HomeMy WebLinkAboutHomestead_Snydersrgp q
CLAIM FOR
CREDITISTANDARD HOMESTEAD
DEDUCTION PROPERTY TAX
State Form 5473 (R2 15-92)
16
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
l 6 1 -I
YEAR
CERTIFICATION STATEM T
- ' ' i I 11'�
I (We) certify ift8{L6n @eisQfflL�f March, 19_
I (We) occupied as our Ancipal place of residence the followi g cribed real prope or which a Homestead Property Tax Credit is hereby 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 owRs-tthe, p?dpelrt'y;or t� r tract.
r,l)DITOR
CONTRACT RECORDED
If buying on contract, Fee Simple owners name -
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
'
County
To s i -
Taxing district (cily, town,
township) '
Parcel number
Do 9- o - �
Leg I ripdon
/J - i
r 8y If
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 COUNTRIES
County
Township
County
Township
®ereby certify the above statements are true, correct and complete.
Si ature of cl unant
Address (number and street, city, 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)
Otherland
(2)
Total land (line 1 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)
(8)
I hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead $
Valuation or $2,000
Signature of Auditor
Date signed
SIAM FORM S...11C/F-eq TREASUREA10PN 73-1A
.ArPRITEn BY SITE B l5RO OFMTTAINTl.211N PRr_[AIDWDY 111E DEPARTtEYT OF LOCAL orrLNMFAT FINANCE IC 6-1.1-2:-.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 in er for homestead fraud.Homestead fraud causes higher vas bills for all:therefore.
• HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to teethe the
I benefit and to provide additional identifying. information necessary to allow county go t to better monitor homestead
information will he kept confidential and ca n only be accessed by auth orized county official, The De
of
FILE it
Local Govcnuncnt Finance will use this information to create arils that will help county official,eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
MAY 6 LUIU Taxpayer Name Prole ._ dress
Snyder, Bradley W/Jana E
( aa 4/4.& a 99 x/
--7 ,'SON COUNTY r,UDITOF 47666
Bradley W/Jana E Snyder
6139 N SR 65 State Parcel Number Legal Description
Patoka IN 47666
26-05-57-121-003.086-017 009-03086-00 PT MD 121 1 10.844 AC
\y C-1
/1
PART 2: TAXPAYER INFORMATION
Owner I l First Middle /,, Last
tg Address(number and sat,coy,state, uldZIP c6de) -- G'Smut as-property Date-- — —--- - -- —
COI 39 Al/5R c Pik& /A7 L/7666
Spouse First I Middle Last
JQYl.cc L /firt'7e n7 /e(
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
le73sAI cK6,Se leadkC /A/ (116 6
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 Sign? Date
PART 4:ADDITIONAL INFORMATION
•