HomeMy WebLinkAboutHomestead_Stone %LATE FORM'39.Itil WO 1ArlSUar5 FORM ZIA
' •PPRnEO BY%1411 MON O ACCOUNT'.9r, PlISMIED BY nn DEPARTMENT OF LOCAL CAMLUMEAT FINANCE IC 11-1_1-2:4,1
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 eser for homestead(mud.homestead fraud causes higher tae bills for alb therefore.
• HEA 1343-2IX9 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying informaron nemsstry to allow county gmemment to better monitor homestead
filing.This information will he kept confidential and can only he accessed by authorized county officials.The Depannrent 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
Stone, James L
113 N Main
Haubstadt IN 47639
8177
James L Stone
113 N Main St State Parcel Number Legal Description
Haubstadt IN 47639-8177
26-19-31-301-000.447-009 013-00447-00 ORIGINAL PLAN 7 PT/8/9 PT
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PART 2:TAXPAYER 1NFORNIATION
Owner I First Middle Last
TAMfs L .. iv Retie I��l ¢� S7"D,��
ns Address(number and street,city,state,mad ZIP code)— - -- — - -- -- j4$ante as property'address - -- -_ - --' ---- —
1112 Q M A ti -c—r: H4u95T4re 7, T ti,/ y- "71„ r3 1
First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Drivers LicenseState ID Number (last 5 digits) Other(phrase specify in Part 4 below)
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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.
er I Signature Dale
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
> �• State Form 5473 (R2 15-92)
INSTRUCTIONS: See reverse side for (ling instructions.
FORM YEAR
HC10
CERTIFICATION STATEMENT
ran
I (We) �`� / U�/ € ` certify that on +r Fyy`b%arch, 19
I (We) occupied as our principal place of residence the following described real property for which a Homestead Propert�ICredit is reby cl im
❑ 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 pr rty or is rp�ghTifD�t.
COON
(gSON
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County p
Township /
Taxing district (ci , township)
Parcel number
Legal description
O%,5 - 0,9 ��7 - O U
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of
the property uWized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
Signat re of claimant
�ereby certify the above statements are true, correct and complete.
ry
Address (number and street, city, state, ZIP code)
l l3 ti. M �Iti sT, /tu s i T N.
ASSESSOR USE ONLY
TRUE TAX
VALUE
AS ESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Less 1/2 Homestead
$
a ati oy$2,000
Signature of Autlitor
Date signed
/O -/7-06
iL�-