HomeMy WebLinkAboutHomestead_Muncy (3)4114CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION State Form 5473 (R2 r 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
I (We) S"� x, C-1, Q,-,L - "I certify that on,641st, day o1:Marcfi;,19_-%5
A l t^ ITSp ai
)occupied as our principal place of residence following described I property (or which a Homestead Property Tax Credlt�s.hereby claimed:
I (We) owned ❑ Are buying under contract
L� 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
Recorders office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
I Township x
Taxing d r I (city towel township)
Parcel number
-M?9G
Lega e� tpiton
ow SE 1?-1:9 8. a3q r}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, describe the use and portion
of the property utilized to produce income.
Signature of Auditor
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Tom" _
eby certify the above statements are true. correct and complete.
k
I Signaturnes o--f claimant ,
.vadress (number and street. city. state. ZIP code)
K )4_4�1 .66k (OFit 6 IC,4wr- Scd
I1!) 76'? q
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately I
surrounding residential improvements.
(1)
Valuation or $2.000
Signature of Auditor
Otherland
(2)
Date signed
5 -l0 -95
Total land (line I plus line Z)
(3)
Residential improvements
lin(4)
rGae,age'
I(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pUs line 7)
I (g)
I hereby certify the above is true. correct. and
complete.
Signature of Assessor
(Date signed
Verifying action - Signature of Autlltor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 Pay 19 _
Lesser of 112 Homestead
S
Valuation or $2.000
Signature of Auditor
Date signed
5 -l0 -95
SLATE.IOVA a!s iK2/'4141 flFASUIER PoR411A
.APPrrw ED BY Alt.BOARD Or'A,:n"KLN1 S.:Vr, PfStO l DV nit DFPARINEtr OF LOCAL noVEtN NEAT FINANCE IC 6-t.1-::4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 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 escr for homestead fraud.Ilorneread fraud causes higher tat bills for all:therefore.
• HEA 1344--3009 requires taApayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow count'government to better monitor homestead
filings.This information will he Aryv conlidential and can only he 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 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Muncy, Todd A/Tami J
R I Box 681 13-I
Francisco IN 47649-9801
1064
Todd A/Tami J Muncy
6210 E 450 N State Parcel Number Legal Description
Francisco IN 47649-9234
Illtrlitrrlllllttllllllltlltltlllltlrrlltrltrltrrllll ��� 26-06-18-400-000.296-017 009-00295-00 PT SW SE 18-1-98.234 AC
C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
odd Phan Thuncr
• _ ._ g A/ddiess(number and street,city,state;and ZIP code) '' — — ' — --Same es property ad-sits —— — — —
CD a\IO L —150 f rf nC:SGO
Spouse First Middle Last
/an I J p
/72 LI/iC'7
Mailing Address(Number and street,city-state.and ZIP code) ® Same as property address
„ /O E 4/.9) N I ftGnci5c0 2A) (-17 a) t/ 9
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:ADDITIONAL INFORMATION