HomeMy WebLinkAboutHomestead_Armstrong (2)CLAIMTOR.HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Farm 5473 (R614.03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
T� 4-4ri w CERTIFI , CAMONiSTATEMEN_T,
I MO ICE L02&4jjtj! (td jgrt2!!% certify that on th'"Vay Of
( r arch, 20
I (we) occupied "as our principal place Of residence the following described real property for which at9binestead Prc. e,
luepaimed:
-0 1 (We) Owned ❑ 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 pr cirpat � contract.
�UOITOR
Z:
.'z.F.x-,!,CONTRACTRECORDEDr "
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded I Record —urnber----Fp`soe
�At',�Mw 00, P�
PRbPERT;YtDESCRIP:rION-�''' t"
County
Township
County
Township
$
Taxin5o(listrict (city, Vimr,. townshipk
Signature Of claimant
C"-
Signature of Auditor
WwPmber and n
/rL V ,ZIP TM BL)A
Is the pmpetV4estjm:
U
PlEd
surrounding residential Improvements.
eaI property ❑ Mobile Home (/.C. 6-1.1-7)
If any portion of the re , not exceeding one (1) am that immediately surrounds that structure is used to produce Income, describe the use and portion
of the property utilized to produce income.
JM-21 s V* ORO PERTf- 'OWNED' BycLAiNtANT, I N'OTHER-'C-0UNTlESVM-"w
LIE,
County
Township
County
7ownshlp
$
I hereby certify the above statements are true, correct and complete.
Signature Of claimant
C"-
Signature of Auditor
WwPmber and n
/rL V ,ZIP TM BL)A
I
U
10WILI
-Ff: :%Rj W-
&
ei %'--ASISESSOR USE'6NILY.—
LIE,
1,f{jHOM-ESTEAD*
-�,,"��NONAESIDENTIAL-
$
Valuation or $35,000
-VALUE ; -.A-
Signature of Auditor
Land not exceeding I (one) acre immediately
1V
surrounding residential Improvements.
T
Otherland
(2)
Total land (line I plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
'J
Assessed Mobile I Manufactured Home
Garage
(5)
V-
O�par improvements
(6)
Total Improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Slgr,ature of Auditor
Date signed
t��.,. 4,',�:-; STANDARD,DEDUCTION"ALLOWANCEI.",,-','..�',.'l�,'.',_ .':-
20 _ Pay 20
Lesser of 1/2 Homestead
$
Valuation or $35,000
Signature of Auditor
Date signed
•
•
MATE FORM MAAMx /mAn WREESULTA Po0.V 11A
APPA'En DT METE R AW FS.MRL..TS._ml PATEMIIDID DT nit O[PMfTQYT OF LOCAL CxwER.YMrNr Ft':ASCEIC4-I.1.L4I
Gibson County Auditor IMPORTANT NOTICE HOMESTEAD PROPERTY OWNERS •
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ncr for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
IN HEA 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necesmry to allow county goverment to better monitor homestead
filing.This information will he kept ennlldenlial and can only he accessed by authorized county officials.The Dgvnment of
Local Government Finance will use this information to create tools that will help carom officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pr_• v Address
• Armstrong, Michael T/Kara D
�� V No Location Description
Ilarldon IN 47640
1030 \�l
Michael T Armstrong O \C)�
R1 Box 238 AA State Parcel Number Legal Description
HAZLETON IN 47640-9345
26-06-06-400-003.210-017/009-03210-00 PT W SE 6-1-9 1.99 AC
ltlrt�itrtirll�uilittilli rirltittlimiulrltithlitt u111111.1 y i(
/ i^
- ;(_ PART 2:TAXPAYER INFORMATION-• - • . .
Owner I First Middle - Last
/rl ,'e�,fte 'ooLd •• ARmS�-�2.oNls-
--�tis'Addtcv�tiumoer and SUSXL[city;state:mid Zi-r code) — - %Smis i+s p;o cct.;.:dr+iss - -
60qV S. &50 ii I-InzeLtod , N • 7/l4D
Spouse First Middle //�� tau
eiked, •Mailing Address(Number and street,city.state.and ZIP code) DzS:une as property address
409v e. is , Pazti +ot) I 1/7(0
' 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 understandsihat,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
PART 4: ADDITIONAL INFORMATION - -.
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