HomeMy WebLinkAboutHomestead_HeflinCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Vale Form 547$ R7 / f
Prescribed by the Departrnent of Local Cowerrenard lFinarxe F1 )
4
WCMUC?7 Sc' S mom-
LUU I
-CE2IG-11CAXIMINSTATEIIIIENT
I (We) (I hv 1-01, /10 1st lqfd", 20_
I (We) occupied as our principal place of residence the fcp�mng described real pop" for which a "=VW0EYjbP1*�4w1Ais hereby claimed:
9 ) 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 property or is buying under a contract-
CONTRACT
If buying on mrrtracl. Fee Simple ommars mm
Fam"kes allies where mrxreut a recerded Rrxerd number Page
PROPERff OWNED W, CLAIIIIiIANT INIOMEWC101UNTIES l*1 *",' 'R%��, -,",
""PROPIERWOESCIIIPTIOW�"
caurity
Tomnship
Township
di fowndmc)
I -
Parcel amber
Leo description
VALUE;
is the property in question:
coo •
4-1111-0a '!T
I ❑ Raw pop" ❑ while Horne y.c. 61.1 -7)
portion of the residential struchxe or the
laro" exoescling one (1) acre
lhat rnmediately surrounds Mad structure is umd to produce isarna, deambe the um and porbon
puparty utilized to pro*xw inane-
1!
PROPERff OWNED W, CLAIIIIiIANT INIOMEWC101UNTIES l*1 *",' 'R%��, -,",
County
Township
County
Township
I hereby car* the above statements are true, owed and cornpiete.
of
T=
d &804 cly; state, ZIP code) 6
ASSESSOR
Now
20 Pay 20
VALUE
Lesser of 12 Homestead
Valuation or $35,000
$
OW OF TTV'
VALUE;
UE
Land not exceeding 1 (am) acre imediately
surrounding residential iffpoveffients-
Other land
(2)
Tdal land (fore I pkts file 2)
(3)
Dwelling
Residential irnpromnentsorAnnually
(4)
Garage
(5)
Assessed Mobile I Manufactured Horne
Dow unprovernents
(6)
Tdal innpmvements (Eve 4 through Eno M
(7)
TcW value (Ikm 3 plus fine 7)
(8)
1 hereby certify the above is true, correct. and
complete-
Signature of Aransas
Date signed
Wilytrig action - Signatum of Aucftx
Date signed
STANDARD DEDUCTION ALLOWANCE
Now
20 Pay 20
Lesser of 12 Homestead
Valuation or $35,000
$
signature cd Axkbor
Date Signed
•
STAR FORM!!Ntar 141.1 7RFASUREA FORM Ti-tA
APPROVED IMPORTANT?NOTICE TO HOMESTEAD PROPERTY OWNERS za
Gibson County Auditor
101 N Main
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 recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
/ hhin _This information will be kept confidential and can only M accessed by authorized county officials The Ikpannr eat of
Local Government Finance will use this information to create touts that will help county officials eliminate homestead fraud.
V PART 1: PROPERTY INFORMATION
IS VV Taxpayer Name Property Address
Heflin, Charles W
R I Box 28 A
Patoka IN 47666
131
Charles W Heflin
404 W Cottonwood St State Parcel Number Leflal Description
PATOKA IN 47666-9504
�r�rr��rrr�r��rrt��ttr��rr�r�r rt�r�r��rtr r�rt���r rtt�rr��F�t r� 26-04-25-101-000.441-020/ 018-00441-00 COLEMAN ENLG 9PT
•
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle \ Last
OAP,03CS tea)t\\.^r`` ,\Let ir•1
g Address(number and street,city,state,and ZIP code) ® Same as property address
yot{ W Cok‘a S14040 Sl rte( �Me1G0, Sri 41666
Spouse ' First Middle Last
1�•
1 o,at-
Mailing Address(Number and street,city.state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) ,Other(please specify in Part 4 below)
_1_ _ slaw
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 !rate
Spouse Signature Date Telephone 1/ l
PART 4:ADDITIONAL INFORMATION