HomeMy WebLinkAboutHomestead_Heldt (6)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD _DEDUCTION
State Form 5473 (132 / 5 -92)
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INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC70 93
- certify tha h si d2y oft ,,"
®�) occupied as J ur principal place of residence the following described real property for which a Homestead Property TaAgVITOReby claimed:
❑ 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 -
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
PROPERTY DESCRIPTION -
County -
Township
Township
Taxing district (city. town, township)
Parcel num er // ^
Legal description
_ L2.15-64-c-
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
Wby certify the above statements are true, correct and complete.
Sin . re o laiman
Valuation or $2.000
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)
Valuation or $2.000
.
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 plus line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
�g action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2.000
Signature of Auditor -^
tflJ\
Date si 1 - ned
d 13
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MATE TAFAP%IEAFOM1V:S-IA
.APPROVED BYtt11EMNRD OF ACM1R'..�TS,2tf IUSTIpm BY mr DEPARTMENT IF LOCAL CAlVEtNMFA'r FmA\CEICVII=_.!I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standanl deduction.As the receipt of this deduction becomes
el more beneficial,there is more incentive than ever for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that They are cliciNe to receve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorised county officials.The Department of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Heldt, Robert E/Shawna M
R I Box 89 A
Francisco IN 47649
1096
Robert E/Shawna M Held(
7502 E 400 N State Parcel Number Legal Description
Francisco IN 47649-9260
I t1n11ur1t11ur1t r11r1rr 1r1nu1r1r 11u11rrrllnnrIrInrIII 26-06-20-200-000.926-017 009-00926-00 E NE 20-1-9 2.50 AC
. "C
A PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
•gah-e..7719 E. l-elf
•Etg Addrs(numbm and street,city,state,and ZIP code) - _-—- -,1 --Same us properly '' - —- --
• Spouse First Middle Last
51L 1Q 0 n$',
Mailing Address(Number and street,city,state,and ZIP code) 1 Same as property address
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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 1 Signature Date
PART 4:ADDITIONAL INFORMATION •'
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