HomeMy WebLinkAboutHomestead_Walton STATE FORMM!'A IR_1M 1 TLTASULER FORM TS-A
A MNER By.RATE BURP OFNtt% M.Ton PRfAAIBIDBY TIDE DEPARTMENT Of LOCAL GOVSLSMENT FINANCE MH.I-L-I.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 standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net'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 ate eligible to reecho the
benefit and to provide additional identifying information necessary.to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create mole that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Walton, Donald Life Est Etal
Po Box 134
Ilaubstadt IN 47639
7316
Donald L Walton
105 Hull PO Box 134 State Parcel Number Lezal Description
HAUBSTADT IN 47639-0134
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PART 2:TAXPAYER INFORMATION
Owner I First Middle _� Last
g Address(number and street,city.state,and ZIP code) r �'f, 1 Same a s property address - —-
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-
Spouse First Middle Last
p. ce
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
•
Social Security Number(last 5 digits)_ Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Star
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 I ignatme �11 , fete
( )
PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (Re /4-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) , Ll1l lvltyt.(SV /(I/ V- LZLZIZe:fLf—fZff2kecerfify that o elst
0 1
1 (We) occupied as our principal place of residence the following described real property'10r which a' Homestead
❑ 1 (We) owned ❑ Are buying under contract
j W�m 1k-
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.
If buying on contract, Fee Simple owner's name
Recorder's offico am contract is recorded Record number Page
-11'711�rWMWI PRO --- F-E
County
Township
County Township
Taxing district o , towmh)p
Parcel nu ber
kif:�
L al scri
t'o
r
Is the property in question:
Real property ❑ Mobile HMO (I.C. 61.1 -7)
If any Portion Of the residential structure or the land not exceeding on
of the property untied to prod" income.
(1) acne that immediately surrounds that s lure is used to produce income, describe the use and portion
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County
—nship
I T
County Township
I hereby certify the above statements are true, correct and complete.
Address (numbe! 'sW I, city, ate I
qW
HOMESTEAD
ITLAL
E
A :U E�$ r
Land not exceeding 1 (one) acre immediately
surrounding residential Improvements.
Other land
(2)
M.NIZ-51 ya-.
00
MRS
Y.l xYR
Total land (line 1 plus line 2)
(3)
ART
Residential improvements or Annually
Dwelling
(4)
Assessed Mobile I MwvA%cbjred Horne
Garage
(5)
Other improvements
(6)
F, -�n
Toal 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 Assessor
Dam signed
complete.
I
Verifying action - Signature ofAaditor
Date signed