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HomeMy WebLinkAboutHomestead_BottsCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR CREDIT /STANDARD DEDUCTION HC10 Sure Form 5473 (R6 14-03) Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for filing instructions. I (We) WUMD L�EXA cerb" on'therlst day-crWarch,,20 I (W pied as our principal place of residence the following described real property for which a Homestearpet edrE-",r Cr, 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 propeWTis bu GM a contract. ') vin If buying on contract, Fee Simple owner's name Recorder's office where contract GIBSON COUNT Y AUDITOR I Record number —TPage A A al TAX'S f A-- i$- ROPER , DESCRI ION 41, County Township Taxing is I hereby certify the above statements are true, correct and complete. 60 yPL EA Mi' � Land not exceeding I (one) acre immediately SlIt" 6 surrounding residential improvements. Is the property in qu�fion: I TI Pe 0 %,i Other land Q-;Q--Ploperty ❑ M.N.H..(I.C.6-1-1-7) If my portion of the residential structure or the Land not exceeding we W., that Mruct,ue is used to prod" inoorne, describe the use and portion of the property utilued to produce income. A A al TAX'S f A-- i$- County . . . . . . �Township County Township I hereby certify the above statements are true, correct and complete. Si U o aimant yPL EA Mi' � A A al TAX'S f A-- i$- - CWZ�15TANDARIY ILOWANCE MEDUCTION"AL 20 _ Pay 20_ Lesser of 1/2 Homestead vatuattim or 535.000 $ Signature of Auditor Date signed E S P PA H Bjj—LT—Q6 �g 14 LW MO�L 1IN VAFjj , OF yPL EA Mi' � Land not exceeding I (one) acre immediately surrounding residential improvements. Other land (2) Total land (fine I plus line 2) (3) Dwelling (4) say' a3 Residential Improvements or Annually Assessed Mobile I Manufactured HOMO Garage 5 ^X Other improvements (6) MINI Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true, corned, and Signature of Assessor Date signed complete. I Verifying action - Signature of Auditor Date signed - CWZ�15TANDARIY ILOWANCE MEDUCTION"AL 20 _ Pay 20_ Lesser of 1/2 Homestead vatuattim or 535.000 $ Signature of Auditor Date signed %MALE l ORM!IMIR'1!al.) • tWWAnI WIN 7S-IA AMM1t'En BY x11dE WARD°,Mttx.eU,a1ri PtFXATBW BY nlr ntPARTMEYT If LOCAL Cin2L'IMEAl rftawE IC 4-I.I.r4.1 Gibson County Auditor 11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N PRINCETON IN 47670 Individuals and married couple,are limited to one homestead standard dduction.As the receipt of this deduction becomes more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax hills for all:therefore. • HEA 1344-2009 requires taxpaym who receive the homestead standard deduction to redly that they are eligible to teeebe the benefit ani to provide additional idenufytne inforntalwn necessary to allow'county go:emntent to better monitor homestead I filings,ibis information will he Lept confidential and can only h aemsed by authorized county of icials.'11w Depanntent of 1 Local Glncrmnent Finance will use this information m create tools that will help county offiials eliminate homestead faud. PART 1: PROPERTY LNFORDIATION APR 2 1 2010 Taxpayer Name Property Address Botts, Wanda Lee 4/Y , PO Box 187 GIBSON COUNTY AUDITOR PATOKA IN 47666 v 520 Wanda L Botts PO Box 187 State Parcel Number Legal Description PATOKA IN 47666-0187 lilttlltttltlltttlltttiltlll lilttlrltttllttlrltttlllllll 26-04-24-303-000.580-020 018-00580-00 Col Div 9pt PART 2:TAXPAYER INFORMATION Owner I First Middle I1, Last —StgAddmis;(number ,city ZIP code) —— —1 a7 Sume as property ad - —-- - - _/ •©. �8 / PC�'X.�'fC-tom r c y 1 p t0� �`I'/� Social Security Number(last 5 digits) Driver's License/State II)Number (last 5 digits) Other(please specify in Part 4 belo (o 4Th / xnt _ !!�iGY� fi$ 1431 Spouse First Middle Last Mailing Address(Number and street,city,stale,and ZIP code) n Same as property address Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) snit PART 3:CERTIFICATION Each undersigned certifies,under p alty 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. Owner I Signature Date Telephone la4k (12 ) ' 79-jda 9 Spouse Signature Date Telephone PART 4: ADDITIONAL INFORMATION •