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HomeMy WebLinkAboutHomestead_Tolbert (2)CLAIM FOR I ICIVIESTEAD- PROPERTY -TAX ronM YEAn �.. > ;h cREDITisTAriunrzD DcuucnoN 11010 Stale Form 5473 (112/1 -90) INST/.iUC77ONS: See reverse side for filing instructions. CER] II'ICAT101d STA1 EMEm r I (We) �3d f certify Ilial on the Isl day of Match, 19 I (We) uccYjljied as our principal place of- reside ice '11re Jullowirrg described real proper ly for wlriclI a 1- lolneslead �roperty Tax Credit is hereby claimed: Ud I (We) owned U Are buyiiig under conlracl Have a beneficial interest in the errlily Ural is liable lot fire properly [axes on the properly and that owns tire properly or is buying it under a conbact. CONTIIACT 1IECOVIDED If buying on conhacl, Pee Simple Owner's Name flecoider's office where c9iihact Is recorded flecord Number Page PROPERTY DESCRIPTION County lownship I Taxing District (City, Town, luvmship) a{c J_NuDlle 3. ©O Legal Description / _ n (1Iff any poilion of [lie residential slruclute or the land not exceeding one (I) acre that immediately surrounds I1ral sttuc- lure is used to produce Income describe [lie use and potlion of the properly utilized to produce income. P110PER'TY OWNED BY CLAIMA14T 114 0111ER COUNTIES Couuly I township Couuly own lip hareby cattily the above slalemenis are hue, correct and yam Isle. Signalure r Lesser of 112 1lonleslead Address (Street, number, city, stale and ZII' code) ASSESson USE ONLY 111UE TAX VALUE ASSESSEU VALUE I IOMESMAD VALUE 14011-n ESIDErI11AL VALUE Laird nolexceeding I (one) actelmmedialely surrounding residential Imptovemetds Other land Total land - fine (1) plus tine (2) flesidenliallmprovements Dwelling Garage Other Improvements Total Improvements - time (4) 0uough line (0) Total value - lito (3) plus lime (7) (1) 1991 Pay 1992 19 — Pay 19— Lesser of 112 I lonreslead (2) Lesser of 112 1lonleslead Lesser of 112 1lomeslead Valuation or $2,501) (3) Valualion or $1,500 Valualion or $1,500 Signature of Auditor (4) (5) (e) (7) (0) I hereby certify the above is true, Signalure of Assesor correct, and complete I enly ng ction Signalure of Auditor Date Signed - Galee Siyned crnr111Ann Dr- MICTlold ALLOWANCE 1989 Pay 1990 1990 Pay 1991 - -- 1991 Pay 1992 19 — Pay 19— Lesser of 112 I lonreslead Lesser of 1/2 1 lomeslead Lesser of 112 1lonleslead Lesser of 112 1lomeslead Valuation or $2,501) Valualion or $2,000 Valualion or $1,500 Valualion or $1,500 Signature of Auditor SEVE FOtM.)i•tR'l SWr nrASUUR FORMSIA nrrMn'Ef BY tnUE/IMPOO,'MTfli.TS.row PRr,X10AFDBY i5Ir DEPARTMENT/IF LEtAL CSY,iANMFWt FINANCE MLI.I-_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 no'for homestead fraud-Homestead fraud causes higher tax bills for all:therefore. III ILEA 1344--21100 requires taxpayers who remise the homestead standard de duction to Verify that they ate eligible to receive the benefit and to provide additional identifying information neccsian-to allow county government to better monitor homestead filings.this information will be kept confidential and can only be accessed by authorized enmity officials.The Department 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 Tolbert, Jennie Life Est/Jennifer R Feut 041C./L It. 1 D.,, 1-0 X 110 5 4-7 950 N HAZief-o S n/ Jennie Tolbert N-7w 5475E 950 N State Parcel Number Legal Description HAZLETON IN 47640-9377 -_ _•r•n•,tar•t••rat•n•••nr•r,Fur••r•rat••nr••tat•r•111111ill 26-02-47-001-000.803-017 009-00803-00 PT LOC 1 1-103AC k PART 2: TAXPAYER INFORMATION Owner I First Middle �� Last jeNfi✓ie '1 i 0/beef �tg Address(number and street.city,statee,and and ZIP code) Snore us pmprny uddtus L 7J� C fSU 17gZic°7foAo =111. 9-169-0 Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address — Social Security Number(Iasi 5—digits)) . Driv&s License/State ID Number(la t5"digits)— -Other(plctie specifyinPan 4 below)-- — - - - Slue 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 Spo a Signature g ature Date Telephone ( ) PART 4:ADDITIONAL INFORMATION III