HomeMy WebLinkAboutHomestead_Beard (2)i-
U-0)t;'�AiM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form. 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
nLnTILI!'•ATIh1.1 CT ATCIIACAIT
FORM YEAR
HC10 a
I (We) \ �• — cerlily that on the is ay of rc , 19
I (We) place of residence the following described real properr V (opt t�j�jt®Aj�l mestead
Wperly Tax Credit is hereby claimed: J�We) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is liable for the property taxes on the properly and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
II buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
town,
Parcel Number Legal Des n
- 00 "1 u
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc
ture is used to produce income describe Ilse use and portion of the property utilized to produce income.
DanDGary nwNFn RV CI AIMANT IN OTHER COUNTIES
County
Township
County
Township
�ereby certify the above statements are true, correct and
Sigr lure
mplete.
f✓
Addr s (Street, number, city, state and ZIP code)
1- 41 1 ba / n� 1
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19 — Pay 19
Lesser of 112 Homestead
Valuation or $1,500
(2)
Signature of Auditor
SJ.
(3)
(4)
(5)
(6)
(7)
(8)
1 hereby certify the above is true, Signature of Assesor
correct, and complete
Verilying Action - Signature of Audilor
Date Signed
Date Signed
OTAnlnAnn nrnIIr`TInN At 1 nWANCE
1989 Pay 1990
.0-Lesser of 1/2 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19 — Pay 19
Lesser of 112 Homestead
Valuation or $1,500
Signature of Auditor
SJ.
Date Signed
sg -9a
ELATE I ORSI!I W IR_(YMI TREASURER FORM TS-IA
.A nr, rn BY AVE Ns oOFsnr eTE9n PRrRl11BEn BY rite OEPARn ec(FLOCUCAVERYMEATFM A CEIcN.1-?:-fl
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 is more incentive than ever for homestead fraud.Ilomestead fraud causes higher tax hills for all:therefore.
IP HEA 1344-2009 require 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
filing.This information will he kept cnnlidemial and can only be accessed by authorized county officials.The Department 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
_ Beard, Cynthia L
. 6728 N SR 65
Hazleton IN 47640
1027
Cynthia L Beard •
6728 N SR 65 State Parcel Number Legal Description
Hazleton IN 47640
26-06-06-300-000.796-017 009-00796-00 PT W SW 6-1-9 9.75 AC
C-1
u/
Spouse First Middle Last
al//Oh it LILL 8 Alb
Mailing Address(Number and street,city,state.and"LIP code) n Same as property address
& 7g hi se GS I-Itii/Efe & . 11r $7040
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 back taxes and substantial financial penalties.
Ill
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