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HomeMy WebLinkAboutHomestead_Cooper (2)CLAIM FOR HOMESTEAD PROPERTY TAX YEAR t CREDIT /STANDARD DEDUCTION HORDM State Form 5073 (R8 17-07) Prescribed by the Department of Loral Govemment Finance INSTRUCTIONS: See reverse side for filing instructions. I (We) m I Y Y 1 I j\UJLYf,,1, certify that err � dapf arch, 20 ,,,I(We) occupied as our principal of residence the following described real property for which a Homestead Prope Taxg dNNit is afeby claimed: e) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR 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. CO •-r . If buying on contact, Fee Simple ownees name Recorder's office where contract is recorded Record number Page Township me] number Legal descnption Is the property in question: � -O4-0-S 3 oa-mo 6;, -03o pope ty ❑ Mobile Home (!C &I.1 -7) Ii arty portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that slnMUre is used m produce income, describe the use and portion of the property utilized to produce income. PROPERTY County Township OWNED B County Township I hereby certify the above statements are true, correct and complete. i nawre of dai S( , , Was ! n zr,k' : llij Li (Q L, C9 ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VAL UE1 HOMESTEAD NON-RESIDENTIAL: 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 12 Homestead Valuation -VALUE Land not exceeding 1 (one) acre immediately $ Of 43,000 for 2009 pay 2010 - surroundingresidentialimprovements. itor Other land (2)., ' _- Total land (lime 1 plus line 2) (3) Residential improvements or Annually Dwelling (4) . Assessed Mobile I Manufactured Home Garage (5) '. . Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) I hereby certify the above is We, correct, and Signature of Assessor Date signed (month, day, year) complete. Verifying action - signature of Auditor Date signed (month, day. year) U rr .• -.DEDUCTION �e _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 12 Homestead Valuation 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $ Of 43,000 for 2009 pay 2010 40,000 payable after 2012 itor 1) °�s' ed (coon eay, roar) V — U rr • SIMI RANTSS*Oef Awl TRrAAREA FORS MIA APPROVED BY STATE DE DQMTY*ATR SRN PR:SRIBED BY DIE DEPARTMENT('LOCAL C.MTRYMrST FpascEMVII-r41 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. 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 nece:acv to allow county go ernment to better monitor homestead lilinf�.This information will he kepi confdentinl and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to create cols that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Cooper, Timothy M/Karla 624 S MOI IICAN DR Patoka IN 47666 637 Timothy M Cooper 624 Mohican Dr State Parcel Number Leal Description PATOKA IN 47666-9007 I I I I I I I I I I I I I I I III I I I I 26-04-25-302-000.622-020 HUDSON FARM EAST 19 PT/20 PT Pt 25 1 r u nr t rn nt n r u nt ru ur n t r n r u 11 1.033 AC PART 2:TAXPAYER INFORMATION Owner I First Middle Last Trm ©fti y • a ck oo pede g Address(number�anrr-street,city;stare,and ZIP code)- "' - -- -- —-'-' Sume ui'property addres - --- -- - �?4 Mah'ea breve, Pa.1aket • <17626 ( Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) Etlame as property address 44; )(S' frlo �ylca,nDrlve� t9'a i Ka , , 4-17666 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. Owner 1 Sigma Date PART 4:ADDITIONAL INFORMATION