HomeMy WebLinkAboutHomestead_MoreheadCLAIM FOR HOMESTEAD PROPERTY TAX [#jV\ tn_l
CREDIT /STANDARD DEDUCTION
State Form 5473 (R6 / 4-03)
Prescribed by the Department of Local Government Finance 9 n
- - INSTRUCTIONS: See reverse side for riling instnVions. D'
=F?a "r4,. -_._ e3. ''d^ rr,p.r 6`�-`•``sar " +'d - CERTIFICATION
STATEMENT,-, .i,��;y'?• :- 'x't':� f
I (We) certify that on the 1 st day of March, 20_
1 (We) occupied as our principal place of residence the folio In described real property for which a Homestead rop %Tax-Cr4it is hereby claimed:
El f (We) owned El Are buying under contract
-� OIBSON COUNTY AUDITOR
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.
ONTRI+T;RECORDEDp'
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c..5 "ac'wr`i3i�tr,c.. G� _ ` .' : �m its x�3�a�t'.•�: �+i�r�.c � _
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
_` S% 'Fi A _ °__ --" ' -.
r- e:°.'�vz��A '3: _ioa'- -w m sT M ` r..PROP,ERT,Y DESCRIPTION f'3�+ a^t+�±= ^y' »`
County
Township
Taring district (city, to n, wnship)
Parcel �
r —/0 f ,3-7 �
Lega e ' t
3/ o— -11
Is the prope i estion:
1 I property ❑ Mobile Home ( /.C. &1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediatety surrounds that str6crure is used to produce income, describe the use and portion
of the p`�to produce income.
- - ; b._. 4' ;n .. -r �`�';• -- `PROP,ERTY.OWNED`BY CLAIMANT
IN:OTFIER COUtJTIES�` „ ''ire -:.. "fg'�y ,Q -..- �y ,�,', ;✓,�'?s
County
Township
County Township
I hereby certify the above statements are We, coned and complete.
Signature of claiman
V, C
Address (number and sheet. rA ,stale, ZIPCOde)
MEZZ Z/ �f.
7
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u` ASSESSOR USE ONLY
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```TRUE TAX v
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ASSESSED VALUEHOMESTEAD�
4
'rPr.
NONIRESIDENT IAL
g: i::�.£. ^•..%?s`an. rs.. 'T_- i'.r' -" ?3; _ t�h�i ,
s r
i #:VALUE .z.
e
AT _700 %zy0 F'TTV
1 VALUE
ai..
u'42•E-.Si VALUE x,"
Land not exceeding 1 (one) acre immediately
(1)
d
s-+' >~ v°(ra' 0. t+{;.
x._<
surrounding residential improvements.
Other land
(2)
rt >PS°M�
-'.,•
Total land (line 1 plus line 2)
(3)
xK
�+'� Wffaffli
'Residential
Dwelling
(4)
^ -..
�7..sYa,4:.
improvements or Annually-
Assessed Mobile / Manufactured Home
Garage
(5)7
' - F"''=}�
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(S)
I hereby certify the above is We, coned, and
Signature or Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
• •"• *•+ x*�t, = .• . "? �_ i+ "c.- ti"a� .; ,'tre"a. -,S TANOARD:DEDUCTIOWALCOWANCE
�rai
20 Pay 20_
Lesser of 112 Homestead
vauauon or 535.000
5
Signatu
d
Date
ygged,
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al t.rMM:Wt 10.:/'Ps mrssu.EA FORM 1.1-IA
APrMn'EnaY MAIL.OMRDrw eras.:ter PRr3RIBED BY Tit[DEPMTNIEIT OF URAL COsERNMEN,FINANCE ri-i l-I:-a.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and hurried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ester for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. �t
• HEA 1344--3019 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to creche the
benefit and to provide additional identifying information necessary to allow county goeemment to better monitor homestead
filing.This information will be kept confidential and can only be accessed by authorized enmity officials.The Depanntent of
Local Govcmment Finance will use this information to create tools that will help county Officials eliminate homestead Baud.
PART I: PROPERTY INFORMATION
Taxpayer Name Prupertc Address
Ziliak, Stephanie - _
114 S Eileen ST
Ilaubstadt IN 47639-131 14
2731
Stphanie Ziliak
114 S Eileen State Parcel Number Legal Description
HAUBSTADT IN 47639-8114
Irlrrilrrrlr 1111 IIlll ll lrr lrllllll111 tllIl ll llttlllrllllllllll 2 6-\18--336-404-000.137-009 013-00137-00 PT SE 36-3-11 .287 AC
_. _ ..— --- -- — J� —f
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 Middle Last
cy e_., -t\ liCA-k--/ 4,,@■,,,k,_\ ,
tg Address(number and street.city,state,and ZIP code) ❑ Same as property address `--I
\\14 S . E lean 5\- • caiSc -\- A (-17 1039.
Spouse First Middle Last
Mailing.Address(Number and street,city,stale,and ZIP code) / e as pmpeny address
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 bark taxes and substantial financial penalties.
Owner I Signature Date
7_
Q A : 1:3/07 Na rt-4 Ckertse VDT"- 7."l c k 10 Ror le I
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