HomeMy WebLinkAboutHomestead_ShermanCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R614-03)
Prasoibed by the Department of Loral Government Fbranoe
INSTRUCTIONS: See reverse si* for #0V iaft cdorw
FORM YEAR
HC10
Fr
I (We) J -I-- L- w--w, W(J iY that on the 1st day of March, 20
I (We) occupied as our = place of rest ce the following scribed real property for which a Homestead Property � 6*itis h " y claimed:
❑ I (We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
' 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.
- 'a'c"9&0:3� la CONTRACTRECORDEDs'is"':�+r�.-r' .§,.��.""--. -'- - ,l
If buying on contract, Fee Simple ovmees name
Recorder's office where contract is recorded Record number Page
$��'�aF- ��.:a- ..✓:•? P, ROP,ERTY:DESCRIP.TION ��".�r.�''fi:. _, yy,.�— x,t.... �.� "��f,",-v;�+ .s�� r•`.
ty
Township
Taking district (' , to , to—pip)
aaldne
Par cel�yurpyen— Y
vv (J �Lr
Legal description —/ /q
Is the property in Question:
eat property ❑ Mobile Home (I.C. 6-1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) ace that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
"'=? a °;,-; = i-��'��.•wh''�PROP.ERTY; OWNED` BYCL' AIMANT ;IN'OTHERCOUIJTIESt�.x�`-'' �'`="Y"' �- z� ' `
County
Township
County Tavnship
hereby certify the above statements are true, correct and complete.
i [ure of tla"unant.
ss (number and street, city, state, ZIP code)
L,
ASSESSORUSE ONLY >S ?
3 TRUETAXi
ASSESSED VALUEHOINESTEAD��'
i'�1,;NONyRESfDENTULL+
may,
'�a. - yVALUE
AT ;100I$ OFTTV
.'�
VALUEi'F a
- _-
Gzi.VALUE� �i
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
11
land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential Improvements or Annually
Assessed Mobile I Manufactured Home
Garage
ds
.,
MAE
Other improvements
(6)
sy�_xt
�s
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(S)
I hereby certify the above is We, correct. and
Signature of Assessor
Date signed
complete.
Ventying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 112 Homestead
Vauabon or 535.000
i6;9
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VIM I OEM IE_r 5-nt TNF.INPLR FORM SIA
,APPROVED BY 51.VF B S5RD OF M'n%NTS!m Plr31LIBm BY 1111 DFPARTENT Or LOCAL GA?RNytNF FINANCE n'61.1-s:4.I
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 ever for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2IX9 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifvine information necessary to allow county government to better monitor homestead
filing,.This information will be kept canlide uial and can only he accessed by authorized county officials.'I le 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
Sherman, Scott/Jennifer L o�r�
bun ln an II 0��, e 50
FRANCISCO IN 47649
1045 Q 1L
•
Scott Sherman
8207E 500 N .State Parcel Number Lesal Description
FRANCISCO IN 47649-9251
I rlttllttdtlltttlrrllrlrtltlrrrrlr1r 1r1rrrr1111trr 1rtt1r11rr1 26-06-16-400-003.241-017 009-03241-00 PT SE 161916.36 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
&eoW m Nina-e Sher man
Sg Address(numticrtmastreet,nty;state,and ZIP code) --_ __.,., —_ _ 9 Same s property addrs-___- __
:201 '3-00M Fran c l SW D 1. N y1 lsLAq
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Spouse First Middle Last
cthh-cer ' 1-Re S1�2rrnzr�
Mailing Address(Number and street,city,state,and ZIP code) [] Same as property address
•
Ca-M 0N1 Frano sco I I N 1.ey9
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 j