HomeMy WebLinkAboutHomestead_Williams (3) •� • SIVE MINI Mc.,Cnµl nREASIIIQFORM IS-IA
APP EP BY,TATE DCIARD OE AIYxa[•TS.`n' PRES-AIRED BY Ilur DEIMTV£YE Or LOCAL r iva'Nri ra:A.ycEIcsp.I-_4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple,are limited to ore homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial,there is more incentive than eAer for homestead fraud.Homestead fraud causes higher tas bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Depanment 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
Williams, Julie N
P O Box 373
llauhstadt IN 47639
3105
Julie N Williams
P O Box 373 State Parcel Number Legal Description
Haubstadt IN 47639-0373
26-19-31-303-000.319-009 013-00319-00 ORIGINAL PLAN
LIrrllrttLlLtrr IIlLLIII IIILttLII III111111ILLllll\ 20$/209/210
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 n� Middle Last
IVCC� i ,A : Ic: VIA S
•7 to Address(number and street.city,state,and ZIP code)I l gyp'^ 1 I ' �'' ❑ Same as property address .� Nam { ,� I f�I
1 •Q. -2 0'X 373 IIC GtkSIQ� �';TN '-} to3Qf ` 0 41 ,701 S. It l' St l'IIi4 NS14 � l �+V
Spouse First Middle Last
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 Pan 4 below)
Scar
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
unlawfirlly,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date I
•
1
CLAIM FOR HOMESTEAD PROPERTY TAX
i CREDIT /STANDARD DEDUCTION
' State Form 5473 (R2/5-92)
ras
INSTRUCTIONS: See reverse side for filing instructions.
M AR 61 93
0
AUDITOR
�e) —1 I W IX�C� Q/YYI�C]../
certify that on the 1st day of March, 199ti7
e) occk3bd as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
E) I (We) owned Y1. Are buying under contract
E) 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.
CONTRACT RECORDED _ It buying on contract, Fee Simple owner's name -
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
County
Township
Taxing distric (
,fawn, township)
Add mbe street, city, state. ZIP )
Other land
(2)
Parcel number
0031"7-00
Legal dews
Lion
au:�r� -a
ao4 aid
TT 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
�reby certify the above statements are true, correct and complete.
t t claimant
Add mbe street, city, state. ZIP )
u
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE..
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2))
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pUs line 7)
(g)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
tying action - Signature of Auditor
,-
Date signed
Signature of Auditor
19_Pay 19_
Lesser of 1/2 Homestead
or $2,000
ALLOWANCE