HomeMy WebLinkAboutHomestead_Pease .« STiTE FORM 555"Lr f✓II TRL\1m1EER FORM T IA
1rrRlA'En BY'TOIL IX1•RD OFAT"R:NTI 211W PRGYNBm BY TIE DEPARfl*NT(F UA'AL GOVERNMENT FINANCE ICe-I.1--"4.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 incentixe than eser 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 receixe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.Ibis information will be kept confidential and can only be accessed by authorized county officials.The Ikpanntenl of
Local Government Finance will tee this information to create teals that will help county officials eliminate homestead laud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Pease, Richard L-
512 Gibson S'f
Hazleton IN 47640
147
Richard L/Cruse
512 Gibson ST State Parcel Number Leal Description
Hazleton IN 47640-8809
Illllllllllllltttltrllltttlttlrlttlrllttrllltrrttllttlllllllll 26-02-49-101-000.136-019 014-00136-00 E ENLG 69772/73
rs
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
rg AddreSs tnufnber rind street.city,sure,and ZiP code) ./l/-�/__ �./1� _ - _///j- (a Stung as property a:d.re_ --__ _ - - _ - — _.
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ 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)
so:
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 th- I. estead standard deduction n his property. Each undersigned also understands that,by claiming additional homestead deductions
unlawful y,he sr sr may le for b, k es and substantial financial penalties.
Owner n.s. ' Date
al
Spot lanne ..---'panne Date Telephone
( )
PART 4:ADDITIONAL INFORMATION
• ,
iCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
• il" State Fonn 5473 (8215 -92)
INSTRUCTIONS: See reverse side for filing instructions.
MAV
r
MM
v � —
CERTIFICA STATEMENT
th
I (We) certify_thal`on the 1st d f rch, 19_
I (We) occupied as our principal place of rAidence the following described real property for which a rt�y �ropertyrT by claimed:
CEP
` "= +TY AUDITOR
❑ I (We) owned ❑ Are buying under contract -
❑ 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.
CONTRACT RECORDED
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
county
Township
Taring district (city, town, township)
Parcel
Der
_ 3�o -Ob
Legal descriptio
If any portion of the residential structure or the IarM nol exceeding one (1) acre that int tely surrounds that si.ictu is u to produce income, describe the use and portion of
the Property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township County
Township
Signatu of clat nt
reby certify the above statements are true, correct and complete.
Address (number and street city, state. ZIP code) p ��(
r fD nn A0 C /G
ASSESSOR USE ONLY
TRUETAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE'
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or S2,000
Signature of Auditor
Date signed