HomeMy WebLinkAboutHomestead_Hedge (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R614 -03)
Presaibad by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling inshuclions.
FORM
HC70
YEAR
I (We) ti4AY S ZUUb
certify that on the 1st day of March, 20_
(We) occupied as our pdn pal place of residence the following cdbed real property for which a Homestead Property.T-ayx�Credit iis hereby claimed:
2PI (We) owned Are buying under contract �'(a�'N /� (/'?,
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the proolF)Fiflls �g t�nd�r aDcont act.
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
r.U.r- .- �.'uu'K•y�ii� a'�. = r'= .E'' -a�3c= i _ r` . P ERT . CRTO2 � - 4�sPROYD PIN �I�^''- :P,%'t- •P t ,My.TR;. ; f�Y'
County
Township
Taring disco (7q town, township)
Pa/r�)e1 number
If If -
Leg ascription '7 a
p,Z, -J— ��
Is the property in question-
I property ❑ Mobile Home (LC. &iJ -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PROP.ERTYAWNEDFBY CLAIMANT?IN,OTHERCOUIJTIESft
County
Township
County Township
hereby certify the above statements are We, correct and complete.
Si nature imant
Address (number and street. city state, ZIP code)
®'oX/ 96 ` A (r 7G
Y
*�. �
x.�.xASSESSOR -USE ONLY�g'
.:a.:.31aKsi
TRUETAX'
;,v
x+ai.YALUE.s`e
ASSESSED VALUE
00 /
AT 700 FjTTV
` F10MESTEAD- -'A
VALUE ham'
:.�...,. -..-.
Of " NON - RESIDENTIAL
cW -k1 >.a ._...`�
Land not exceeding 1 (one) acre immediately
8
Signature of Auditor -
Date signed
(;f
surrounding residential improvements.
(1)
Other land
(2)
A�_.
Total land (line 1 plus line 2)
(3)
(Residential improvements or Annually
Dwelling
(4)
yq_ 87`!" -,
MI -
Assessed Mobile I Manufactured Horne
Garage
5
()
_
z •fT °t?
Other improvements
(6)
Total improvements (line 4 through line 5)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
oomplele.
Verifying action - Signature of Auditor
Date signed
a �`.� �'•- � °"�`�.. r -- >��`.. -�,ir+ . �3�,-..; ,a �� �- 7 �� `- �..�. STAN DARD .'O. ED_. UCTIONALIOWANCE,
20_Pay 20_
Lesser of 1r2 Homestead
valuation or 835.000
8
Signature of Auditor -
Date signed
SItU FORM?iNQ.R3I 4411 INL-NIL YOLV IS-IA
.1RIO,FP 31 CLUE 30ARO OF'SI01''MN. IRL4'R➢1FDO1'THE OtPAIIML IO1 LOCAL COt A NLC1 IIXVCLK
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS -1
101 N.Main Street Individuals and married couples ale limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, I n, N 47670 more beneficial.there is more ircentiw than ma for homestead fraud.Homestead fraud causes higher lac bills for all:
®' therefore.
FIFA I wd mso e t receive homestead standard deduction to oer that are eligible to hoes MCI'
brncf an d to provide a dditional identifying information necessary to allow county emvcmmcm t to better 11101111110111101 homestead
FILED filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depanmert of
Local Government Finance grill Use this information to create tools that will help county officials eliminate homestead baud.
APR 2 0 2012 PART I: PROPERTY INFORMATION `
Taxpayer Name Location Address
c rc V Hedge, Larry E/Phyllis A
402 W GRAVE ST
GIBSON COUNTY AUDITOR
PATOKA IN 47666
718 1
Larry E Hedge I[III.011011_1 0111011 10111010 II1010II0III11_IIIDI_1111:111 DII011101011 II
402 W Grave St
PATOKA IN 47666-9241
'I��II"I�1�1����1' 'II�IIIII'II�I�III'I�'I�I�II��'llll'I'Illt�rl State Parcel Number Legal Description
26-04-25-101-000.032-020 PT NW 25 1 11 .84 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.
I. • r s1I • e'
. :r I First Middle Last
Larry Ern c r y ec74
Mailing Address(number and street,city,state.and ZIP code) RSame as property address
Vela W 6:rav e sr' Pcafo %a-, TrAl 1766‘
Spouse First Middle Last
Phi,//iS 4n' ed.s
Mailing deltess(Number and s'.reet,city,state,and ZIP code) ®Same as properly address
SR/y1
" • •
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