Homestead_Weist (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
` State Form 5473 (11817 -07)
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Prescribed by the Department of Loral Government Finance
INSTRUCTIONS., See reverse side for filing instructions.
F�R� EAR
MAY 3 0 2008
I (We)X 6/ ) Y 7 Q�mp t0X" certify Kalw%w f4h"Toy vliay �!_
I (We) occupied as our principal place of residence the following described real property for 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 owns the property or is buying under a contract.
CONTRACT •-r
If is f on oonbacl, Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY
County Township Ta ingldistdq (city, town, township)
Pascal number L I description ) fj C Is the m question:
(,(/ 9 ❑ Real property ❑ Mobile Home (IC 6.1.1 -7)
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.
aCo -o(
IDO -Do o. 55.5 -0 /?
County I Township I County
I hereby certify the above statements are true, correct and complete. t 15gratlme of daimam
ASSESSOR USE ONLY
•
• •
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or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Land not exceeding 1 (one) acre immediately,
':ti " -_
surrounding residential improvements.
_
Other land
(2)
-
Trial land (line 1 plus Pure 2)
(3)
Residential improvements or Annually
Dwelling
(4)
_
Assessed Motile I Manufactured Home
- _ -
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through fine 6)
(7)
Total value (line 3 plus One 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Astor
Date signed (manor, day, year)
STANDARD CTIONALLOWANCE
all
_ pay 20 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 112 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation
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or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
slate signed (month, day, year)
•
AVE FOAM,3!..0•11t: -d t 11FA91[ER FORM 31t
VPROVE(BY STATE BMROM 4CrIA n1l._uw p,rnmm BY 111E DEPKENEYTOE LQAL IXKSILMMFXT roascE IC VLI-_al
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 eler for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 344--3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance x911 use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Weist, KevinW/Pamela S
RI Box 177A
Hazleton IN 47640
279
Kevin W Weist
7141 N SR 65 State Parcel Number Legal Description
HAZLETON IN 47640
26-06-06-100-000.555-017 009-00555-00 PT NW 6-1-9.82 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Key In . Way nei Wti
sl-
ang Address(number and street,city,state,and ZIP code) ❑ Same as property address
y- 1 N . 1C 2oad Los -
Spouse First Middle Last
P�m21 w Site We.13}-
Mailing Address(Number and street,city,state,and ZIP code) O Same as property address
1I Lk N ' 3 L.p5
)
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