HomeMy WebLinkAboutHomestead_TramillCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R7/5411)
Presorbed by the Deparbrarit of Lo®I Goverrmnat Finance
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OCT I tuUt
I (we) I I certify that on the 1st day of March, 20_
1 (We) ocaj , ��pmcdpal place of residence the following described real property for which a Hornestead Property Tax Credit is hereby dairned:
POQ�
l(We)owned ❑ Are buying under contract
Have a beneficial intmast in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contact
CONTRACT, RECORDED eji Y`,n -tj'
ff buyng on mrrh Fee Simple owner's name
Rocarder's office where coritrad to receded Record number Page
PEM DESCWP,,
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.'),!.-;.-PROPERT.YOWNEK)BYCUUMANTINt)THt31CdUttftf
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County
TGATIship
County
(CiIJK
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I hereby oartify the above staternents are true, correct and complete.
Parcel rarnber
Leo description
Ls the W-P-A
. m Wast-
Ir(number and Meet ady. sate. ZIP code) V
(1)
property
❑ Mobile H. (LC. 6-1.1-7)
H any portion of the residanfiel struchim or the land net exceeding one (1) acre that immedishely surrm - dud
W(kbxe is used to prod" inomm, descrbe the use and patios
d the prWerty W*md W produce immune.
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.'),!.-;.-PROPERT.YOWNEK)BYCUUMANTINt)THt31CdUttftf
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County
Tmnship
County
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Township
I hereby oartify the above staternents are true, correct and complete.
SQ-Wm of daurtart
....
..
odi
Ir(number and Meet ady. sate. ZIP code) V
(1)
TMJETAXr'� —A
ASSESSEDVALUE
I
.�,'�'HOUESTEAD'
'.." -6
Valuation or $WODO
$
�;A I Wm
N310'11,y 90�
I A1-731#
....
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Land not exceeding 1 (one) ac inwriediately
(1)
I V
n
snowdig res idential improvenens.
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Other hind
(2)
Tctef land (Im I plus &* 2)
(3)
Dwelling
(4)
141'., A
3
Residerdial irnprovei.-ents or Annually
Garage
grr,s
Assessed Mobile Manu%chred Home
(5)
Other improvements
(6)
Trial rnprovements (roe 4 through tine 6)
(7)
ToW value (Arm 3 phs fim 7)
(8)
I hereby cDrbfy the above is true, correcL and
cornplete
Signature of Assesmar
Date signed
venlying actin - Sqmture of Audiex
Date signed
1W 20_Pay20_
Lesser of 12 Hornestoad
Valuation or $WODO
$
souture of ksmor
Date signed
•
TNL.N49'N,q H-Ib 1R:A51RH FORM IS-IA
AMATO 51 CLUE BOAR°OF.Hrrv.Srt rt.. (p2_VCVBFD BY TIE.nVAROAST Ot LOCAL C4i'O'USl!LXt'CE IC b! "-At
Gibson County Auditor • • • IMPORTANT NOTICE•TO HOMESTEAD PROPERTY OWNERS:
101 N. Main Street Individuals and married couples ate limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more ircentist than ever litr homestead fraud.Homestead fraud causes higher as 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 inhumation nu:essary to allow county government to better monitor homestead
F I- information wild be kept confidential end can only be aarssed by authorize d county ollicials.The Department of
Ii. ,�,'crrment Finaec Twill use this information to create mole:hat will help county ollicials eliminate Mmestead fraud.
PART l:PROPERTY INFORMATION
— Taxpayer Name Location Address
APR 2 7 2012 Tramill, James R
— C 'J � 607 N MAIN ST
PATOKA IN 47666
487 GIBSON COUNTY AUDITOR um
James R Tramill II I I 1111111111111_ II I I II IIoi II a II I I II unlit Dm
607 N Main
PATOKA IN 47666-9518
I'll'1111'IIIIIIIIIIII'II'llIllIllIlllllllllIllllrlll 1111111 State Parcel Number Legal Description
26-04-24-302-000.060-020 COL DIN/WT/29130131M
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.
.a I First Middle e............/ -_— — -- Last -
a Ail//L,,..re 5 / : 1 (�Z
Mailing Address(number and street.city,state,and ZIP code) El Same as property address
Last
Mailing Address(Number and street.city,state.and ZIP code) ❑ Same as properly address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
I I I I I _ Sole
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 Date
PART 4:ADDITIONAL INFORMATION-
lO 1) ST
c fa- t- L VOA'Le-I `11—( if 77 / /