HomeMy WebLinkAboutHomestead_Walker (2) S1VE FORM 55M"IR/YMI fPF strfl EC&M 3-IA
.•PPRrw'FD BY S T IR5,RO OF Aril CNrt.Y.ry PRFYRIamaY n1EDEPMTff.VTOE LOCAL GOVTR.NS11147 FINANCF.IC 4-1.13_1.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead otandard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
0 HEA 1344-209 requires taxpayers who receive the homestead standard deduction to verify that they are elirible to recene the
benefit and to provide additional identifying information necesmm to allow county government to better monitor homestead
filings. this information will he kept confidential and can only he accessed by awhnrbM county officials.'111e 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, Shara L
309 S Mccrcary
Fon Branch IN 47648
•
3150
Shara L Walker
301 S 6th Ave State Parcel Number Legal Description
HAUBSTADT IN 47639-8213
lII lIIiiiiiiii iiiiiiiiI il1I11I111ItlrtlllllIIIII 11.11111 26-19-31-400-000.712-009 DD133-00712-00 BRIARWOOD 13
_______ _ I __ . —_ — —
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
lig Address(number and street,city,state,and ZIP code) ❑ Same as property address
3 0 / 3.i.. lo& o,v-e. / , _/&/ 197 63 9
Spouse First Middle Last
Mailing Address(Num r hod stree4 ciryt state,and"LIP code) El Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please verify in Part 4 below)
. _ . sue _ _
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 1 Signature Date
PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT/STANDARD DEDUCTION HC10 \ I I
♦ State Form 5473 (R6 / 403) L 1
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) � ,O 4 mil` certify that on'CHe YstgaPoMch, 20_
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby daimed:
El l(We)owned E) Ale buying under contract W"Z� ' at
WHave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pr9jM(9(4s%FpUNTt)fidW1? &r 9acL
: . st<. �.. a�a�` c�ri±,' xf�? �}. �•> �S'. AKi' qur 'fl'�5�`.��. ;CONTRACTRECORDEDtx
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
';•� a ::esf�: `a:',.� 3, 'nr? $ . MW4 �P,RORE:RT,Y.DESCRIPTION
County
Twnship
Testing district (airy, town, township)
P I
r
e al description
Is the property in question:
p VALUEAM".
• t.. VALUE d. ,
Land not exceeding 1 (one) acre immediately
❑ Real property ❑ Mobile Homo (I.C. bf. f -7)
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 utlb to produce income.
31- q00- 000,11-1 - 009'
-:�"� - �`�',2a.+• -r- PROPERTY OWNEDIBY CL-'AIMANT;IN:OTHER'COUNTIES p` �`, .,;_,�'�`4:�`�,= �K`��.�,.'^,_r;
County
Township
County Township
hereby certify the above statements are true, correct and complete.
i ure of i ant
Addres gnu ber ar s, eet, city slate, ZIP ode)
F�iM
^z ASSESSORWSE ONLYri�I'{(tv.-TRUETAX,
ASSESSEDVALUE++HOMESTEA�D
�..� - .�
�`.-
ykNON!RESIDENTIAI f
qq` _;ph g ;: .�. ;y _��.v
rsvVAI:UE -nz
AT 100 %:OF4TTV�y
p VALUEAM".
• t.. VALUE d. ,
Land not exceeding 1 (one) acre immediately
(')
a � {`a'r'.
surrounding residential improvements.
`
- r� '+s-.-:.. LL r z
Other land
(2)
5: =' ncr',
f {-cys4
Total land (line I plus line 2)
(3)
tResidential
Dwelling
(4)J.
�c ti
+ WIN=,
improvements or Annually
-
Assessed Mobge / Manufactured Home
Garage
9
5
()
'_.. ' t ^- !
..
x
Other improvements
(6)
0"
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(6)
I hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
VeNy W action - Signature of Auditor
Date signed
5T/WDARMDEDUCTION'ALGOWANCE tr' •7 *s :; �+;-y` `' '' .''F+' `w FS >yu'.f�r�co�.-`` '.!
20_Pay 20_
Lesser of 1/2 Homestead
valuation or 535.000
$
Signature of Auditor Date signed