HomeMy WebLinkAboutHomestead_ShipleyF Ship
CLAIM FOR HOMESTEAD PROPERTY TAX
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CREDIT /STANDARD DEDUCTION
r State Form 5473 (R215-92)
INSTRUCTIONS: See reverse side for filing instructions.
NOV 27 2000
of Auditor
CE (CATION STATEMENT
I d1v &eWa__)
(We) r�i,pLr )tp1`Q�yUmNlfil9h, 79_
I (We) occupied as our principal place of residence the following descri ed real party for which a Homestead Property Tax Credit is hereby claimed:
❑ 1 (We) owned El 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 '
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded -
Record number
Page
PROPERTY DESCRIP ON
County
Township
ip
Parcel bar
Legal description
�/)
611 Q(/ v
It any portion of the residential structure or the land not exceeding one (t) acre that immediately surrounds that structure is used to produce income, describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
Siq tur of im
hereby cenity the above statements are true, correct and complete.
A ress (number state, ZIP
'and
/(street, city
C D be HW-1, 5
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding t (one) acre immediately
(t) ,
surrounding residential improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
"
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
al improvements (line 4 through line 6)
(7)
al value (line 3 plus line 7)
(S)
ereby certify the above is true, correct, and
Signature of Assesor
Date signed
mplete.
I—Venlying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
$
Valuation or $2,000
Date signed
of Auditor
-
Mit 1 015195,'10./WO ME/SULFA FORM 13.1A
.AIrrrwto BY[t1LF.N Ro0r MYYt1Ti_21ry PRIM-MM BTnhr BEIARrSEYr CIF Lcwat CAVERYMrhT FN'AscE Ie4-1.I.E_4.I
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 tax bills for all:therefore.
• HEA 1343-21119 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reverse the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.-Ns information will he kepi confidential and can only be accessed by authorized county officials.The I/manna:at of
Local Comment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Shipley, Leonard/Dina
dos F Mill
Patoka IN 47666
551
Leonard/Dina Shipley
108E Mill St PO Box 348 State Parcel Number Legal Description
PATOKA IN 47666-0348
_ 26,04-25,100,000.365,020_ 018-00365-00 FISHERS 1ST ENLG 5PT
FISHER
rtrn��ntrtrrutrrntr�nr� �rnrnr�n�Ftrnrru�n�nrr FISHERS'2NEYENLG 15PT
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
to Address(number mid street,city,state,and ZIP code) isS1 Same as property address
Po Soy 34 s' lD8 ,r Mill SI— P k19_- 1-17&kei
•
Spouse First Middle Last
MINA— S p )el
Mailing Address(Number and street,city,state,and ZIP code) Wane as property address
PO . L� s' /o-A-E- -/_1'111_s _ x_pA-1 o�c U-' ��fp6 -
.
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 'gnature Date
PART 4: ADDITIONAL INFORMATION
•