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Home My WebLink AboutHomestead_WalkerCLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION State Forth 5173 (11614-03) Prescribed by the Departrnem of Local Government Finance INSTRUCTIONS., See nsvisme rrkb for Ming ou6uc8om �1f1 F'OR11A .EAR DEC 1 2 2005 KUDITOR I (We) �l � tQ� � certify tha tie asC"yQarch, 20 1 (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: (We) owned ❑ Are buying under contract INHave a beneficial interest in the entity that is liable for the property taxes on the properly and that owns the property or is buying under a contract. ;: ,�� s!. .� �" 3bnY '..2�.♦bks.3..�. >i.5'.2 - CONTRACT.'RECORDED?��`s. ' .tea_ 4�. +i�'��,� C�.a;i't`= ,�•x4c gz,,y"...�f+ If buying on contract, Fee Simple owners name Recorder's office where contract is recorded Record number Page ��z' ��- ��Ss` ��. z�e�>f.n3P,ROPERT.1'fOESCRIPTION�`. "`�'�`':_s• -�=��` "� ik -' County Township Taxing district (dry, town, township) Parcel nuurmber//iir�� Q / 3 —W % — description Is the pmpen1'y' iiIn,,,,question: —roceal property ❑ Alobile Hone (I.C. 61.1 -7) If any portion of the residential structure or the not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. (!� -as q &.{`��g. 3tASSESSORUSE ONLY s`r�- County Township County Township I hereby certify the above statements are true, correct and complete. Signature pt claimant ®^ddress (number and street, city, state, ZIP code) UT�700%OF,7 q &.{`��g. 3tASSESSORUSE ONLY s`r�- rb TRUEvT ASSESSEOVALUE µ o 3 HOAAESTEOJ x zr NON= RESIDENTV\L UT�700%OF,7 -P VALUE��x"WI,`WALUE5 Land not exceeding 1 (one) acre immediately surrounding residential improvements. Other land (2) wgm Total land (line 1 plus line 2) (3) (4) -W.Dwelling �k•y', -,o- <+y,� ��,nL IENWA.3 'Residential Residential Impro vements or Annually 'da�4a6aw.i Attsessed 61ab6a / Manufactured Hone Garage Other improvements (6) �?a •''�. s ''i Trial improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (6) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Date signed SO- _•sue -- ''" .4 , j`>"t",rr�' i�,c- ';3� .STAN6ARD.DEDUCTION',ALLOWANCE '.. ?x�'t..' yc*.i `„�i• ,r.z.' 3` r.= ''- �LiSi. .$ - 20_ Pay 20_ Lesser of 112 Homestead $ vautaton or 535.0110 Signature of Auditor Date signed ir1 STATE FORM 53N.lti I r^nl '- IPEASUILA FORM}IA APPROVED BY STATE ROMtD OFNYV ROTS.::m PIIISOUBED BY IDE DEPARTE`IT Or LOCAL GOVTRNMEta FINANCE IC 6-1.142-1.1 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 exer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. ILEA 13-14--3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the benefit and to provide additional idennrcme infomuanon necessary to allow county government to better monitor homestead tiling,-.This infnrrnation will be kept confidential 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 1: PROPERTY INFORMATION Taxpayer Name Property Address Walker, Matt/Shawn 707 E Raub ST Ilaubstadt IN 47639 8385 Matt Walker 707E Haub St State Parcel Number Leval Description HAUBSTADT IN 47639-8234 I r IIIIIIr IIIIIIII.IIt III IIII IIIrII.Ilalltrlrrllltr tlartllt tt ll 26-19-36-303-000.749-009 BRIARWOOD SUB DIV II LOT 25 D-9 V PART 2: TAXPAYER INFORMATION Owner I First Middle Last MArfHEW WAYNE VJALKLK ng Address(number and street,city,state.and ZIP code) Same as property address '10'1 El NjuS Sr HA085-rAoY, IN q-7639 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 CREDIT /STANDARD DEDUCTION State Forth 5173 (11614-03) Prescribed by the Departrnem of Local Government Finance INSTRUCTIONS., See nsvisme rrkb for Ming ou6uc8om �1f1 F'OR11A .EAR DEC 1 2 2005 KUDITOR I (We) �l � tQ� � certify tha tie asC"yQarch, 20 1 (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: (We) owned ❑ Are buying under contract INHave a beneficial interest in the entity that is liable for the property taxes on the properly and that owns the property or is buying under a contract. ;: ,�� s!. .� �" 3bnY '..2�.♦bks.3..�. >i.5'.2 - CONTRACT.'RECORDED?��`s. ' .tea_ 4�. +i�'��,� C�.a;i't`= ,�•x4c gz,,y"...�f+ If buying on contract, Fee Simple owners name Recorder's office where contract is recorded Record number Page ��z' ��- ��Ss` ��. z�e�>f.n3P,ROPERT.1'fOESCRIPTION�`. "`�'�`':_s• -�=��` "� ik -' County Township Taxing district (dry, town, township) Parcel nuurmber//iir�� Q / 3 —W % — description Is the pmpen1'y' iiIn,,,,question: —roceal property ❑ Alobile Hone (I.C. 61.1 -7) If any portion of the residential structure or the not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. (!� -as q &.{`��g. 3tASSESSORUSE ONLY s`r�- County Township County Township I hereby certify the above statements are true, correct and complete. Signature pt claimant ®^ddress (number and street, city, state, ZIP code) UT�700%OF,7 q &.{`��g. 3tASSESSORUSE ONLY s`r�- rb TRUEvT ASSESSEOVALUE µ o 3 HOAAESTEOJ x zr NON= RESIDENTV\L UT�700%OF,7 -P VALUE��x"WI,`WALUE5 Land not exceeding 1 (one) acre immediately surrounding residential improvements. Other land (2) wgm Total land (line 1 plus line 2) (3) (4) -W.Dwelling �k•y', -,o- <+y,� ��,nL IENWA.3 'Residential Residential Impro vements or Annually 'da�4a6aw.i Attsessed 61ab6a / Manufactured Hone Garage Other improvements (6) �?a •''�. s ''i Trial improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (6) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Date signed SO- _•sue -- ''" .4 , j`>"t",rr�' i�,c- ';3� .STAN6ARD.DEDUCTION',ALLOWANCE '.. ?x�'t..' yc*.i `„�i• ,r.z.' 3` r.= ''- �LiSi. .$ - 20_ Pay 20_ Lesser of 112 Homestead $ vautaton or 535.0110 Signature of Auditor Date signed ir1