HomeMy WebLinkAboutHomestead_MaloneCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION Hct
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
4r:.ar";`- i-^t/'e.+ t:;CERTIFICATION STATEMENT'S se1' _ - r.!?e':".
I (We) CiX - -- - certify tha 3_n. i 15{ f March, 20_
I (We) occu d as our princi I place of residence the following described real property for which a Homestead Propertrtyy T�1c d 1 claimed:
�Ia owned ❑ Are b GIBSON GOl1NT� iElydl4f§ay
4^/) crying 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.
ii` <nsp `t'v % x 3` bi !s" x.:'xsA_r`_L`',pnr: '•'` :C ONTRACT.'RECORDED
t
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
ERT.NAESCRIPTION��-�:i���. is i- 3�: ��' ��- �i.'... �,.-:_' r$ � "�.';�,'�4s``eS`;S`Y'�'`i'�-;_,
County
To mship
Taxing cis 'ct (city, town, townshi )
Parcel number
Legal description
Is the propelrtIt�y-�iin.�.question:
/_
d lr -Co 6 � - �
�ress (number and street, city, state, ZIP code)
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tpnteal property ❑ Mobile Home ( /.C. 6- 1.1 -7)
If of the portion of the residendal structure or the land not exceeding one (1) ave that immediately surrounds that structure is used to produce income, describe the use and portion
Property uWaed to produce income.
ab- by -ag- yob- ood.�t� -oao
7`kal'x - -0,- - _ --
•-..:.. �x....., �'• 1E,-,'' �`,. �'} r�,rl��iz�P,ROP.ERTY.OUINED'BY CLAIMANT IN': :OTHER" COUNTIES` �1 [�,_.�4i.7y�- ,�._•s'. ?s�;t<.:
County
Township
OMES7EAD
VALUEr�`3�.Tu'
County Township
I hereby certify the above statements are true, correct and complete.
Sig ature of claimant
�ress (number and street, city, state, ZIP code)
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SSESS°R,US" -:
ASSESSOR USE ONLY ri e.
TRUE TAX
.r-�
ASSESSED VALUE
w e _
;AT100 %OFiTiV
OMES7EAD
VALUEr�`3�.Tu'
NON= RESIDENTIAL
Yr -i-hVE E>
_V._IUE}iu..i+''?
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
2
(
Total land (line 1 plus line 2)
(3)
'Residential
Dwelling
(4)
lV 5 � 1
,.
0
improvements or Annually
�
Assessed Mobile I Manufactured Home
Garage
(5)
.;yy
Ni.. .�
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
wrsi.' 'tom -�o' ,x .�..,:. ;-e` 7rS ,•rr�'..;?t -T` — �STANDARUDEDUCTIONALLOWANCE .- aa.;,: ,�ri�,?- ;is;-
NNW 20 _ Pay 20
Lesser of 112 Homestead
valuation or 535.000 $
Signature of Auditor Date signed
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r1AiE FORM'Jt11R'/r-rvl TRETSUtnA FORM 13-1A
A/PRIMED BY'nit BMW Of MYt:11<.at"4 rrrx tBED BY THE DEPARnTNTOF LOALCOVERYMFFT FINANCE IC I.I_'-R.I '
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ewe for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 134+2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying infonnanon necessary to allow county government to better monitor homestead
filing-.This information will he kepi confidential and can only he accessed by authorized county officials.The Depanmenl of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
• Taxpayer Name Property Address
Malone, Zachary A/Natalie
i
'R'I Dvewa
Patoka IN 47666
652
Zachary AMalone PoBe-Sb _ 1 . ' � - .
PATOKA IN 4 7666-008 61 bpi tnek76:60n State Parcel Number Legal Description
26-04-25-400-000.616-020 018-00616-00 HUDSON FARM EAST 18
1r1rr 11trr1tlltrrilrrtlittliltrlltr r1rr1rr11tt 1t r1r r11rr rr11r1
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. PART 2:TAXPAYER INFORMATION
Owner I First /� Middle Last
ZAcMA�y /�L`A^i MALoA)F_
•g.Address(number untl street nrv.smte.end ZiP code) - _ ___ _ _ _ owe as prDµlry addles__ — _—_.
C )U Ad lR- Po 2ex qt. ?RroKA 14 1/76.640
Spouse First Middle
,1 �j� Last
ATAL)15 mu / "I A-LOAJE
Mailing Address(Number and street,city,state,and ZIP code) R'SiMe as properly address
(Dig /144/C400 12 a -Ro -gax gC7 -P47-001 f /!J q7 6 G 6
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.
Oahe 'go.ture Date
PART 4:ADDITIONAL INFORMATION
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