HomeMy WebLinkAboutHomestead_Wilsondrp, CLAIM FOR HOMESTEAD PROPERTY TAX FORM tn
CREDIT /STANDARD DEDUCTION Hc10
State Form 5473 (R2/1 -90)
° • INSTRUCTIONS: See reverse side for filing instructions. A /�
CERTIFICATION STATEMENT /' /�% % —,oq�J 41 4 1,09
I (We) certify that on the 1st day of March, 19 q
We) o ied as our prin ipal place of residence the toll ing described real property for which a Homestead
Property Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
I'HUYtH 1 Y Utbl:
town,
Parcel Number Leg iption v V
00 - OoQ R-00 OC.- to - C
If any portion of the. residential structure or the land not exceeding one (1) acre that immedi I u ou t t uc-
lure is used to produce income describe the use.and portion of the property utilized to pro e
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTTWS
certify the above statements are true, correct and
Address (Street, number, city, state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements
Otherland
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
'
esser of 112 Homestead
(2)
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Sign of Auditor
(5)
(6)
(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
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 — Pay 19 -
esser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Sign of Auditor
Date Signed
',TATE FORM!3Y IR21 HMI TRFASUL,rON fl—IM
.APPROVED BY cr1TE BOARD OFATlst1TS_!on PUrR1tWWDY THE DEPARfle4TO E LOCAL GOVERNMENT FINANCE IC-1.12:4.1
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 eser for homestead fraud.IlomesTead fraud causes higher tax bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infomlanon necessary to allow county government to better monitor homestead
flints.This information will be Lep.confidential and can only be 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 •
Wilson, John L/Cassandra E
..RIBox 101
Hazleton IN 47640
25 .
John L/Cassandra E Wilson
4495 E Giro Rd State Parcel Number Legal Description
HAZLETON IN 47640-9303
11111 1111111 11111111111111111111111111 1111 F l t 111 i l t 111111 26-02-05-000-000.919-017 009-00919-00 PT LOC 5/6 1-10 MAC
A.
PART 2:TAXPAYER INFORMATION
Owner rII •• First �. Middle Last
--
C-Asca.nd'v�e( &1 2-cub ell-4 � IS o1I
ilk e AAdicss(numticr undstrxct.city.state,and ZIP coded — — — ____ _____ _ =-Scenes m property ._ __ _ _ _ _._.
Spouse First Middle Last
SOhI) — dec.aStec,
Mailing Address(Number and street,city,stale,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sure
- 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.
Ow er 1 Signature S. Date
PART 4:ADDITIONAL INFORMATION
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