HomeMy WebLinkAboutHomestead_KentCLAIM FOR HOMESTEAD PROPERTY TAX ^AQ1 FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
Slate Form 5473 (R6I4-03)
Prescribed try the Department of Local Government Finance -t` "-g E7� •-- -• -
INSTRUCTIONS: See reverse side for filing instructions. t ;^') t {l
I (We) — certify that on the 1st day of March, 20
I (We) occupied as our principal place of r ence the following described real property for whichffa "Homestead Property Tax Credit Whereby claimed:
❑ 1 (We) owned ❑ Are buying under contract pU�v� "f/
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.
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�aiw•^ �> i>'' �TGasx' a' �. �' q` COKiRACTRECORUED�* �. �s' ��: ��. ±3. y�: 9.`- c' �.«i�a-�;i,,Gi�'`��,y;'"„*`�3ari t
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
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a�, a .��a:: ?P,ROFERTY:DESCRIP.TION+� �?3 -e�c'
;Ss'� i__- �s-,. 4<,` a`. r�r ,'�..r,`:`"�s�;�.�•.z">,�f -.':
County
Township
s (number and street, city, state, ZIP code)
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Taring tlisuict (ti
Panel n r r_
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dption
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Is the pm
rty'
question:
Real property ❑ Mobile Home ( /.C. 6- 1.1 -7)
If any portion of the residential structure or the land notlexceed in
of the property utilized to produce income.
one (1) ave that immetliatety wmounds that str6cture is used to produce income, describe the use and portion
•:aaZ 'rtit PROP.ERTY>OWNEDBY CI:AIMANT;IN' ETHER `COUNTIES'i'ur's",'�•r''s9'
County Township
County Township
I hereby certify the above statements are We, correct and complete.
Signature qLgWimant
s (number and street, city, state, ZIP code)
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03o s3 i97c,/lr4 xAL,' Y766�
r; -'� S ?F'" S _'P�'
'r'r T� �-
, YASSESSOR�USE
."jALUE'f�,x.
.r• t.,.
TRUETAX
ASSESSEDYALUE
p
SAT 100% OURG't'n3VALUE
sHOMESTEADI''
✓d; NON;RES1dENTIAL
VALUE'at'
Land not exceeding 1 (one) acre immediately
(1)t
"���'r�ry
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4) O
'�`iSl4
��u
Residential improvements or Annually
Assessed Mobile / Manufactured Home
Garage
(5)
��T'
Other improvements
(6)
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Total improvements (line 4 through line 6)
(7)
Trial value (line 3 pits line n
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 112 Homestead
Valpaoon or 535.000
S
Date
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SlAtE FORM 53 fl j -/NNt TPEASUEER MINTS-IA
APPROVED BY ST(fE BOAROOf ACCOUNTS.yr PtIYFIBm BY Oil OFPARTNIEVI(I LOCAL COVER:EM ra:ANCE1CLEl--J1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead Atandanl 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 recehe the
FILE ` benefit and to provide additional identifying Information necessary to allow county govemment to better monitor homestead
�,} filings.This information will be kept confidential and on only he accessed by authorized county officials.The Department of
l Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 6 LU1U Taxpayer Name Property Address
_ ��/f) [q] // Kent, James R/Sheila S s m0��
.gam/e'- /r. JpQ3 C 1141 ((//
GIRSON COUNTY AUDITOR
Princeton IN 47670 //I�i
134 lll��`
James R Kent
301 S Mary Ann Dr Lot 11 State Parcel Number Legal Description
PATOKA IN 47666-9076
itltsilttt itllr r1I1111IIr1ltlttllt rt ittrlrll11 Il till�t� 26-04-25-101-000.574-020 018-00574-00 MARY ANN TERRACE 11PT
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 'l Last
J9 r9C K K
hi REE,../7
g Address(number and street.city,state,and ZIP code) ❑ Same as property address
301 5. a"rr7rey ,4,00 bi. ?n iOie'n _-v y76G6'
Spouse First Middle Last
S'NF is pi S c 6 efR./7
Mailing Address(Number and street,city,state,and ZIP co(k) ❑ Same as property address
20 / 5. MRgggwc -De .4 P,o-o,rg -ro Y'L 64
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
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PART 4:ADDITIONAL INFORMATION
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