HomeMy WebLinkAboutHomestead_Willis (2) flt CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
4:::4". STANDARD!SUPPLEMENTAL DEDUCTION FORM
Slate Form S473 SIN Me) HOW
Pratte/by the Department of Local Government Franca -
INSTRUCTIONS:See'owns side tor filing instructions. . ED
NOTE Telephone,Soda)Security driver's icense,state ideadoston and federal kfentricagon numbers are confidential wider IC• . -1 - •••
I(We) wa 1••eLf 41 9 9 ,1
UJ it1 S certify that I(we)occupied as ri4r/dran‘ipau I 3
place of residence/ix am(are)buyinehelfdowing desalted real property inner contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed,
KlateG:EfsigSnOaNreC. Ol(geUN):T;AUDITOR
0 Own. 0 Mn(are)buying under recorded contract
ID Am(are)entitled to ocarpy as a tenant-stockholder of a cooperative housing corporation.
0 Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
Mn(are)the shareholder, partner,or member of the entity that owns the property.
_ -
Catty Toemettp .fPwreitiP)
Peed=Thee Legal CASCO= Is the property In quastica
rFied property 0 Anna assessed mole bane(IC 6-1.1-7)
erry parboil ol the restarted stetten or te land not exceectt we(1)acre that inmate*surrounds eat mare is used b pecduce income Soothe the in and potato
d the property mired b produce bonne.
2.42— Z.0 -• (22. ' ZiO I - coo 07 00/
:L_:".„.‘1,111',RFITHIY:OVVRE-157(_SerliHrferiFICCAlciArCnneW.U.-,
Sear,Corny,and Township Is dahtant Nyng a homestead?
0 Yes No
Wan dee
I hereby ow*the above statements are true,correct and complen.
X- 41fraAe, (iige
Address of contact(numberand Meet sera/ale and&Peale)
... ASSESSOR USE ONLY 4 ASSSSEDVA[Ur HOMESTEAD VALUE-_
• VALUE irs--
Land not exceeding one(1)acre Immediately ti
surrounding residential matrovernents (1)
Other land (2)
Total land(line 1 plus line 2) (3)
13:-'77:Zz.-IY7fM":(71-;t:4';‘3,77Z-s-27.)
Residential Wprovemenls or DweWng (4)
annually assessed mobile I
manufactured home Gantge
Other Improvements (6) l„'E'ETFL-frelirt'ccilLt_i-l;:,;;L'Siefl-
Total improvements(line 4 through line 5) (7)
Total value (We 3 ohs fine n (3)
Sigutune of Assessor 0/M signed(mot*dint wan
I hemby certify the above is true,correct
and complete.
Ventying mean-Signature of Pr Data Signed(mart COY.WM
• '
:flf
pay 20 Lesser of 60%of the assessed vdue of the homestead or$45,000.
Notefthsfanceng any of/tarp:I:Maim;the sum of the deductions provided In IC 5-1.1-12 tea a mobile home $
malls not assessed as real property or to a are:Tyree:wed home thatis not assessed as teal property may MAY 1 0 2018
rot exceed one-hat(1/2)dine assessed rate&the noble home Of Manufactured home.
Sprain d AucEte Data signed(mon*day yam
id• ;king/
DISTREamat Original-CeracyAmator,RourStempsd Ccoy-raulaYer GIBSON COUNTY AUDITOR
Page 1 of 2
STATE FORM 53569(Rn-09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6.I-I-'_2-S.I
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS'
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
'Pauses higher tax bills for all; therefore, HEA 1344-2099 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 •
G`ov'ernment Finance will use this information to create tools that will help'county officials eliminate •
• homestead fraud. - - • — •
:.PAR I: PROPER 'INFORNIA ON _ ; -
Taxpayer Name Propern Address ,r� State Parcel Number Leal Description:
Peggy Bottoms Bus 163 D N`19% S-5r' lel '57
26-20-02-201-000.071401 061-00071-00 PT W NE 2-3-91.077
Oakland City IN 47660 - - AC D-8
Complete and return to:
- -- - - - GIBSON COUNTY AUDITOR,-101 N MAIN PRINCETON IN 47670 --- — - _— -
• PART 2:TAXPAYER INFORMATION . _
Owner I First Middle •. Last
R1 V1 T "11.1 (Jo team 5
Mailing Address(number and street city.spate and ZIP cede) / -
✓ Sarre as property address
X1599. S 5]. gd. 5y -.0AklA to C.
-
Spouse • First • Middle • Last
•
Mailing Address(number and street.city,slate and ZIP code) Same as property address
Social Security Norther(last 5 digits) Driver's License State ID Number(last 5 digits) Stan Other(pease seedy in Pan 4 below)
•
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 I Signature Date
. ( )
PART 4:ADDITIONAL INFORMATION - - •
•
d34 CLAIM FOR HOMESTEAD -PROPERTY TAX*
y ' CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMEN
.r LED
I (We) { ( K � onraul) •' certify that on the %Yla) 9f IN& , 19
l(We)occupied as our p ace of residence the following described real him _ch a Hsomestead
Property Tax Credit is hereby claimed: (We) owned �g der contract
Have a beneficial interest in the entity that is liable for the property takes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County 0� fi - Townsh Taxing Dis rict C ty, town, township)
Parcel Number Legal Description
wo - oo0_11 I P . W Vc 0?-3 -9 /.0774C,
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income.describe the use and portion of the property utilized to produce income.
-6a - - l�cb.67i.66�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
4 County Township County Township
I hereby certify th_e.above statements are true. correct and ignature
complete.
Address (Street, number, city, state and ZIP code
I
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements- Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19— Pay 19—
Lesser of 112 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
-(4) - --
-
-
- - - -
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19—
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of A di r
Date Signed
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