HomeMy WebLinkAboutHomestead_Williams (18) •
SLa[roat w+,RY...le, t MSURn FORM TWA
.srrlovEDnvsi\tE ntRn OF.atO'UM t"IN ?RFSMRAMDnI THE n[PARTMLTOf LOCAL COVER'.)tiT lL%AML IC isid.n.s I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS:
101 N. Main Street Individuals and married couples ale limited to one homes:rad standard deduction.As the receipt of his deduction becomes
Princeton,IN 47670 more beneficial.there is more incentive than ever for homestead fraud.tlomenead fraud causes higher as hills for ell:therefore.
as
FILED L E T bent 1344-1009 provide additional idemifvim_ inhumation necessary to allow county government to better monitor homestead
filinp.This information will be kept confidential and can only be am>)ed by authorized county officials.1 he Department of
Local (tor moan Finance will use this information to mate tools that will help county officials eliminate homestead loud.
MAY 1 C. - ' PART l:PROPERTY INFORMATION - . -
Taxpayer Name Location Address
— C. .f+ y Williams, Amy
�V\ 500 E PLUM ST
GIBSON COUNTY AUDITOR PRINCETON IN 47670
2960.
Amy Williams 111 10111.01110111.01111011T1 111 Ill11111011f11.111111111 I100110II_II0110111
500 E Plum St
HAUBSTADT IN 47639-8210
IIIIIIIILIIIIIlIIIIII IIIr lI'rr IIlIIIIIIIIIIIIIIIIrrIIIIIIIIIIII1I State Parcel Number Legal Description
26-23-06-100-000.139-009 PT W 6 4 10.66 AC
•
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 .
er I First ` �I Middle I Lan
Mailing Address(number and tree.city,stare.and ZIP code) lZknrnc as properly address
- 00 C 'P—P WI, thspit-
to LA B 3 `3 I First Middle Last
\n
Mailing Address(Number and sweet.city,state,and ZIP code) Same as property address
00 C ''i \ua� — — - - - - —
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 s stantial financial penalties.
Owner I s' re -,fin // Daate r
. • - PART 4:ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY 'TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R6/4-03)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for filing u stnrctions- \
T =� i3� DR,
I (We) / (9-- ._certi�fv that/o��n�,�tghe 1st day of March, 20
1 (We) occupietl as our principal p of residence the following described real property for which a H mesiead Pio(�ft$r Tax Credit is hereby claimed:
❑ I (We) owned ❑ Ar 'ng under contract (% /' /yL7) /n/
Have a beneficial interest in the entity that is liable for the property taxes on the property add.that,own th�prop ity;or -4yir u under a contract.
4r1.3tekz %'�^.�+d'..u,...:v7,vr NTRACT'RECORDEDst °-., r-�r' -:2
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
r: . �. vx��-�== P.ROP,ERT.Y.DESCRIP,TIDNl ?k- fir' - rJM!''Y's'Ti. °-h T'"r"^`- "fir,"
County
Tonnship
Taring dislri c , to ownship
Parcel 3 -00/39 o a
/O (
pro rty in question:
-
0 1
f ❑Real property ❑Mobile Hwno (I.C. 6-1.1-7)
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 utilized to produce income.
50-- 'STANDARD: DEDUCTION'ALLOWANCE
County
Township
County nship
I hereby certify the above statements are true, correct and complete.
rirf claimant _
Address (number and street, e, IP code)
Signature
f r ASSESSOR US ONLY7'+TRUETAX
, `•e
�><
YALUE ;.
ASSESSED VALUEHOMESTFJID,
sA7100 %O -;!.7V
ALUEE�
ems`- NON- RESIDENTIAL
�' oaMVAI.UE .
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
2
A fi
9`
MA
Trial land (line 1 plus line 2)
(3)
Dwelling
(4)'>
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(6)`��.
h :4`ss
Other improvements
(6)
IRKIWIAR
Total improvements (line 4 through line 6)
(T)
Tdal value (line 3 plus line n
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Dale signed
50-- 'STANDARD: DEDUCTION'ALLOWANCE
20 _ Pay 20 _
Lesser of 1t2 Homestead
$
anon r 535.000
Signature
Dat i n