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HomeMy WebLinkAboutHomestead_TurpinCLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION 'I. State Form 5473 (R2 / 5-92) INSTRUCTIONS: See reverse side for (ling instructions. CERTIFICATION STATEMENT FORM HC10 Y� /e) 7 n.Y1.... /� O�VtM �/)n certify that on the 1 st day of March, 19_ 1 (We) occupied asUbur principal place of residence the fol owing described real property for which a Homestead Property Tax Credit is hereby claimed: ❑ I (We) owned ❑ 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 Recorders office where contract is recorded - Record number Page PROPERTY DESCRIPTION County Township Taxing istrici (d ,town, towns ') ' Parcel number �o� - Legal description If any portion 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 properry udized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES County Township County Township �reby certify the above statements are true, correct and complete. Signature of claimant Ad-tress (number and street, city, state IP e X176 (0 & ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Otherland (2) Total land (line 1 plus line 2) (3) Residential improvements Dwelling (4) Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true, correct, and complete. Signature of Assesor Date signed Verifying action - Signature of Auditor Date signed STANDARD DEDUCTION ALLOWANCE — 19_ Pay 19 _ Lesser of 1/2 Homestead Valuation or $2,000 $ Signature of Auditor Date signed SIVVE 1O10113ttatC I f,O TlEAA:lQ FORM T}IA .Ar ROVED BY STATE M• DOf MYxn;,TS.21'W faLSOUBD BY Tiff DEPARTMENT OF Loan GOVERNMENT FIANCE IC1.I.I-224.1 Gibson Count Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple 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. • FICA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the benefit and to provide additional identifying information necessary to allow county goemmeot to better monitor homestead filinsn.This information will he kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to create runs that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Turpin, Robert E 5o3 S. ©I D AAA". _s+e-dm7t��7f'S Patoka IN 47666 1084 • Robert E Turpin 503 S Old Patoka Rd State Parcel Number Legal Description Patoka IN 47666-9001 ItItrll-t-Itllttrllt-tlltrltI,.II.t,II III IIt1-tltl 26-04-25-104-000.069-020 018-00069-00 PT NW 25111 .7445 AC PART 2:TAXPAYER INFORMATION Owner I Robert Middle Last • Robert / i& r • i rt. Address(-number and street,city,state,and ZIP code) - _ ___ __ __{ Same ns property address _ - 50 3 S. Old i�a-to kc R& , Spouse First �/ Middle Last 1NG�� ^ Lcrprn Mailing Address(Number and stem city,state,and ZIP code) ,p n D Same as property address ,50 3 S Oki Paco ket. /ICY ' 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 Signature Date k .fit¢ Prratr -j 14cderiteSS Is tJhOM ntxl ill s- gr-vl (1; Trod a&cQress 15 Tl4 P I4ioa //&9 NitArga S_ •