HomeMy WebLinkAboutHomestead_Thomas (3) • StAIL r0RRL')H IR ISM MAWtrR FORM D.IA
.APPROVER BY MAIL MNRUN ACCOUNTS.Vr PrIflIBlD BY nIl OEPARR2 TOF LOCAL CAVEIVV MICI FB:A"CEIc I.1-±'+.I
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 exec for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
ILEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serify that they am eligible to recene the
benefit and to provide additional identifying information nece,ssry to allow county go:emrnent to better monitor homestead
filing,.This information will he kept cent:deminl and can only he accessed by authorized county officials.The Department of
Local Goverment Finance will use this information to create 401s that will help county'officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
PO Box 283
Francisco IN 47649 V-
4487 /
ltlnillntltilntlu 11t1u 11 26-13-19-201-000.222-005 012-00222-00 F&MC 6PT/7PT
Mailing Address(Number and street city,state,and ZIP code) ',I Same as property address
-PO. 8r1 9_83 70.6 0, .1/74a/ sf Ft4uc/sca ra- .i 477619
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
CLAIM FOR HOMESTEAD PROPERTY TAX 1 YEAR
t„ V1 CREDIT/STANDARD DEDUCTION i h'
h
State Form 5473 (RT 1 5-0e) '�`: , 1
Pmesabed by the Department of Local Government Finance
INSTRUCTIONS:see reverse side for filing inmucSng ` \ FEB 6 5 2008
CBt1TACA •, Ir r • )EI Nn
/L_. — _// .�� n_ja-371.7.7,.7,-, M1
I(Vte) // /uL<— � .- ' gQ�ablyl9�
I(We)occupied as ow principal place of residence the following described real for which 1� �Fj TaxG�BI i hereby dairned:
4 I(We)owned ❑ Pee buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that clans the property , era control
tf buying on cont ad,Fee Simile omen's name.
ReZrder's d5ce where contrail is recorded Record number Page
. . •i -PROPERTY DESCRIFDON. . . a . r ,r?'.4.... . ,ir,.. We !i
Coady Tumstip Taring flistrict(nay town.rorans1 )
Parcel number - L description fir b the property n question:
Fa r • c 6/or /7• I ❑Real ley ❑ Mobile Home(LC.61.1-n
If ny portion of the r sidenlial structure or the lad not exceeding one(1)we that immedSely surrounds that structure is used to produce ncome.describe the tore and pardon
�`II1B property utir®d to produce income.
7 a 6-r 3 -/ 9 - ao/ - coo. 0. ) a -Oos
.. ' . ;..1":,.-... - PROPEF1TY OWNED BY CLAIMANT IN OWIER COWMEN. t., ,. t..,..o i:.-
County Township County Township
I hereby certify the above statements we true,correct and conplete- of claimant
(hurter and street city,state, code) Dp /
,o(0 LO, 4O..)4 Si `44�41 a/,IGo eiw UYG V9
- z':q TRUE TAX 4 ASSESSt VALUE ' HOfDSSTEAD §*MONRESID6tT1Alfl.„.
..t: .ASSESSOR USE ONLY ' .' r d VALUE AT 100%OF TTV , ..,}VALUE Yx - i^".N., VALUErx-C 'k�kt`4-.3..
Land not exceeefing 1 (one)acre inxnediaffily Zt
u Y } : < 14,r1‘
surrounding residential improvements- ( ) v 1 is a J ek' liCl -Maki
Other land (2)
;'•..
..
Tidal land(fire I phis fine 2) (3)
r r 6zr z r st> eDwelling (4) h x X ax +NaY axResidential improvements or Annually
Assessed Mobile/Manufactured Home i' t. i^er r ei n T N
Garage (5) r41J #
3' iV-,.` Cr,--1
Omer improvements (6) a'
Tidal'improvements(fine 4 through fine 6) (7)
Total value (line 3 pds fine 7) (8)
I hereby certify the above is true,correct,and Signature of Assessor Data signed
complete.
Verifying action-Signature of At Data signed
• STANDARD OEDUCT1ON ALLOWANCE z.•'ri: "% , :; t"':^ :y3'`
20 Pay 20_
Lesser of 1/2 Homestead
Valuation or 135,000 $
&g natws of Auudmr Data signed
I ,