HomeMy WebLinkAboutHomestead_Hamilton (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (132 15-92)
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INSTRUCTIONS: See reverse side for filing instructions.
I w n \1 J `
(JAIN 10 Wit
I I A n I V . - 1� 1) LKJ LL I , / - i '4 ( certify that on the 1 st day of / WLJ
occupied as our prin plac o residence the following described real property for which a Homestead Property Tax Credit is hereby
K I (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
If 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
PROPERTY DESCRIPTION
County
Towns
p
Taxing district (city, town, township) ,
Parcel number
CNO- O6 U -ob
Legal description
-f-SE Lo IF-1-9 I a�C
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, descnbe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County _ Township
County Township
re by certify the above statements are true, correct and complete.
ture c imam , a
dd u (number and street. dry, state, ZlP code)
/1' P4�`o�
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I 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 pijs line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
I�'ing action - Signature of Auditor
Date signed
STANDARD
19_Pay 19_
Lesser of 1/2 Homestead
$
, Valuation or $2,000
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STATE FORM IS- t MEASLIER FORM TS-IA
APPRovED BTA.VE Bomin or.M<Rttta_:ow PEr ,mmDDY THE DEPARMGVT(i LOCAL fiOVERNSIENT FINANCE IC 61.1-2241
Gibson County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ner for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 134-1-2009 requires taspayen who receive the homestead standard deduction to verily that they are eligible to recene the
benefit and to provide additional identifying information necesury to allow county government to better monitor homestead
filings..This information will be kept confidential and can only he 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 LCFORMATION
Taxpayer Name Property Address
Hamilton, David J/ Lisa M €12 8 L E SoO&
R 1 Hox
its
Patoka IN 47666
292
David J/Lisa M Hamilton
R-4-Box-118 5416 E So o
Patoka IN 47666-9149 State Parcel Number Legal Description
26-06-18-100-000.401-017 008-00401-00 PT SE NW 181 91.00 AC
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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 INFOR%IATION
Owner I First Middle Last
ba1/4eJ 1-e J . , l�l rTRM//l UN
.ng Address(number and street city,state,and ZIP code) In-1 Same as property address
nglo ff,Soo l raKy, Y?d6G
-
Spouse First Middle Last
I 4 In �I a sti6]�G+J
Mailing Address(Number and street,city,state,and ZIP code) ISO Same as property address
m ra / / /
CERTIFICATION '-- _-- —Each undersigned certifies.uncle yenalty 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
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