HomeMy WebLinkAboutHomestead_NicholsCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t State Form 5473 (8614 -03)
Prescribed by the Department of Local Government Finance
See reverse side for filing instructions.
vM� YEAR
FORM I, -
HC10
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I (We) ` i 1-4k" VKJ& `[i 1 certify that-on the lsl dayof March, 20
1 (We) occupied as our principal place of residence the following described real property for which a Homestead Prop rE ty'T &"Cr¢ Aftereby claimed:
❑ 1 (We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
' 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'.RECORDED "" -• >" '% a+- -"_.-
If buying on contract. Fee Simpie owners name
Recorders office where contract is recorded Record number Page
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- _Y?+�.w,t..a i,c;ts- vP,ROPERTM: DESCRIPTION .�,,','u?Y- frrt�':5:4n,,.,."
County
Township
Testing district (city, town, township)
m
—
3 -D O
Le al escri
9
an
100% OF�T]'V
I hereby certify the above statements are true, correct and complete.
Is the property in question:
ie,,,
�VALUEy„�sy
ss ( number street,
i ,state, I,,code)
❑ Real property ❑ Mobile Home (I.C. 61.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that imm rdia surrounds that swcture is used to produce income, describe the use and Portion
of the M e rty utilized to produce income.
�j�'y, Y
ASAE350
PROP.ERTY.OWNEDTBY CI NlheAkt
ASSESSED VALUE
County
WNON�RESiDEHTIAL t
pfy1,VALU
Township
County Township
100% OF�T]'V
I hereby certify the above statements are true, correct and complete.
Sin cure of claimant _
ie,,,
�VALUEy„�sy
ss ( number street,
i ,state, I,,code)
Land not exceeding 1 (one) acre immediately
�j�'y, Y
ASAE350
'
ASSESSED VALUE
'iHOMESTEAD'i`i
WNON�RESiDEHTIAL t
pfy1,VALU
S te.: :y- =t,�.i4
eg
100% OF�T]'V
E"
ie,,,
�VALUEy„�sy
SAT
,VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)��?w-'
Other land
(2)°`''"
Total land (line 1 plus line 2)
(3)
Dwelling
_.
Sr;�jb
(Residential improvements or Annually
(4)
- . _.rr';s
",dc`ieaE -POOR
r� 0=2_0
Assessed Mobile I Manufactured Home
Garage
(5)
�
�*"'�
Other improvements
(6)
±`c v ,n
arvL
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(S)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
"STANDARD:DEDUCT10NiALLOWANCEt tarry ey. ...<'��'4x*,•'i -'„s'' 3' ,3E ".4; +_s"`,t'xr f:'`�'. ;1:`x+4
20 _ Pay 20 _
Lesser of 112 Homestead
Vauatlon or 535.000 5
Signature of Auditor Date signed
a STATE FORM!)5 01:1 SWl 111Atl:l11 FOR4751A
.ArrRrW'ED BY StstL wssRDIK ACCOUNT.c.rn• PRI:CEBU)BY-ME DEPAnnerr(rLOCAL r)S'QRNMrtT FINANCE If 6-1.1•1=4.1
Gibson County Auditors
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 e'er 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 reeehe the
benefit and to procide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will be kept cmlldential and can only he accessed by authorized county officials.The Depannsent of
Local Government Finance will we this information to crease tools that will help county officials eliminate hmestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Nichols, Steven M/Heather L ((��\L
Back ST V
Patoka IN 47666
509
Steven M Nichols '
do Sherri Mays
218 S Seminary State Parcel Number Legal Description
PRINCETON IN 47670-2120
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 l l l l l l t 11 1 1 1 1 8 1 1 1 1 I 1111111111111 26-04-24-303-000.213-020 018-00213-00 COL DIV OUTLOT 16 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle ' I Last
-tip __ii. tt_.y-,1'�= IC )'1A e ) _ N IC,hoI .S - —
mg Address(numbei ants street,-e ,sate.and ZIP code) ""— LI'Samc as property addr—.-s - - --
a1 � s S , ,tn ,ft, r
Spouse First Middle Last
N ‘e_i e__r G H n 1m 6 i 0\01 st
Mailing Address(Number and Neel,city,stale,and ZIP code) ❑ Same as property address
alb S Ser)-\ ■ v-biA_ r ,--(
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.
OwTCT I Signature Date
'\ - PART 4:ADDITIONAL INFORMATION