HomeMy WebLinkAboutHomestead_Bell (3) STATE 011.1,3 '.R./s-lal IRMStL1 IV UN IS-IA
.P?ItED BY nut-3ORn OF ALE 01 51S be ,gu.ctmso 01 TM-OIPARIMtl OE RXLLC11v}AfySt HC1KCT b::='-!.1
Gibson County Auditor • "BIPORTANT.NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and uteri d cou f to are limited one homestead standard deduction. As the receipt of this deduction bmA
Princeton, IN 47670 p ir.
more beneficial.are
wls more mcrnuw tMn ever for homestead CmuJ.Homestead fmud causes higher tat bills for all:therefore,
H EA 1344.2009 requires aspavers who receive the homestead standard deduction to verify that they are eligible to receive the
®` -nail and to provide additional idcntifvirtu information ncesary to allow county government to better monitor homcacad
ilirgs.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
11 Local Government Finance will me this information to crane took that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION.'
— APR 17 202 Taxpayer Name Location Address
— C Ir Bell, Debra L./A itliam S Redman
Jr/Anthon
303 S WEST ST
GIBSON COUNTY AUDITOR PATOKA IN 47666
1361
Wm Sam Redman II IIIIIl1II111=1111111l111111[ii 111Ill iiiii:11lIllfl llll I il111111lfillIll II
303 S West ST
Patoka IN 47666-9013
yElllnllllll'111 'Il'I'll1"III "1II1'I1"I1I1II"1nllrllr State Parcel Number Legal Description
26-04-26-200-000.290-020 PT N 26-1-11 4 AC
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.
. — , - - -- _-P.ART2.TA\PA ' R INFO_TATI-ON --_._ ____ -- __ . — __ _ ___ .
'v. a I First Middle Last
(A—)M Q.5 R d man cf./L.
Mailing Address(number and street,city,state,and ZIP code) nine as properly address
Spouse First Middle Last
Mailing Address(Number and sacet,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (las:5 digits) Other(please specify in Part 4 below)
I I - stare
• 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.
Owntg I ure Date
r l
IF
\ )
PAR-(4:ADDITIONAL INFORMATION •
_ CLAIM
REDI IST NDARD EAD PROPERTY TAX
CREDITt3TANDARD DEDUCTION ILHC�u IL-1)
Stele Fenn 5473 (RT I5-M
Prescribed by the Department of Loral GolxxibinbPJt Finance
INSTRUCTIONS: See reverse side for filing instructions.
I.CJCIIrr{.AIRA�.7IAICACJ91. / �)
(We) dlq&_ certify that on the 1st day of Mardi, 20_ .
1 (We) occupied as our principal place of residence the Wowing described real property for which a Homestead Property Tax Credit is hereby chinned:
I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the properly and that awns the property or is burying under a contrail
- -t9--,FC0NTRACTpRECORD ®044
if buying on contract. Fee Simple amber's nacre
'"Inff . • del.. - •.:( I� T - N: bMtl F.l l[; I ?CS \n? 116"'1 IFI tlh5i1010 6 VJOI:F 01 }Yi }]f6a R'1.' 1 : .1 i.� r II
` f
recorded ot6co where contract is reded Rerad number
Pape
p^ibc'..m -nao .' =r ,. P. _.+ _. , %nsm9va:,xmi ghrgmq Ice; tzdnal- sl
a1i&uhwirr -"I -
- PROPERTY DESCRIPTION �.
Carly lingo m :: A:, :ab:
- - ' a . to srxsfn It :Taubdisb;u filar%!
To$cttp'` {r1y, 0WUW :7-Fl-
parcel n rnber I'.e ,�:,im'.ex. -�. -„
Legal �esr iotrun,n, ," .t ; M, :it �-,nhem:?.1, -...: m
te � pup" in ruio^:,.r ,
/
6 -0�1 - aI� o ob -'oo o
: e� • �d r -.:J "L :b h :, a s;, to do
a Ic -bin u 0 ❑n Rent property L ❑'Mobile Home (AC. 61.14)
N of the reskler? l slr ctc a die laiid'nal_ - _. cone 1 acne that' .. .
any � n9 (1 enriih3 l strbrbae "u n 10 bi produce ibmrrbe. tlesvbe tlba true end portion
100 iMA
proper
d the properly bFif®d m prodrrCe hbconrbe_ tru�r'n,:a tir:[aL�rrni :6 h .9:�5 nn(1 cnlb " ^�x9 inn ,bnc.l br15 !rt:;y: �h F 10 ?.l.'.•n.:_ � .:
x .1 bn
1cKl r�: N `U ri.. .. -.. >r,:•Jn 9L•leb4" "` 6'JbiYlixlt :!iL .*!SSt25.mcrf` to not ;'nN` t, 9d! ni ht. L
J sslroco iebfiu ii L)niEvd n m
,9bta x91GL'o a ue. ^, -• - `. ,r'— I ; � .. �.. 26 t tiU2 uw.- - �})a9riIDm 9nl r)f eloIY97 c. r: ^A•_' �� e•b'.:w'1nr it ({ • . „ .,..... .m.9;rJl : �. � �. (
.
°, �.,••.` 7•._. - ,..- ..,,PRDPERTYOWNED BY�CLAOdANT
04 OTHER COUNTTPS,; +��:'ry�_ -.
County
Township
County ..
Township .
,
- e i,- �vlor;u
I tnereliy rarhiy the above stateutienCS ale tine; iarreU andmirpleRi. ' ..
_Sigrb�rred ctaurbad ni behl 9d ;rum rr,'a:a zxrii
litrm orb dodt.:.l v:c r L`rca. •r.:., na u;: V.'rt:' 16rt11o1 z91:xp;s noij,
adags onf J bau nisldo d zarizi':r nrin�4 snl
'J::YH,u6 it
(nrrrter and ebeeL oA: ✓cram. ZIP code)
+'rtr.8n atl -lt ? +'6(}311h.1i1 nn: [rJe1.' M!f IT ': If:�FIJ, hnF tin va: V(IS `T-
TRUE TAX
ASSESSED VALUE
HOMESTEAD
NONRESIDENTIAL
- ASSESSOR USE ONLY
'
,AT 1007!. OF TTV
VALUE
,..
• esa�x !.- ��va.. "�:� 1;e'- t,:` - !�.2 m'.
>sx�;4VALUE r::9 a,'�
.
, m.:...._
Ufa ix,.. _ .x. �r
�3. , .. =•. . \...
Land not exceeding I (one) a6vi irtrrnediaiety "`
...".li•:.� •`....
„crone l.-.uxn sr1 ,*,9
.Ulm 7Gi?'S1 ....
sxaroundirg residential improvements-
Ocher land
(2) 2 - ^o.l e l >.-'Ii
sa sioturl IIuT r•. rGe
G;nx>r sin rw,:• ,.
-1.1 _ .. ^ xv� 6 In.h
tram tohbc4 khru• � -
.. i :Cf;
TAaI land (fare 1 phJS fare.
(firre
3
( 1,
tt
talus
-• . °, 3rt•L ?9r
:x11 I6iJ.'Y %•_%. ri 9ltl
Dwelling u �
(4) `t :•':'1YJ 916 r!:
3n zin- rn97a12 Siff
Residential improvements or Annually
Garage
Assessed Mobile I Manufactured Horne
S
Other improvements
(6)
.
Tdal'vnprovements (Inca 4 through fine u5)
(T)
value (Line 3 phi line n
(g)
hereby certify the above is true, correct, and
comPlete.
Signature of Asse sir
Data signed
Vat." action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or SM,000 i
Swish" of Au6mr 1 Date sged