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HomeMy WebLinkAboutHomestead_Collins (2)aA•' CLAIM FOR HOMESTEAD PROPERTY TAX ..y CREDIT %STANDARD DEDUCTION State Form 5473 (R2/1 -90) ' INSTRUCTIONS: See reverse side for filing instructions. CERTIFICATION STATEMENT I/ YEAR op9. Do AUVllvr• I (We) certify that on the 1 st day of March , 19IX� I (We) occupied a ur princip I c o nce a following described real property for which a Homestead roperty Tax Credit is hereby claimed: ❑ I (We) owned ❑ Are buying under contract El property a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying it under a contract. CONTRACT RECORDED If buying on contract. Fee Simple Owner's Name Recorder's office where contract is recorded Record Number Page 0P(1PFPTV nF:QrRIPTIAN County Township " Taxing District (City, town, township) M r e umber Legal Description 00 If any portion of the residential structure or the land not exceedin ne (1) acre that immediately surrounds that struc- ture is used to produce income describe the use and portion of the property utilized to.produce income. Qtr�L�Ey '� 93,.,gq PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County Township hereby certify the above statements are true. correct and.' - Signature -omplete. Address (Street, number, city. state and 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 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 19— Pay 19— Lesser of 112 Homestead (2) Lesser of 112 Homestead Lesser of 1/2 Homestead Valuation or $2,500 (3) Valuation or S1,500 Valuation or 51,500 (4) - - - - (5) (6) (7) (8) I hereby certify the above is true, correct, and complete Signature of Assesor Date Signed Verifying Action - Signature of Auditor Date Signed STANDARD DEDUCTION ALLOWANCE 1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19— Pay 19— Lesser of 112 Homestead Lesser of 1/2 Homestead Lesser of 112 Homestead Lesser of 1/2 Homestead Valuation or $2,500 Valuation or $2.000 Valuation or S1,500 Valuation or 51,500 Signature of Auditor Date Signed (1 • aIAIE FORM 9 W IIC/•nl laFASZEER PORN 73-1A APPROVE!)BY STALL BIIVtD OFMl9Ma.9n PLL t1Bm BY WE DEPARMENT c*LOCAL QrhootFt FINANCE MH.1-L'LI Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead s4aodard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than eser for homestead fraud I Iomestead fraud causes higher tax bills for all:therefore. • HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to creche the benefit and to provide additional identifyine information necessary to allow county eorcmment to better monitor homestead filing-.This information will be kepi confidential and can only be accessed by authorized county officials.The Dqunntent of Local Government Finance will ow this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Collins, Bryce Jr/Brenda 9409 N Crawford II ill Rd Hazleton IN 47640 69 Bryce Jr/Brenda Collins 9409 N Crawford Hill Rd State Parcel Number Legal Description Hazleton IN 47640-9275 �r�rt��rrr�t��r tr�r t��ltl t�t�Itrrltl�ttt�s�l�rl�rl t�t�tt�t ttl� 26-02-27-200-000A65-017 009-00465-00 PT LOT 527-1-103.23 AC X PART 2: TAXPAYER INFORMATION Owner I First Middle Last BYkict E e-o ( tins , 7R Sig Address(number miiifrect,city,state,and ZIP code) - -I- - - — ----g'Sunte as-property address - - •- ---- --- 9 #o9 nl (Lr0.WEord 14,- 11 Pd I-tflZle4on in) 14 -7693 Spouse!� 'K First '/ Middle Last 1aren0. U- e.-0 ; r15 Mailing Address(Number and street,city,staatte,and ZIP cock) © Same as property address �l q 0 9 N l��Q, cord F.(- at Rd &T-1 e i.1■3 q "at y0 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 Date PART 4:ADDITIONAL INFORMATION •