
ASSESSOR USE ONLY
TRUE TAX VALUE
PROPERTY OWNED BY
County Township
PROPERTY DESCRIPTION
County
Tamship Taxing di (city, to towns p)
/ U N
AT 100% OF TTV
Parcel number
L I descttption Is the properly in question:
Lard not exceeding 1 (one) acre immediately
NY�iG 4WJ7 Real property ❑ Mobile Home (IC 61.1 -7)
He n of the residential structure or the land not exceeding one (1) acre that immedi surounds dial re is used to produce Income, describe the use and portion
of the ny utilized to produce income.
3i
ASSESSOR USE ONLY
TRUE TAX VALUE
PROPERTY OWNED BY
County Township
County Township
I hereby certify the above statements are true, correct and complete.
Signature datma
dress (number and street, city, state and LP )
,I-
ASSESSOR USE ONLY
TRUE TAX VALUE
IASSE�SSEDVALUEI
HOMESTEAD
NON-RESIDENTIAL
or 43,000 for 2009 pay 2010 40,000 payable after 2012
AT 100% OF TTV
VALUE
VALUE
Lard not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (fine 1 plus line 2)
(3)
Dwelling
(4)
"-
Residential improvements or Annually
. - . �z FI- .• -..•:_ _�;- ^•:.... ;
Assessed Mobile I Manufactured Home
Garage
(6)
x> '..
Other improvements
(8)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed (month, day. year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
D
STANDARD DEDUCTION
20 _ pay 20 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestete ad d Valuation
5
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Date signed (month, day, Year)