HomeMy WebLinkAboutHomestead_Russell (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R614-03)
-- prescribed v' the Department m Local Government Fmooc"
ovoTRoonowu: See reverse side for ha,oin`/nit/ir/.`
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(We) —occupied as `~,^~r~r,°'`"'""~"^°"=o."°"a",su/oev.m*pmpovxx,nnchunwmeneunrmpeny/axxn$/,nxereuyaaimmo:
)mwned [] 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.
CONTRACT� RECORDED
If buying on contract, Fee Simple owners name
Recorder's offlas where contract is recorded Record number Page
PROPERTY DESCRIPTIONZ�
County
Toomship
County
Parcel number
I des
Is the p
Address (number and street, city, state, ZIP code)
NNW
—'4' "ASSESSOR'biIE-JONI-i
If any nion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income.
STANDARD DEDUCTION ALLOWANCE
County
Toomship
County
Toomship
I hereby cenify the above statements are Inue, correct and complete.
Sign tur in nt
Address (number and street, city, state, ZIP code)
NNW
—'4' "ASSESSOR'biIE-JONI-i
Date signed
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Otheriand
Total land (fine 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile/Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, comect, and
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
Lesser of 112 Homestead
Vaitration or S35.000
S, Ma I Auditor
jou
Date signed
SIAM FORM!FAIR:I S4M1 1REAS1RLR FORM TS1A
.APPROVED BY SATE BONED OFMTTUNTS.]nu PRFSRItED BY Tilt DEPARPeit Of LOCAL raVtR.YMTNT FB:A•CE lc N.1-r-si
Gibson County Auditor
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 eser for homestead fraud.Homestead fraud causes higher to bills for all:therefore.
HEA 1344-2000 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
flings.this information will he kept confidential and enn only be accessed by authorized county officials.The Ikpanment 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
_ Russell, Mark/Merla _`'
RI BOX 104 (,tj,/
Patoka IN 47666
157
Mark Russell
210E Apache Dr State Parcel Number Lezal Description
PATOKA IN 47666-9005 -
26-04-25-302-000.589-020 018-00589-00 0589-00 Pt SE 251 11 1.212 PT
t tt I I tot It II tot I I tot I I tt I t I to I I tot I I tort I root I I I I rttt I I of I SE 251111.621 AC Hudson Farm East
- - - — — -- ' -718pt X — --
- -
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 First Middle Last
tg Address(number and street.city.sure,and ZIP code) T as property address
/ o 6 . 4pgche 'Pr( , f/�-0ICA1 LN , `717d I ‘ .
Spouse First Middle Last
Mailing Address(Number and street,city.stale,and ZIP code) Iii Same as property address
.)Y/ 0 e t 11604 C A 2 e iCt e -I-0k4 ti lv, 9716/
-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 Dot,
fir,. i
PART 4:ADDITIONAL INFORMATION