HomeMy WebLinkAboutHomestead_Jones (4)CLAIM FOR HOMESTEAD PROPERTY TAX "I, veAR CREDIT /STANDARD DEDUCTION State Form 5473 (R2 t 5 -92) .
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
&e) - _ �J'1�.� certify that on the 1 st day of March, 19
I (We) occupied as our principal place of residence the follow"W described real property for which a Homestead PropertylTax Credit is h &eby 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
II buying on contract, Fee Simple owners name
Recordees office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
Taxing district (city. town, township)
Parcel number la
,>C) _� �
Legald 't n h
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
'reby certify the above statements are true, correct and complete.
Sig re of
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Address (number and street. city, state, ZIP code)
F, 1 (l0 5 R
Otherland
V
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL,
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(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 pbs line 7)
(6)
hereby certify the above is true, correct, an
I d
complete.
Signature of Assessor
d
Date signed
, ng action - Signature of Auditor
Date signed
STANDARD DEDUCTION
19 Pay 19
Lesser of 112 Homestead
Valuation or 52,000 S
/ ,
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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incenthe than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
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HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to piocide additional identifying information neregaly to allow county government to better monnor homestead
filings.This information will he kepi confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
-- — __ _ _ —_r._._ _ _ - Jones, Steve.Alan — _ . _ . _ . - _______ .
R 113ox 165 A
Ilazleton IN 476-30
728
Steve Alan Jones •
6358 N SR 65 State Parcel Number Lezal Description
Hazleton IN 47640 -
26-05-12-100-000.189-017 009-00189-00 PT LOC 3 12-1-10 7.726 AC
k-
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PART 2: TAXPAYER INFORMATION
Owner I First / Middle Last
Sieves �-l`7A. TNeS
. g nddress(nmber and ihcet,Olty,score,and Bode) - .-� --• '—— 0-Same as piopeny address— — —
2 SS -iti S'2 C S 4� al e/o�, /4L 447‘R-60
Spouse First Middle Last
4- A .
Mailing Address(Number and street,city,state.and ZIP cote) _ El Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sox
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 I Signature Date
( )
PART 4:ADDITI ON AI4IN FORMATION
III .