HomeMy WebLinkAboutHomestead_Speicher (2) STATE FORM 535M(RA/13-I0) MEASURER FORM TS-IA
• APPROVED BY STATE BOARDOF ACCOUNTS.TOOT PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT TINAMCE IC 611-11d1
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 tax bills for all;therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
L efit and toi pro ide additional identifying information necessary to allow county government to better monitor homestead
lings.This information will be kept confidential and can only be amssed by authorized county officials.The Departuent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART l: PROPERTYINFORNATION
NOV 9 2011 Taxpayer Name Location Address
C.�.0\. B".. Speicher,William E/Rose M
"r\\1 102 N Weber DR
GIBSON COUNTY AUDITOR Haubstadt IN 47639-8129
7452
William ESpeicher 1111111111_�III III 1 111111 II. 1101101101 I ill 11_11111111#1111I Bill1111 I (111
do Chris Speicher
102 N Weber '
HAUBSTADT IN 47639-8129
'111'11'1111'1111111'I1I1III11111i11i1111tt111111111"I1I1I"'111 State Parcel Number Legal Description
26-18-36-402-000.144-009 PT SE 36-3-11 .416 AC
0
4/
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.
_ 'L-_:r______ PART 2: TAXPAYER INFORMATION TION .
Owl_. 11 , First Middle Last --
Mailing Address r under aad st}ect,city,state,and ZIP code) a as roperty address
S Fiat Middle Last
� n i Pr Cp2A cher''
Mailing Address(Number and street,city,state,and ZIP code) Same 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 orlback taxes and substantial financial penalties.
Owner ti. •tore -- Date
AV re ILIMANd
. _—:PA irt 4: ADDITIONAL. INFORMATION
2
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for tiling instrliclio,,
FORM I YEAR
I (we) certify that on the Ist day +LAffcj 2
I (We) occupied as our principal place of rJoidence the folWing describe real property for whit;h% Homestead Property Tax Credit is
❑ 1 (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 kuyi0a under
aont"ar,Yx
CONTRACTA CORDED_!" ---1i*'-
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
A,- PROPERTY. OWNED BY CLAIMANT IWOTNERtOUNTIES°
APROPERTY DESCRIPTIONN'
County
Township
County
Taxing district (city, town, township)
Pa cel n be
I hereby certify the above statements are true, correct and complete.
Legal description
-".',;
Is the property in question:
._;;VALUE
❑ Real property ❑ Mobile Home JI.C. 6.1.1-7)
If—any portion of the residential structure or the land not exceeding one (i)
acre that immediately surrounds that structure is used to produce income, describe the use and Portion
of the property utilized to produce income.
A,- PROPERTY. OWNED BY CLAIMANT IWOTNERtOUNTIES°
TRUE TAX
County
Township
County
ASSESSOR USE ONLY
Township
I hereby certify the above statements are true, correct and complete.
Si r of nt
-".',;
gMno57and city, state, ZIP code)
rl�' state, /2_
V-1
TRUE TAX
ASSESSED VALUE
--HOMESTEAD
NON-RESIDENTIAL
ASSESSOR USE ONLY
VALUE
AT1000/6-OF
'-VALUE
-".',;
-- ---------
._;;VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Ortherland
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Tdat improvements (fine 4 through line 6)
(7)
Total value (line 3 phis line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action . Signature of Auditor
Date signed
--.STANDAIRD DEDUCTION ALLOWANCE,
20 Pay 20
Lesser of 112 Homestead
S
valuation or $35.000
Signature of Auditor
Date signed