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HomeMy WebLinkAboutHomestead_BurtonEs.xrF CLAIM FOR HOMESTEAD PROPERTY TAX j ^ CREDIT /STANDARD DEDUCTION a State Form 5473 (R2 15-92) INSTRUCTIONS: See reverse side for filing instructions. _ Y1��► =1�i1 Mnit n CERTIFICATION STATEMENT vi glus 1 (We) certify that a 1st day of Ma7s� 1, 19 �� I (We) occupied as our principal I c of residence the foing described real property for which a Homestead PropeiL"#7f� ❑ I (We) owned ❑ Are buying under contract - ',rw.YAUDITOR ❑ 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 owners name Recorders office where contract is recorded Record number Page PROPERTY DESCRIPTION County Township Taxing district (pry, town, township) Parcel number - © 3N 1 -00 Legal description q-)-)D Q. L. 1 any pomon 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 COUNTRIES County Township County Township Signature of cla" t ,ereby certify the above statements are true, correct and complete. Address ( ber and street, city, state, ZIP code) R) ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON - RESIDENTIAL VALUE VALUE VALUE VALUE Land not exceeding 1 (one) acre immediately (1) surrounding residential improvements. Other land (2) Total land (line 1 plus line 2) (3) Dwelling (4) Residential improvements Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true, correct, and Signature of Assesor Date signed complete. Venfying action - Signature of Auditor Date signed STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 Lesser of 1/2 Homestead $ Valuation or $2,000 Signature of Auditor Date signed '� • STATE FOR ht 53fla tR2 l eo TAFASUAER FORM TS-IA .APPR'ED BY MAIL BOARD OF XL TSFrN PILESMDFD BY THE DFPART6Yr(F LORAL GMRR.YMENTFM:ANCE ICFi.I-L4.t Gibson County Auditor N twin )01. 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 e'er for homestead fraud.homestead fraud causes higher in bills for all:therefore. HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to serif that they are eligible to receive the benefit ani to provide additional identifying information necessary to allow county government to better monitor homestead filintw.This information will be kept conedemial and can only be accessed by authorized county officials lie Department of Local Government Finance will use this information to create tools that will help count'officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Burton, Bradley J/Mary P Mark Ford Rd Patoka IN 47666 187 Bradley J/Mary P Burton R1 BOX 124 State Parcel Number Lesal Description Patoka IN 47666-9152 ItIIII1n FIIlIIIIIlulllnlllunll111llnlll��ul�l�u�uI��l� 26-05-14-400-003.087-017 009-03087-00 PT FR 141102.00 AC 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 eAOLE y JasEPr+ tguRTOO 4Ing Address(number and street,city,state,and ZIP code) 17 Same as property address 4/99 I/ D - Sr ns leo. (o5 Spouse First Middle Last fi2A-R Per 6u orb,v Mailing Address(Number and street,city,state,and ZIP code) 'came as property 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 back taxes and substantial financial penalties. Owner I Signature&`J/ Date / PART 4:ADDITIONAL INFOR)IATION