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HomeMy WebLinkAboutHomestead_PrickettCLAIM FOR HOMESTEAD PROPERTY TAX YEAR CREDIT /STANDARD DEDUCTION FOCRM State Form 5473 (R8 17-07) �1 Prescribed by the Department of Local Government Finance Jpp`Jj INSTRUCTIONS: See reverse side for filing instructions. I (we) certify e� of March, 20_ I (we) 'ed as our principal place of residence the following described real property for which a Home Lead Pro ax C is hereby claimed: sGIBSON COUNTY AUDITOR �all, 1 (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. If buying on contract. Fee Simple owners name where contract is recorded County Township (city, to-wn, township) Record number I Page V-6949 _�D �L d.D'scpption C "_ I g``•'1 �I Is the property in question: ( 7) 8 99 El Real property ❑' Mobile Home IC 61.1- If any portion of the residential structure or the land not exceeding one of the property utilized to produce income. surrounds that structure is used to produce income, describe the use and portion S TAN • • - < _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 1/2 44.000 for 2008 pay 2009 41,000 for 2011 pay 2012 Homestead Valuation S or 43,000 for 2009 pay 2010 40,000 payable after 2012 Signature of Auditor Data signed (month, day, year) Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) - Other land (2) Trial land (line 1 plus line 2) (3) Residential improvements or Annually Dwelling (4)i-t' Assessed Mobile / Manufactured Home Garage O Other improvements (6) - - Total improvements (line 4 through line 6) (7) Total value (Me 3 plus fine 7) (8) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed (ninth, day, year) complete. Verifying action - Signature of Auditor Date signed (month, day, year) S TAN • • - < _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 1/2 44.000 for 2008 pay 2009 41,000 for 2011 pay 2012 Homestead Valuation S or 43,000 for 2009 pay 2010 40,000 payable after 2012 Signature of Auditor Data signed (month, day, year) • MATE FORM!3%.O tHNI TREASURER}ORM:9-1A .AfROVEO BY MATE BO.PO OF Arcotsit eon MU](-P®:0 BY air DEPARTMENT OF LOCAL GOVERNMENT FINA.SCE KVI.I-14.1 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 eau 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 information necessary to allow county government to better monitor homestead filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to create tools that will help cotmty officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address Prickett, James K 113 N New York Hazleton IN 47640 6 James K Prickett 113 New Yogic ST State Parcel Number Legal Description HAZLETON IN 47640-8823 Itlttlitttlllltttlttllltttlttlllttltttltlttllttttllttllttlttll 26-02-28-100-000.078-019 014-00078-00 E ENLG 155 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 I First Middle Last 3J /vies ro e- Ji/.fih uric-Are Ong Address(number and street city,state,and ZIP code) Same as property address Spouse First Middle Last Aso eve - Mailmg Address(Number and street,city,state.and ZIP code) El Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) sew PART 3:CERTIFICATION Each-undersigned certifies,under-penalty.ofperjury,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 `© j4 /a Telephone r l PART 4:ADDITIONAL INFORMATION