HomeMy WebLinkAboutHomestead_Will (2) StATEFoaM51569ts3It-Ia) TRFaCI FAR50.MTSIA
'(.•. APPROIED BY STATE BOARD OFACCOIIVIS.2Wl ?RF_SCBIBF])BY THE o ARrMEATOF IM.ALOWERNMEMTFMA.YCE IC6-1.1-31d.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Pflnceton,IN 47670 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
a FILED benfilings.efit and This to provide information additional will be kept identifying information confidential and nccesonly sa ry
be to allow county authorvcd government ty to of5 bener cials.The Deparmtent o motimr homestead
can accessed by counf
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
MAY 9 . 2011
Taxpayer Name Location Address
C_ .n Will, Dean E
504 S 8TH AVE
i. GIBSON COUNTY AUDITOR .
HAUBSTADT IN 47639
11247
Janet F Weiss 1101011101110111011011011 /11/11101/0111-0110111 1111 1111111]1110IIllll ID III
504 S 8th Ave •
HAUBSTADT IN 47639-8237 '
I11I'I11ill1"II'Illlil'lI'11III1II'1'I'i'I1IIIIIIIiuilluIIIIIIFI State Parcel Number Legal Description
- 26-23-06-100-000.778-OOv9/ALTE DEUTSCHE STADT 9PT UNIT 3
-
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.
ch.
. 1 F rst Middle Last
TpNE FAy6 WEISS
Mailing Address(number and street,city,state,and ZIP code) �ame as property address
Snit s. gtk ,4vE_ /igai f A c H, Z/i 4L739
�
Spouse First a Middle Last
Mailing Address(Number and street,-city,state,and ZIP code) 0-Same as property address
Social Security Number(last 5 digits) Driver's -s License/State ID Number (last 5 digits) Other(please specify in Part 4 below) --
. I I ' I . I - I . l - I I - 1 sure
. 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 fmancial penalties.
Owner I Signature Date,
. ( ) -
PART 4: ADDITIONAL INFORMATION
C FOR HOMESTEAD PROPERTY TAX FORM
TEAR
CREDIT/STANDARD TlSTANDARD DEDUCTION HC10
stain Fomh 5473 (R7 / 54M
Presrbad by the Deperbnwd of Loral Guvenvnerd France �,,o
INSTRUCTIONS: see reverse side for filing instructions. /!1 ^ 10
.L.,; . TION STA7EIIIENT.'
1 (We) `T certify that on the 1st day at March, 20_
I (We) occupied as our principal place of residence the following real which a Homestead Properly Tmr Credit is hereby claimed:
I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the properly taxes an the proper t h$s@perty or is buying under a contract.
CONTRACTRCCORDED :'G;�jpt "s," 1.4' tl b .p.a rJ ra'4i�
t buyxhg on contract Fee Sinple ownees name _
+F
Revd number I Page
. .. Ot "- ....t •. '.. .. ,....ary ' l .h'.f h. _ pRDPERTY DESCRip'170N.', , t' 1 13 ,..t�. �:.r r..... `:0.Y �.S.h �. t `Yi {'�.)�'
County
Tawmhip
County
Tadrg cf (dy. tour -• tavnW:) '
Farrel nardw
L dlnpaipyer�
wess (number and street cry slats. ZIP code)
Is the property ch quesbDn:
ha�35i,�i�LV�a->:U!;c.,.
(iUp� � $-<' \t./1
.:�
Reel property ❑ Mobil. Hme (I.C. 61.1 -7)
tarry portion of the residential sbuchae or the lad not exceeding
one (1) acre that inmadiady wrrounds tad gin d re is used to produce it o . describe the use and portion
of ins properly ubbed to produce bnmme.
a 6- a 3 -o [0 - t ��-
' -7 -Crjc�
PROPERTY OWNED BY CLAMANT DI OTHER COUNTIES
County
Township
County
Township
I hereby certify the above statements are true, corral and complete.
Signature of hdamas
wess (number and street cry slats. ZIP code)
. .• l r
"TRUE TAX
ASSESSED VALUE
HOMESTEAD
"``�X0N�WENTlAL �c''
_y ASSESSOR USE ONLY ,
VALL.UE':AT-1
00%OFTTV
r ;VALUEt
ha�35i,�i�LV�a->:U!;c.,.
.:�
a�A _
; «.U�
Lard not exceeding 1 (one) ace imrhecludely
h` ; irf° -'+�- '
sunotandig residential improvements.
;aiS.`,rSj',�
Other land
(2)
'•f' -� � }'a- .
f,i• .>
.
Total land ( lucre 1 plus line 2)
(3)
��
(4)
)
Residential'orprovements or Annually
w X �•.t. .s�S�'1.,,,4'N w: '
Assessed Motile / Manutachaed Horne
Garage
(5)
i G
-
Other bnprovernents
(6)
4
Total improvernents (Oche 4 dvouglh fine 6)
(T)
Total value (line 3 pis One 7)
(g)
1 hereby certify the above is true, correct and
Sgnaue of Assesmr
Date agned
complete.
Ve*pV action - Sgrm6ae of AhrdAOr
Date sWmd
. -.. , . STANDARD DEDUCTION ALLOWANCE' s
20 Pay 20_
Lesser of 12 Homestead
Valuation or 535,000 5
Signature of Auditor
Date agrred