HomeMy WebLinkAboutHomestead_Fithian (2) •
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.APPROVED BY STATE BINRD OF'FYTnLs-r<."S4 PAr3AarD BY nit DEPAMIY&`lr(W LOCAL tawtLsMrh,MANCEMLI.1r4.?
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.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1343-2009 requires taxpayers who receive the hanestead standard deduction to verify that they are eligible to reccne the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings. Ibis information will be kepi confidential and ran 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
Fithian, Rodney/Sally A 6 6,5 1 K 5 2 L5
p 1 It,, ' L
Ilazleton IN 47640
713 [Q /
Rodney Fithian L�rr ////
6651 N SR 65 State Parcel Number Legal Description
Hazleton IN 47640
26-05-01-400-000.204-017 009-00204-00 PT S S 1-1-10 3.62 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
ffa
a <�
CI n t y pr �� ?Ii 11./0
mg Address(number end stwxt.city,sure;andZiP Code) -- --— - Sara=as property;ddr - - —- - - -
6651 /t! ST RD G5- HAz IP fo i[[ i/ 476/Go
Spouse First Middle .... Last
SA J1 A rf-thj4A)
Mailing Address Ober and street city,state,and ZIP code) 25ame as property address
Each undersilmed 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 r Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
} CREDIT /STANDARD DEDUCTION
„ • State Form 5473 (R2 / 5 -92)
uu ..
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
- CERTIFICATION STATEMENT _
I (We) certify that on the 1st day of March, 19_
0occupied as our princi al place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
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 property or is buying under a contract.
CONTRACT RECORDED - - - It buying on contract. Fee Simple owner's name '
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
PROPERTY DESCRIPTION
County ,r /
/�S S 0 N
T wnship '- s _
A
/
/)//
Taxing district (city, town, tow
F77 /i /V
PaRelru r
Legal description
_ -
If any portion 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 COUNTIES
County
Township
County
Township
eby certify the above statements are true, correct and complete.
Signature of claimant -
Address (number and street. dry, state. 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.
(1)
Signature of Auditor
D}Irysigned/
_ -
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 p.Ds line 7)
(g)
ereby ce ify the above is true, cor �, and
mplete
Signature of Assessor
�-/ U - 6
Date signed
rifying action - Sig lure of Auditor
L
Date signed
" STANDARD DEDUCTION ALLOWANCE -
19 _Pay 19_
Lesser of 1/2 Homestead
V luation or $2,000
S
Signature of Auditor
D}Irysigned/
L,