HomeMy WebLinkAboutHomestead_JonesR.� ! CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
ii
CREDIT /STANDARD DEDUCTION HC10
_ State Form 5473 (R2 / 5 -92)
' , • e'i b1 �\ 19 W
INSTRUCTIONS: See reverse side for tiling instructions.
._ -. CERTIFICATION STATEMENT:+.. . •.�_' -,
1(We) Vto lie s certify th2l IIrfth; lot clViLarch, 19_
I (We) occupied as our principal place of resideno6 the following described real property for which a Homest Property Tar, Cr �hery med:
(F J I (We) owned ❑ Are buying under contract (�;;�� �T7 &Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns theprA rfy' or is-br'6Vm"6M contract.
CONTRACT RECORDED,..: If buying buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
-
PROPERTY DESCRIPTION -
Coun
Township
Taxing district (dry, town. township)
Parcel number
Ol od30 -CO
Legal descdptio
�n l /�' /5c
If any portion of the residential structure or the land not exceeding one (1) a e t at immediately surr unds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
"
I PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES I
County
I hereby certify the above statements are true, correct and complete.
dry, state, ZIP code)
claimant
Township
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL...
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or 52,000
"
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(6)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 phs line A
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Ventying action - Signature of Auditor
Date signed
- STANDARD DEDUCTION ALLOWANCE ",::
19 Pay 19_
Lesser of 1/2 Homestead
S
Valuation or 52,000
Signal of Audit
Date signp
_ /2 _q
%LATE FORM 535MIR_r W I TREASURER FORM ZIA
APPROVED BY MATE BOARD M MYYRTl.Son EUE%IUBW BY 11W BErARMc\rOE LOCAL GOVERNMENT FINANCE R 1.L-U4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homeae_d standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentne than ever for homestead fraud.Homestead fraud causes higher cox bills for all:therefore,
• HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify Out they art elicible to lecene the
benefit and to provide additional identif%in_ information necessary to allow county government to better monitor hon>eaead
rlira>.This information will he kepi confidential and can only he accessed by authorized county officials.The Department 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
_ Jones, Gary K/ Kathy L
107 New York
Hazleton IN 47640
154
Gary K/Kathy L Jones
107 New York State Parcel Number Legal Description
Hazleton IN 47640-8822
26-02-49-101-000.230-019 014-00230-00 E ENLG 153/154
I 11111i1111.111 iii iIllti lt t1t1Tt1tTrlIlI11111 1ltIlIl drr 1t 11
PART 2:TAXPAYER INFORMATION
Owner I - First Middle Last
Czary i? Johe_S
0 m Address finEmba and street,city,stale,and ZIP code) - - EIOSsme as property adders - - - - -- • - - -
/0i Ale RI Yor'P SS /-lade/6.0 .Led 474 yo
°c ct CO-Olarle_r_S First Middle Last
ii- , Joies
Mailine Address(Number and city,state,and ZIP code) Same as property address
loci ,slew York Si. )I Je/vti/ IA) L176yo
•
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 liable for back taxes and substantial financial penalties.
Ownc'I Si ature l( Date
_ __
PART 4:ADDITIONAL INFORMATION