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Home My WebLink AboutHomestead_Ford (3)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YFJ1R CREDIT /STANDARD DEDUCTION HC10 State Form 5473 (R8 / 7 -07) Prescribed by the Department of Loral Government Finance INSTRUCTIONS: See reverse side for riling instructions. I (We) I I (A X/ (YrL�)U IC 1 ce tiry ��t�n t�e st i March, 20 1 (We) occupied as our principal place of residence cite following described real property for which a Homestead Pro perty`T hereby claimed: I (We) owned ❑ Are buying under contrail Oda 6 lave a beneficial interest in the entity that is liable for the property fazes on the property and that owns the property�or Is b6ytq under a contrail. CONTRACT ••r If buying on contract, Fee Simple owners name Recorders dice where contract is recorded Record number Page I 0 ASSESSOR USE ONLY TRUE TAX VALUE '.PROPERTY OWNED BY CLAIMANT ■ Coun PROPERTY DESCRIPTION Township Taxing district (cdy, Col shi ) 1. Pa ((n�umbeer qrr, `o -0&-S-7-o-71 —1/�C.l Lleggal description �7- I❑ Is the property in question: Real property ❑ Mobile home (IC 8 -1.1 -7) o arty portion d the residential structure a the land nil exceeding one (1) acre Nat immediately surrounds that re is used o produce income, describe the use and portion d he property utilized to produce income. I 0 ASSESSOR USE ONLY TRUE TAX VALUE '.PROPERTY OWNED BY CLAIMANT ■ IN OTHER COUNTIES - County — I hereby certify the above statements are true, correct and complete. .. I 0 ASSESSOR USE ONLY TRUE TAX VALUE IAS�E�SEDVALUEI HOMESTEAD I NON-RESIDENTIAL AT 100% OF TTV VALUE VALUE Land not exceeding 1 (one) acre immediately Homestead Valuation or 43,000 for 2009 pay 2010 40,000 payable after 2012 surrounding r esidential improvements. (1) I Date ggpgd (Wri ,, day. year) — Ia 00 V �' + -;':;" • f' _ - f;' ,=.;, •,;• < Other land (2) ,,.: Total land (line 1 plus lime 2) (3) Dwelling (4)r - Residential improvements or Annually • Assessed Mobile / Manufactured Home _ _ - ::�, - ,:. • r- ;.:. - Garage (g) Other improvements (6) _ Total improvements (line 4 through line 6) (7) Total value (line 3 plus fine 7) (8) \ I hereby certify the above is true, correct, and Signature of Assessor Date signed (month, day, ),ear) complete. Verifying action - Signature of Auditor Date signed (month. day, y "r) pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 112 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $ Homestead Valuation or 43,000 for 2009 pay 2010 40,000 payable after 2012 re Aud I Date ggpgd (Wri ,, day. year) — Ia 00 V P SIAM ram 535r+nr'wi, TREASURER PoRM 1 IA %MOVED BY MATE BOARD OFMrr1 l\T1.]MM PRFYT®ro BY THE OFFAIOWNT OF LOCAL GOVERWJr,'T FT:NCE If 6-/.1-221, Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couplet are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than eta for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 134+-2009 requires taxpayers who receive the homestead standard deduction to.erify that they are eligible to rereite the benefit and to provide additional identifying infonnatwn necessary to allow county government to better monitor homestead 1•gs. ove ment Finon will bl use his in emial and ran only oo s that i by authori>ed county neli in.The Dquad fro of F } al G is infor ation w will tax this mfomal an w n onl tools that will help county officials ffi ials. homestead fraud. PART I: PROPERTYI\FORMATION 2010 Taxpayer Name Property Address _ MAY 5 Ford, William R/Lucille H Trust 1( '—y�/ Fred McRoberts Rd�`✓ 7 a� Princeton IN 47670 934 GIBSON COUNTY AUDITOR William R Ford 2319E Steelman Rd State Parcel Number Legal Description PATOKA IN 47666-9116 26-05-57-071-000.213-017 009-00213-00 PT MD 71 1-10 56.84 AC 11111111111 I I I 10 I I nt I I ta I r I t I I ul I I r I I I I I t I nt I n I I D-12 PART 2:TAXPAYER INFORMATION Ow' r I -p) First Middle 7 Last �� R RC) Aigg Address(number and street.c" • P code) `' ( ") __ 0 Same as pro • 'address -__ __—- .- Spouse First Middle Last Mailing Address(Number and street,city.state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sr= 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 ..-r substantial financial penalties. Owner 1 r / d Pore - Spouse Signature r ��' • to Telephone l PART 4:ADDITIONAL INFORMATION