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HomeMy WebLinkAboutHomestead_CattCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR s CREDIT /STANDARD DEDUCTION HC10 Slate Form 5473 (R6/4-03) Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for filing instmctions, fy- at onVthe' -1 sl day of March,.20 I (Wk(We) residence the following descn eal property for which a Homestead PropeF ��c Credit i k�rQby claimed: o ed ❑ Are buying under contract _ B _f IJ ¢ ,■ Ll 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. If buying on contract, Fee Simple owners name contract is Record number I Page `�?s��'- •�s���i �.&aas�- .: =4��i}i�a r€ �. ?��."" 3} �i',' �- 4r?PROPERT, Y< �ESCRIPSION.`- <"'��^ \.,oa"��d)? x.4'3```- >>,- ��';� >h�c�;gAti't:; County Township Tadng d trill ly, town, township) Parcel number Legal description Is the operty in question: Address (number and street city, state, ZIP code) property ❑ Mobile Homo (CC. 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 porton of the property utilized to produce income. e l7X? 9/ao 139/ 'a ..�`�W Ri,��. ���-- �sFROPERTY. OWNEDIBI' CL "AIMANT;IN!OTHER`COUNTIE8T%..v County Township County Township I hereby certify the above statements are true, correct and complete. i lure imant Address (number and street city, state, ZIP code) ASSESSOR•USE ON Y.'x t� sK , a- �u'�2 alp. ::'d'.°}�`•3- ?:3.�.- ,r�.ku.. i;^'' VALUES ;a ..�. _.§'.. ASSESSEDVALUE AT�100 ° /a °OFTfV U.-,r ,r 4HOMESTEAD� `VALUES"' u:a A'V V-' '� NON-RESIDENTIAL t W W`��ar'' `°'s.V/1Lt1 Land not exceeding 1 (one) acre immediately surrounding residential improvements. Other land (2) fit Total land (line 1 plus line 2) (3) Dwelling (4);r)"M Rr??a> a &0 �,.�-' Residential improvements or AnnuaOy Assessed Mobile / Manufactured Home gage (5)x�sKr _'- Other improvements 6 () xli Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (6) 1 hereby certify the above is We, correct, and Signature of Assessor Data signed complete. Ventying action - Signature of Auditor Date signed ' • MATE FORS' to Itn•-lit T lAStIIlz FORA 3-IA APPROVED BY ETATE en.RDor Afft',\RS.`J•`/ PIFSNDm OY fir DEPARTS OF LOCAL tXWEtSMR.T FINANCE tr VI.1-r-,.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples arc limited to one homestead sandani deduction. As the receipt of this deduction becomes more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to remise the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filing.This information will he kepi confidential and©n only be accessed by authorized county officials.The I)eparm ent 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 Catl, James E/Shirley S a 04 Ks,./ hoist uy S/. 10&1+3rdSl: Hazleton IN 47640 514 James E Catt P O Box 131 State Parcel Number Lena! Description • HAZLETON IN 47640-0131 Irlttllttlltlltttlttllltttll IltrlltrttllrIIIIIItllllrtrl 26-02-29-200-000.216-019 014-00216-00EENLG17/1en9rza38 Spouse First Middle Last pie cf E GATT Mailing Address(Number and sheet city,state,and ZIP code) 9 Same as property address gr U 4,ZLc. 701J i ` . •76 cio 41 0/0If Wr...-1 ccect r 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. PART 4:ADDITIONAL INFORMATION •