HomeMy WebLinkAboutHomestead_Swope (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 IRS 14-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
FORM YEAR
9
I ((ww:));;;;P-,-4-04 eLth':Zte Vtddit of March, 20
es �o 0
occupied as our principal place s�idecethe follp�wingescrdbed ascribed property �I,, whii kUo dit is hereby claimed:
l(We)owned ❑ Are buying under contract Nge 10 2005
Have a beneficial interest in the entity that is liable for the property taxes on the property and that o property or is buying under a contract.
on contraCI, Fee Simple owner's name
Recorders office where conuact is recorded
Record number (Page
"'A PROPEIRTY,D ES CRI PTIO N
County
Township
County
Tatting district (city, town, township)
VP `—
agar
ascription
VAI� E
Is the property in question:
��n
surrounding residential Improvements.
❑ Real property ❑ Mobile Home (LC. 6.1.1-7)
It any Portion of the residential structure or the land not exceeding one (1) am thalmerikely
surrounds that structure Is used to produce income, describe th a use and portion
Of the prop" Utilized to produce income.
PRdPERT-Y: OWNED;BYCCAIMANT:ilN!OTHER'COUNTItS,;--,. -4.
County
Tovinship
County
Townships
I hereby certify the above statements are true, correct and complete.
Signature of uaimant
(number and street, city, state, ZIP code)
NMWM�.. III—! IVII;�
t 01.
-ON
ASSESSORWgI �%4jPz�
I
�31.. --
9
-rRUEiTW 2.
-- - " '
' MESTEAD!
.-.
FIESID i!
-"'* NON- - -- " - -kNTI -AIJ
-M!
VAI� E
Land not exceeding I (one) acre immediately,
surrounding residential Improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile Manufactured Home
Garage
z
(5)
!?Jber improvements
(6)
Total Improvements (fine 4 through line 6)
(7)
Total value (line 3 pits line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Data signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20_
Lesser of 1/2 Homestead
Valuation or $35,000
Signature of Auditor QV% - . - dl 14, - - I Date signed , . — I
r SIMI FOtM)5 IC,WI. rn SUUUA FORM 73-IA
.Sr?ar:En at STATE In RD OF MTStL\TS.9x PRIMED BY TIC DEPARTMENT OF LOCAL roxasMrTr FINANCE IC 4.I.I-r.s.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead xtandxrd deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ner for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serif),that they arc eligible to reeehe the
benefit and to provide additional identifyine information necessary to allow county government to better monitor homestead
filings.This information will he Lem condidenial and can only be accessed by authorized couny officials.The Ikpanntem of
Local Government finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Swope, Nancy J ,309/ .t, -i)60/„-57;
'rrl-1\' [,..t..Apt 5^ LlL
--LtieAxEii-t'd-49111t
86 to vv'
Nancy J Swope , yr7�‘a
309 E School St State Parcel Number Legal Description
Patoka IN 47666
26-04-24-300-000.437-020 018-00437-00 WOODS ENLG 4
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 Last
r
LAIR .f i a II fer — . - !i"
g Address(number: •sweet,city,state,and ZIP code) ■ Sa :.:-property address
09' L, L& st t?a,Aket / 4/744
Other(please specify in Pan 4 below)
Spouse A/ First Middle Last
rP
Mailin!gAdddress(Number and street,city,state,and ZIP code) progeny address
Social S lumber(last 5 digits) Driver's specify License/State ID Number (last 5 digits) Other(please ecify in Part 4 below)
# Smx -�
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 properly. 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 Sign nue Date
S usfsigrtd v v Date Telephone r l
PART 4: ADDITIONAL INFORMATION
/