HomeMy WebLinkAboutHomestead_Seaney4�,.. CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
J State Form 5473 (R5110-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
I (we)
I (We) occupied as our principal place of residence the follow V9 described real property for which a
❑ I (We) owned ❑ Are buying under contract
RM YEAR
CID lG
�
MAY 2 R 2002 �6T
claimed:
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.
'+�t•:tis'ir_:x�e.l�.• sXt:1'�.'t'u•�k'."y,."`"`. N_ TRACT.'.RECORDED:.a.,c}= '•' %s>�.3•"x.- " "�.:`�vx.'V'•.
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
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- .r�.<_k�'�J�...s <-.-� _ �e' �.-` �a�a�. e...>? i�-,..,.... P, ROP. ERT. Y: DESCRIP ,TIONir�'� „- .��...::>�•3r t4a �r��•_.:?� °>�'t'�a`•�i'r.'�.
County
Township
HOMESTEADi
Tai i rid 'ty, t con, township
Parcel n be
��11
Q —dV
Le al descri ti n
p
/
1�nature of claims
'�
Is the property n question:
Real property ❑ Mobile Homo (I.C. 6-1.1 -7)
If any portion of the residential structure or the land not exceeding one (1
Of the property ubl¢ed to produce income.
a that immediately surrounds that sducture is used to produce income, describe the use and portion
��? ". -:sue <<��%�.. - �i'1+$'�: �1�-: � ::.PROPERTX,OWNED';BY.CL'AIMANT IN�OTHER "COUIJTIESf '' �^ +:yg'���'�y�„"�';�i"l;K���•"c`�
County
Township
HOMESTEADi
County Township
hereby certify the above statements are true, correct and complete.
1�nature of claims
'�
"dress number and reef, cif}; ate, Z cede)
�t- � VALUEr
irZ"'3`FSs ice'
USE ONLY'3
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TRUE TAXI �,
_
ASSESSED VALUE
HOMESTEADi
- {
$ �,-INON RESIDENTIAL . I� &Yr
i7 ,v+�"'"
?`} ' q+:y,, +,y ?3, -
ATn100 %OFTTV
�t- � VALUEr
R-�.w .N
�tiVALUEy.i.�.�y_'
}'.,.VALUE+
m }Y3 .
Land not exceeding 1 (one) acre immediately
*1;4 `t
Siss`
surrounding residential improvements.
(1)..
Other land
��.�`>!'-
Total land (line 1 plus line 2)
(3)
Dwelling
'
Ia R
Residential improvements
w.0cl .%S
T %
Garage
(5)
Other improvements
(6)
^.-_'✓
>£
wc��f't�`y t 1X
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
DAR
D. .DED UCTION
_.
20_Pay 20_
Lesser of 112 Homestead
Valuation or $6,000 $
Signature of Auditor Date signed
sflT FORM',WWI:''I MAMMA FRM t3-A
.SrFNfED BY Sill[M3RD[N van PUNTS.a,B PtrSAJBm BY 7IIr DEPARTMENT OF LOCAL oOIELVMrta FINANCE IC*4.1-_r.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homexcad 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 tar bills for all:therefore.
• HEA 1344-2009 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
filings.This information will he kepi confidential and can only be accessed by authorized county officials.The Ikpanntent of
Local Goverment Finance will use this information to create totals that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Seaney, Harold L/Nell L
30?H School
Patoka IN 47666
9
Harold L/Nell L Seaney
302E School State Parcel Number Legal Description
Patoka IN 47666-9279
26-04-24-300-000.540-020 01
Illttlltttlllltttlltttllttlllltttllllrttllllttilttlttlllttllll 018-00540-00 WOODSENLGIPT
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 2 �/ First op Middle f Last
- - 4 ' ;
•ng Address(number and street,c ,state,and ZIP code) Same as property address _ -- _---—
3oa a
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sox
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 elieible 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
Spouse Signature °` Date Telephone
( )
PART 4:ADDITIONAL INFORMATION