HomeMy WebLinkAboutHomestead_BeanBryn E CLAIM FOR HOMESTEAD PROPERTY TAX FORM 1 "
CREDIT /STANDARD DEDUCTION Ncio
State Form 5473 (RS 110-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for (ling instructions. -
YEAR
P a1031
(We) certify that on the 1st day of March, 20
I (We) occupi as our princip pr' ce of residence the following described real property for which a tep aDr s hereby claimed:
❑ I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property andhe property or is buying under a contract.
: r.: insc•., �. �sc>= fc,; r�'# ���'. �` t" a` s' ?;. �. f- `S.a�CONTRACT.'.RECORDE_Dv��'z - .*.��,t�'fi�'��:;: z� / =' i+:.. r•.: . t�-, ;ti.,-^te.
If buying on contract. Fee Simple owner's name
' uNTY AUDITOR
Recorder's office where contract is recorded r vi Record number Page
..
`„.7 as P,ROP,ERTI'�DESCRIPTIONe- Ov-t,t
County
Township
Taring district (city, town, township)
rygrber ^
YD
( tuber street, city, sit te, Z e)
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at scrip
the property question:
QL
D }w
~xi
surrounding residential improvements.
0 Realr
property ❑ Mobile Hano (LC. 61.1 -7)
any portion of the residential structure or the land not exceeding one (1) acre that i ate surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income. /
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r'";; -yc ev -.>t P,ROP,ERTY,OWNED'!BY CL'AIMANT:IN; OTHER' COUNTIESt'ak4.,,;j`,yc,- �,'°°.{
County Township
County Township
II hereby certify the above statements are We, correct and complete.
Signatur dai
( tuber street, city, sit te, Z e)
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"�P�.A:"S,,;iS7c ?.q ,ir3i. ^eE ms ON= L'Y m z1 ..rsra•'-.w
TAXV.
^VALUE`4,'y'
_AASTaESSD VALZRUE UVE �a
1000WOFT
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,HO VMAELS'UTEE.,x AD .-
.- y ,..s` N"OWRVEASLIUDEEN'... IALESSOR
Land not exceeding 1 (one) acre immediately
~xi
surrounding residential improvements.
�r
Other land
(2)
�,•Y`,'�>
Total land (line I plus line 2)
(3)
Dwelling
(4)
gv � l.
Residential improvements
n
Garage
(6)
I
�z �= t>? 'Y
h
Other improvements
(6)
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line n
(6)
1 hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
TANDARD '.DEDUCTION'AL'COWANCE,_w;yy.
20_Pay 20_
Lesser of 1/2 Homestead
Valuation or $6,000 $
Signature of Auditor Dal ned ^^11
— —OC/1
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STATE FORM!)Y+IR:ft-t••1 1 TREASURER FORM TS-:A
.APPROVED BY STATE BOARD M MTYU:TS.2"P PUS-R.1BM BY nir DEPARTMENT 1*LOCAL GOVERNMENT FINANCE ic.4.1"4.1
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
t HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
F i y benefit and ma
to provide additional identifying information necessary to allow county government to better monitor homestead
i filings.This information will be kepi confidential and can only a 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.
Z010 PART 1: PROPERTY INFORMATION
APR S Taxpayer Name Property Address
Bean, Bobby F/Ruthie L
irli6
t No Location Description
GIBSON COJJUNTY AUDITOR PATOKA IN 47666
86
Bobby F Bean
301 Cottonwood St State Parcel Number Leea1 Description
Patoka IN 47666-9526
to II nrIr II set II t II nI t I nrI rI r rI r II II 11111111 26-04-25-101-000.102-020 018-00102-00 BARNES ENLG
X 61PT/62f90PT
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/
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
_ Bobby 1iyd B ERN
•g Address(num en
ber d street,ei,,state,a n d ZDP code) --_ -- _ - • -- Satne as plopcti:addrev—— -- — _-__ ._- -
Spouse First , Middle Last
Rush e- Louise 3c�ik-)
Mailing Address(Number and street,city,state,and ZIP code) ...... Same as property address
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 be liable for back taxes and substantial financial penalties.
Owne I Sign: a Date
PART 4:ADDITIONAL INFORMATION
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