HomeMy WebLinkAboutHomestead_NorrisCLAIM FOR HOMESTEAD PROPERTY TAX
CREDMSTANDARD DEDUCTION
Sbxe Form 5173 (R71 Saul
Prey iced by the Depertrnent of Local Gmenv ent Enron
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I (We) certify that a, �1• 20-
I (We) as our principal place of residence following described real property for which a HomestehQlMP yCQ )g ¢t mmed:
I ) owned ❑ Are 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
- - .. - . CONTRACL RECORDED v',
tf hjybrg on canLad, Fee Simple owrees name
IZ ®dees d5® where mr ed is nwded Record number Page
.. ;.. -: .. -:, . . • ..: ' :• PROPE7iTY OWNED BY CLADIANT of OTHER COUNTffS
County
Township
County
Township
I hereby certify the above staternents ate true. correct and corrplete.
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cmirnbrand op; state. ZIP cmde) -T/L/ �/7C66
:.• :� 0.SSESSOR USE ONLY > n 3 r
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, m TRUE TAX
%6uESSED VALUE
' FIOIff.STEADt.
rr tssMONRE�
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VALUE;•
"AT 10076 OF TTV
- .VALUE �. 1
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�.afr�»f: wx;.VALUE r`-,y,..
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Land not exceedrg 1 (one) eras Irmhediately
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staraand'rthg residential irtgxovenhents.
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Other land
(2)•
,
Try land (lore 1 plus fire 2)
(3)
Dwelli ng
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Residential'onpnovements erAnmkdly
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Assessed Mobile / Manufaaraed Horne
Garage
(5)
_ u tttcjxt �a S nr t p42�".'Sr
Other"onprovernents
(6)
Tdel "vnprovemerds ((ore 4 through fine 6)
(7)
Total value (line 3 pds fine 7)
(t)
I hereby certify the above is true, correct, and
Signahae of7usessm
Date siged
cor plete.
Ve ifyM action - S'g able of Audibr
Data signed
20 _ Pay 20 _
Lesser of 12 Homestead
VaWbOrl on 536,000
Sitgtabae of kxhx
STANDARD
5
5 NEE FORM.53S4,R'r f-n1 TIFASL'tnr PoRV:3-IA
APPROVED BY STATE BOARDOf MYYtlll5.9+ PRESCRIBED BY TIE BEPARE]nJTOF LOCAL COVEntMn.'E FINANCE W VI.t-L4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
• PRINCETON IN 47670 Individuals and tarried couples are limited to one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tat bills for all;therefore.
HEA 1344-200 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county gcwernment 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
Taxpayer Name Property Address
Norris, Jonathan
704 N Main
Patoka IN 47666
5
Jonathan Norris
704 N Main St State Parcel Number Le2a1 Description
PATOKA IN 47666-9513
I tlttllttRltlltttllttr 11r r1r1tRtitlRtttlltt 11t11rr rt1rtlltlttl 26-04-24-302-000.176-020 018-00176-00 COL DIV 59 PT/62/89
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 I First / Middle ^/ Last
lip tta'�rl et l Ferot i nG of /" Orr4s
mg Address(number and street,city,state,and ZIP code) Same as property address
•
7a if /U Ma: h Sf. ‘ P6t,foka , Z 7t/ 9 766'
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)
sae
PART 3:CERTIFICATION
— Each-undersignedoertifies;under penalty-of perjury that-the above and-foregoing informat ion-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 S t��;t - Date
Spouse Sfgnamre Date Telephone
( )
- 1 PART 4:ADDITIONAL INFORMATION
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