HomeMy WebLinkAboutHomestead_NewlinCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
�C1
JAN 0 3 2005
I (We) certify thatdftft
I (We) occupied as our princ place of residence the following escribed real property for which a Homestead Property Tax
❑ I (We) owned ❑ e 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.
0 NTRACT.'.RECORDED',�1'�
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
i�°��- i��.'.zvt �'�r(,�.rF�. , ?.;�.^*'- �_- ,-yr �P. F20PERT)I,DESCRIP,TION'� �'�`- �.skic`:��N',3s� -,, ,,r .•tl'`.�?�r.�e�."+''}'v5.,''t °.=
County
Township
County Township
Taring is to , township)
Sig ature of claimant
&ss Mot street city, slate, ZIP e)
I C
Pa�ku
sti /+
Land not exceeding 1 (one) acre immediately
Pa1cel number �%�
5
L es do
Is the property i question:
6 "`•'
surrounding residential improvements.
Real Droperty ❑ Mobile Home (l.C. 6 -1.1 -7)
If any potion of the residential structure or Ne land not exceeding one (1) acre
t immediately surrounds that s lure R used to produce income. describe the use and portion
of the property utilized to produce income.
,
PROPERTY,OWNED::BY CL-AIMANT'IN OTHER' COUNTIESs.. L_-.„ �r�: i` ��"_ .'�u�r`•.�s'��'- �%��=+'2S!1% -ib
County
Township-
County Township
hereby certify the above statements are We, correct and complete.
Sig ature of claimant
&ss Mot street city, slate, ZIP e)
I C
Pa�ku
sti /+
.A�ASSESSRU. ` G s -° c's
x"TRUETAxi
ASSESSED VALUE
"
SHOMESTEAD`;
t }- NON;RESIDENTIAL
S. E ONLYsiVALUEl"z�t
$
ATA100 °AOFF,iVVALUE,5$53VALUE�,.
=F�'y
Land not exceeding 1 (one) acre immediately
O
g3r;v_ ..
surrounding residential improvements.
}"`'N_
Other land
F4;
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
'EN.�: ° <€W
all
Residential improvements or Annually
Assessed Mobile /Manufactured Home
Garage
5
•' t?rt� t
Other improvements
(6)v,,,-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line n
(6)
hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay20_
Lesser of 112 Homestead
$
vauabon or 535.000
Signature of Auditor
Date signed
STATE FORM5359(N/8-I0) - TREASLREFFOLM'R1A
. APPROVED BY STATE BOARD OF ACCOUNTS,NW' PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE let-IA.22-n
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 Gaud.Homestead fraud causes higher tax bills for all;therefore,
_ HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
(�,
- FILED benefit and to provide additional identifying information necessary to allow county ed co ent 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 INFORMATION
JUN 1 4 2011 Taxpayer Name o Location Address
C �.n Newlin, Danny W/Aleah A
203 W VINE
GIBSON COUNTY AUDITOR - PATOKA IN 47666
78
I I III_iI _II mIllI IIIIiII II lIllIllll IWII mm10l1 IDanny W Newlin
203 Vine
PATOKA IN 47666 .-
State Parcel Number Legal Description ,
R 26-04-24-304-000.154-020 ' COL DIV 17PT
9
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.
E 1 - A , A
Owacr I First - - Middle Last
b .a,n,ny W N.e.(A) 1 in
Mailing Address(number and street,city,state,and ZIP code) ❑ Same as property address
P-o. 63x 350Q-- .
Spouse First Middle Last
P 1 ��h 4 - N e�ui l n
—Mailing Address(Number ,and street,city,state,and ZIP code)— - - _ - fl'Samc as property'uddiess - _
® P- o • IS ox 35 a .
,
PART 3: CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing infomtation 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