HomeMy WebLinkAboutHomestead_Wallis J _
STATE FORM IAw IR:1*- O TPr SurER FORM11A
APPROVED BY STSTE bMPUOF"MOUNTS_nv PRPRWam BY lilt oEPMfMEVT OF Lr%AL GIATIOMIWL FINANCE M ELI-r4.1
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.AN the receipt of this deduction becomes
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
FILED benefit and to provide additional identifrine information necess-1n'to allow county goverment to better monitor homestead
g y ' filings.Government information Finance will he kept this iidorn a and to create only tools accessed that M1y authorized county officials.The homestead a d.
1 ®6�--J'1
Local Government Pin will use this odor nation W creme tools Sara will aut county counials eliminate h l)epan fraud.
PART 1: PROPERTY INFORMATION
ZULU Taxpayer Name Property Address
APR 8 Wallis, Chad E
77/ 4 o 108 S Jeremy
tlaubstadt IN 47639
GIN COUNTY AUDITOR
Chad E Wallis
108 S Jeremy Lane State Parcel Number Legal Description
HAUSSTAOT IN 47639-8160
11 I 'I II f I I I 1) II II II 1 I I I 1 26-18-36=403-000.681-009 013-00681-00 WEST HGTS 3RD ADD 208
r n rrt r rrt r r u u rnr r u n1 n n
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 /n 11 First Middle , , Last
(Cr rtL IA) IIt5
ng Address(number and street,city,state,and ZIP code) Same as property address
/08 Sof41 Jeremy LaA'e &iact-& /v (176e39
Spouse Firs Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
s=
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is toe 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 tgnature / ita; Date
( )
PART 4:ADDITIONAL INFORMATION
•
} CLAIM FOR HOMESTEAD PROPERTY TAX FORM
YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (Ra / 403)
Prescribed by the Department of Local Government Finance - - - - -- -t.-�,
INSTRUCTIONS: See reverse side for filing instructions. I!`Ii it I {' ,
WgRT1F,11 AT10N-STATEMENTyg`s ry:,�'v . °cam„ ., .� re:all ry 1Li .. `33e i Vii. o'':`�_.` .. :.Ia s � -'. :
- - AUU z �, ZUU
(We) certify that on the 1st day of March, 20_
I (We) occupied as our principal place of residence the fWwing described real property for which a Homestead Property TaCredit is hereby claimed:
❑ I (We) owned ❑ Are buying under contract
=SOi\1 C-
a0 Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.' y
.k . .. NTRACPR_E_COR_DED
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
County
Toxnship
Legal
If any portion of the residential structure or the land not exceeding one (1
of the property utilized to produce income.
Taxing district (city, town, township)
property in question:
❑ Real property ❑ Mobile Home (I.C. 6-1.1 -7)
that structure is used to produce income, describe the use and potion
A�ai�''*���= �'SSc {3y,— PROP .ERTYeOWNEDBY,CLAIMANT:INOTIiER "COUNTIES �...,� -,20 �?o���?'�'�, },.S��e.�±gifii�'
County
To mship
County Township
I hereby certify the above statements are true, correct and complete.
S
e ftl imam
r'
d ss (number and street, city, state, ZIP code)
i08 S. t a39
ZEN
t„ ASSESSOR�USE ONLY; r -
a -,Y+..
s
VALUE
..%zad?
ASSESSED VALUE
"AT�100 %'AF,TTV�
MESTEADi�-
f �VALUEK;
,
`'` NOON, -NON
;. VALUE" y'
" �?
l,r £�
Land not exceeding 1 (one) acre immediately'
surrounding residential improvements.
°L-
Other land
()
P �y deq � rp-
Total land (line 1 plus line 2)
(3)
Residential Improvements or Annually
Assessed Mobile /Manufactured Home
Dwelling
Garage
(4)
(5)r"�'.e,+r�%.+:
Q
��.�-?a
zi
Other improvements
(6)
jy3� �'"`s
» �T4
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plts line 7)
(6)
1 hereby certify the above is We, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
,-. N'<"h* . r.« .e. y - - .,a t _ - y:,x3 'i' -+ "afa ->n4r> 'ae�ad"p c `- '•a.c
K�` ss„ �. y` e�. t' 4'. ��,' e?._:" �ratreil�' i., 3rr?';: �_"< �' f' Y. ySTANDARDDEDUCTION 'ALCOWANCE;�R�a.�y;;`�. ia,,,,,ss,�� �•
20 _ Pay 20
Lesser of 1/2 Homestead
vauebon or 535.000
$
Signature of Auditor Date signed