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HomeMy WebLinkAboutHomestead_M & S Properties and Contractors LLCCLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION Slate Form 5473 (8817 -07) u Prescribed by the Department of Loral Government Finance INSTRUCTIONS: See reverse side for filing instructions. r II' I (We) certify that on the 1 st day of March, 20_ I (We) ocalpied as our I place o idence the following described real property for which a Homestead Property Tax Credit is hereby claimed: Wkq (We) owned ❑ Are buying under contract .,_t 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. CONTRACTRECORDED If burying on contract, Fee Simple owner's narpe Recorder's office where contract is recorded Record number Page ASSESSOR . USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD County Tovnshlp PROPERTY DESCRIPTION 'ng di (' ,own, towns i ) Parcel number 11 A(. - `l — Legal description a 6 Is the property in question: Real property ❑ Mobile Home (IC 61.1 -7) If any portion of the residents] structure or the land not exceeding one (1) acre that immediately surrounds that st ucturs is used to produce Income, describe the use and portion of the property utilized to produce income. ASSESSOR . USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD NON-RESIDENTIAL AT 100% OF TTV VALUE VALUE Land not exceeding 1 (one) am immediately ,. surrounding residential improvements. (1) _•' _.x�;�._�>• ,i -; r,-r, . Other lard (2) ,yr5.a Tdal land (line 1 plus line 2) (3) Residential improvements or Annually Dwelling (4)„ Assessed Mobile I Manufacbrred Hone Garage ($) 4.. `- a'Vi'YW Other improvements (6) Total improvements (line 4 through fine 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed (month, day, year) complete. Verifying action - Signature of Auditor Date signed (month, day, year) 20 —pay 20_ Lesser of 112 Homestead Valuation or 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 S 43,000 for 2009 pay 2010 40,000 payable after 2012 ZNIIIr� - STATE FORM 9569(0./&10) A TREASURE,LOR ATS-1A APPROVED BY STATE BiARD OF ACCOUNTS.`AN PRESCRIBED BY THE DEPARTMENT OF LOCAL OOtflNMEYr FINANCE lC6-1.1-22-8.1 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes . Princeton, IN 47670 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 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 Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORi%LATION Taxpayer Name Location Address Fithian, Steve 416 CHERRY ST 1., PATOKA IN 47666 18 - M B S Properties and Contractors LLC 11011111111111111 l liii hIIl1111 III I I011111 1l [IIIIDOlBIDII �� P O Box 43 OWENSVILLE IN 47665-0043 I'lill'liiltirillrtl'III'I'ilili'ililttiiiltillllilili"II'lliill State Parcel Number Legal Description 26-04-24-303-000.236-020 COL DIV OUTLOT 4 PT 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 Ow _. I First Middle Last Or) aUe_ RII Mailing Address(number and street city,state,and ZIP code) 'Same as property address • yll& Cl, eer4 5+ Ica +© Ka 7ru L/ 7Gc � Spouse First • Middle Last Mailing Address(Number and street,city,state,and ZIP code) Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) I I I I I I I I I State 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 c f�r / •