HomeMy WebLinkAboutHomestead_Wirey Mit FOR N!)ya Ititt-wi IKEA-STAIR FORM 73-IA
.Arrant,BY SrwE&D AD MMxxa.NTA.]+, PREAAIBM BY Mr DEPARTMENT OF LOCAL CAT'c4NMFNT FINANCE M FI.IrJI
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 k more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 13+61009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to ref the die
benefit and to provide additional identifying infomlatmn necessary.to allow county government to better monitor homestead
tiling..this information will be kept confidential and can only be accessed by authorized county officials.The Depannsent 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
_ Wirey, Monte J/Jo Ann .
605 W Church ST
llaubstadt IN 47639-8 I17
7304
Monte J/Jo Ann Wirey
605 W Church St State Parcel Number Leal Description
Haubstadt IN 47639-8117
Itittlltatillirlttiltltll1111111IIIIIIIIIIIIrllitt11111111111l 26-18-36-402-000.267-009 013-00267-00 WEST HGTS 1ST ADD 38/39
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
MONTE 7hK5 W Ifteq
®tg Address(number and stECLY,city,state,and ZIP code) 9 Same as property address -
405 14, cjiuR.cF srtee i , HAL-185 i ADT v!) X76 39
Spouse First Middle Last
rlo ANN \Jie_EY
Mailing Address(Number and street,city,state,and ZIP code) 9 Same as property address
60_6 W. C/I ii Rat/ $7LEE i gu&i i 4b1 (LA) 'b7�39
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 Signature
/�/n Date
•
eE °g CLAIM FOR HOMESTEAD PROPERTY TAX' FORM YEAR
it CREDIT /STANDARD DEDUCTION HCto
•; State Form 5473 (R215-92)
nu
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
�^ /e) certify that on the 1st day of March, 19
e) o ied as our principal Fi ce of residence the following de ed real property for which Homestead Property Tax Credit is hereby claimed:
.� l(We)owned E:1 Are buying under contract
❑ 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.
Township
County
Township
Taxing district tov .
nshi
..CONTRACT RECORDED
Legal description
it buying on contract, Fee Simple owner's name FEB U 11994
!number
Recorders office where contract is recorded
ecorrdd
61-
Page
HVUI I VR I
, PROPERTY DESCRIPTION
County
Township
County
Township
Taxing district tov .
nshi
Pa{pef,r31ber -0 O
Legal description
3,S/3
O/
If any portion of the residential structure or the land not exceeding one (1) acre that immediate surrounds that ttrurctu6ls
of the property utilized to produce income.
used to produce into
e. describe the use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
1011reby certify the above statements are true, correct and complete.
Signatur aima
Address (number and street city, state. ZIP code)
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 1 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 pits line 7)
(S)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
F" g action - Signature of Auditor
t
Date signed
Signature
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
DEDUCTION ALLOWANCE
Date