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HomeMy WebLinkAboutHomestead_Stewart (2) a CLAIM STANDARD I FOR HOMESTEAD PRLEMENTALO DEDUPERTY TAX FORM YEAR CTION1= State Form 5473(R18/1-20) HC70 20 a a Prescribed by the Department of Local Government Finance iV R INSTRUCTIONS:See reverse side for filing instructions. NOTE:Telephone,Social Security.driver's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37. CERTIFICATION STATEMENT I(We) I ♦v CitA S - certify that I(we)occupied as my(our)principal place of resideOvie or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed, (date of signature). I(We): ---5-' Own. ElAm(are)buying under recorded contract. Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. ( ❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust. T:::)' ❑ Am (are)the shareholder, partner, or member of the entity that owns the property. If buying on contract,Fee Simple owner's name Recorder's office where contract is recorded Record number Page / ©� C County / Township •Taxing district(city town.township) Parcel number (-..0 Township Legal description Is t e roperty in question: Real property ❑ Annually assessed mobile home(IC 6-1.1-7) 0 If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds th t structure Is used to produce income,describe the use and portion of the property utilized to produce income. Cl 26— y — i0ZS- - 10 / — 000 0 22:7 — Zo C . PROPERTY OWNED ELSEWHERE BY CLAIMANT State.County.and Township Is claimant v Ling a homestead? f ❑ Yes No / Signatur/I a of claimant CD hereby certify the above statements are true,correct,and complete. IQAddress of contact(number and street,ci fate.and ZIP code) Address of vacated homestead,if any(number end street,city state.and ZIP code) 404 ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VALUE E Land not exceeding one(1)acre immediately (t) surrounding residential improvements Other land (2) Total land(line 1 plus line 2) (3) C wi C>C4C) Residential improvements or Dwelling (4) annually assessed mobile I manufactured home I Oarege (5) y, ,y7. Other improvements (6) :�'• r.? ,lt'4`"= - - Total improvements(line 4 through line 6) )(7 .__ Total value (line 3 plus line 7) (7) Signature of Assessor Date signed(month,day.year) I hereby certify the above is true,correct, —C..) and complete. _.. Verifying action-Signature of Auditor Date signed(month.day.year) 5 STANDARD DEDUCTION ALLOWANCE 20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000. QJ Notwithstanding any other provision,the sum of the deductions provided in/C 6-1.1-12 to a mobile home $ that is not assessed as reel property or toe manufacture• • at is not assessed as real property may not exceed one-half(1/2)of the assessede " value of the obile ••om=or manufactured home. AIL Signature of Auditor���-t-t I r Date s (myntyday year) nfJ J(J l,�U� Cr (/�, ' [�^ .� 2 . DISTRIBUTION: Original-County Auditor.File-Stamped Copy- Page 1 of 2 2 STATE FORM 53'NiR_/WI) TFVAN[IA FORM 74-1A A/MROVED BY%1TTE BOARDOr O[YIYAr Vin rREAll®maY nl[DEPARTKEY1(rt LOCAL CAVERVMT.AT FIANCE lc*l.l-r4I 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 ever 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 receive the benefit and to provide additional identifying infommtion necessary to allow county government to better monitor homestead filing_,.This information will be kept confidential and can only he accessed by authorized county officials.The Depanntent 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 Stewart, Margaret A 3rd ST (�\� Patoka IN 47666 125 Margaret Stewart • V 404 W 3rd St State Parcel Number LeEal Description Patoka IN 47666-9016 It�tt��rtt�t��ttr��rrt��rr�r�tr�� 11r11rE11 rrtt�rt�rtt��I 26-04-25-101-000.227-020 018-00227-00 COLEMAN ENLG 1 PT 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 1 First Middle Last • �ng Address(nurryoer and smets city state,and ZIP code) Same as property address o J I.T 4 � L - ki 2 b Spouse First Middle Last Mailing Address(Number and street,city,state.and ZIP code) n Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sox 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 elieible 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 Telephone 5,I ( ) Spouse Signature Date Telephone ( ) PART 4:ADDITIONAL INFORMATION