HomeMy WebLinkAboutHomestead_McKannan ,..4-t•a4. CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
a., STANDARD/SUPPLEMENTAL DEDUCTION
=• W State Form 5473(R13/12-09) HC10
'4=2' Prescribed by the Department of Local Government Finance � � ''
INSTRUCTIONS:See reverse side for filing instructions. ' ,
. llif.'-t.....�..T��",,}}y' iraiiad� u �� � ERT.®.CAT OAT.E N1rltia FaTir1a'-xYt�a=s?ar'�7s� �'�1 isEi).d i.
I(We) ' .1111.1W,MYJ/inalrav
A 1. . at I 4I occupied as my(our)principal
place of residence or am(are)bu 'm the following described real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the date this app'.ction is filed, (date of fling)- I(WqOnemthiga -
0 Own ❑ Am(are)buying under recorded contract GIBSON COUNTY AUDITOR
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
p Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
0 Am(are)the shareholder, partner or member of the entity that owns the property.
c r•.1.'wiw-a err .:=ral -r°+- •• *.1-_�; y- ,.. ?_{y'} -4.sr .V.: .ailn`'. trer�:
3�T-�+- .''3,���1s "�7.f�+�°.•�'.rc-Y.�r�+�CLAIMANTJS,INF.ORMIiTIO�N �,'s�x,-+„s- =-'�„ak._„tY.«.d=..,. >-+..:.. ���•r�t
If buying on centred,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
' ,''.S` ,� ,. _ tit - PROPERTY DES�"`3'_'•°`... :.ser h. mi. ,Vt_1+tetS::SI,#'sL: K.
)�:.�tr4'�'.F�.7w-:���;.:�:.•�T2� S�tEY.�...�s-� CRIPTION
County Township Taxing district('. • •wnsh• ) I
Parcel n�urtryt�er� � TT J rr��••�� 1vr. LL I desolation Is are in question:
ouv rrn ra D /W Ul-•.7C0&7 cal property uaay assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)sae that immediately surrounds that structure is used to produce income,desaibe the use and portion
of the property utilized to produce Income.
aNEg .11x'1; in PROPERLY WNED�BVeCL N�AN.T,IN•:O,T,HERTCOUNTI:gra itc S!ri0=me: `kaf-
County Township County Township
S' tore of claimant
I hereby certify the above statements are true,correct and complete. r,
' 4AAn c..1-<-„ " An/G1n..-■
Address(number and street,cdy,state,and ZIP coda)
1-13• , • • C - rarc.sce • O
s•t -rifcgs:':x i +r�L's"'G? `^2t 1'r`=i.r,{ ' ribS -CSSED VALUE HOMESTEAD`' tZiOt NON-RESIDENTIALf?1.,g;
'3�. .r+ASSESSOR USE;axa..+a �",_`�' +� TRUE AX.oxwir ,E -.kWi. > W2 'i .i l;
.>��r�5��`�Ck.�::r:r,+e..sr._.:.:cow.-Et+�2'�.+ztitv�7.�xas�++�b I�IAT�l00e%,OF T.TV ra�a:VALUE::.� rF�YS-Y'�'.VALUE 3,.a�iT+'+`
Land not exceeding 1(one)acre Immediately :5 `_ ''�` ,s:
surrounding residential improvements. (1) c f r
Other land (2) -4 `_'
Total land(line I plus line 2) (3)
Dwelling (4) - ca s 3x--,
� hi
Residential Improvements or Annually
Assessed Mobile I Manufactured Home Garage (5) ` f ^•+ ty ...11: " .
Other improvements (6) s-.- 's ..
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above Is true,correct, Signature of Assessor Date signed(month,day,year)
and complete.
Verifying action-Signature of Auditor Data signed(month.day,year)
t`?iA'3 u ..-TMrvr'>� e "Wnfr.""_ �`'"` "STANDARD DEDUCTION AL'LOWi1NCE ` :•.- _-ata-5 71 t z.k, ` _ _,'st'
20_pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any oterprovision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $
not assessed as real property or to a manufactured home that is not assessed as real property may not exceed
one-h (1 )tithe assessed tue of the mobile home ormantdactu,ed tame. �(
uuk_Sigrsw of itornLl1 L Date s9ne�(rt�onih etyea i
N
STATE FORM 53569(R2 5-09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-222-s.I \
11r1Pti0R:T�,S►O T T€ICEil9Zg lardia na ROP ERP 94WINERg , l,,
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
Sauses higher tax bills for all; therefore, HEA 1344-2099 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive 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 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.
4 .46.,,.....1::::;;1,-f-,.: P%RT1: PROPERTY INFORRM ICiN
try '.,,. 'Address State Parcel Number Leval Description:
Po Box 592 0 "S
Jeffrey D McKannan 14pr� 26-06-20-100-000.768-017 009-00768-00 PT W NW 20-1-9
Princeton IN 47. 0 \v' 10.481 AC C-1
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2: TAXPAYER INFORMATION .
Owner 1 First Middle Last
Mailing ess(nurtber and str l dry,slate and ZIP code)
L`\ same as property address
-
LI e ) 130 N lQ'$at frc&ncA5co I-1H-- 1\) �- / (19I4
Sparse First Middle Last
Den Lc ` f mCY.o.nt�n
Mailing Address(number and street.city.Nate and ZIP code) X 1 Same as property address
4' q is N toso-f, I r,h.t scp IQ ' `y '7 GLIq
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: ADDITIONAL INFORMATION
•