HomeMy WebLinkAboutHomestead_Turpin (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDMSTANDARD DEDUCTION
State Form 5473(R6I4-W)
Prescribed by the Department of Local Government Fmmoa
INSTRUCTIONS: See novena aide for MlIV kiteenuctiorm
NOV 2 8 2005
YEAR
I (we) certify that on the 's
I (We) occupied claimed
ad as our principal place of residence the following described real property for which a Hornestea0cp WoCredit is here
❑ l(We)owned ❑ Are buying under contract
hHave 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.
.......... .......... NTRACTAECORDED
If buying on contract, Fee Simple owners name
Recorder's office where contract is recorded Record number Page
County
TaNnship
Tatting
I aescnpuon llaa4bo7- Is the propertyi question
P - cro 1 /– // o 'ev I UR"I property EIMobile Home (I.C. 6.1. 1-7)
If any portion of the residential structure or the Land not exceeding we (1) acroThat immediately surrounds that sAlucturais used to produce inccrne, describe the use and portion
of the property utilized to produce inemut- Of 1916? &
- 6 W 6711 Lk KA14T R�COCW— - -
� -'PK6KEfkTy,' W E �C I --IW6TAE TI
County Toomship
County Township
I hereby certily the above statements are true, correct and complete.
Signature of claimant
code)
W
; W.N.-
0 jWjjW
?` , 5;><' �STAN6ARDMEDUCTIONALLOWANCE
20— Pay 2O_
Lesser of 1l2 Homestead
Vatuatiori or 535.000 $
Signature of Auditor Date signed
HOMIESIMD'z�'
'Ll
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Otherland
(2)
Total land (line I plus fine 2)
(3)
'Residential
Dwelling
(4)
ft
---- ----- - �WL
4, Vt
1 X
iKf
N
Improvements or Annually
Attxsaed Mobile I Manufactiffed Home
Garage
(5)
1,
Other improvements
(6)
ARMS-- 111
Total improvements (fine 4 through line 6)
(7)
value
.03I .031 value (line 3 plus line 7)
(8)
certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Van ifying action - Signature of Auditor
Date signed
; W.N.-
0 jWjjW
?` , 5;><' �STAN6ARDMEDUCTIONALLOWANCE
20— Pay 2O_
Lesser of 1l2 Homestead
Vatuatiori or 535.000 $
Signature of Auditor Date signed
VIAIE FORM!3Ma W.2/fort TREASURER FORM i5-IA
ton t° STATE BOARD OF AMA TSbn PEEXTIBEW BY THE BEPARTxeT OF LpsL GWPRNNEA7 MAyeE M 4.IS[J.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 standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than on for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing,'.This information will be kept cant;deminl and can only be accessed by authorized county officials.The Ikpanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pruperts Address 4
1.\)01
( y,
Turpin, Scot J/Susan L
RI Box 65
Patoka IN 47666 61 129-
159
ii 04
Scot J Turpin
704 Old Patoka Rd
PATOKA IN 47666-9003 State Parcel Number Lezal Description
IrIr tllrrrlrllrr rlirrrlirr lrirrlirrrll 11r11trrr lrrl rMrl — 26-04-25-302---0 00000.612-020 HUDSON FARM EAST 14/15PT
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 Middle Last
S CiJ`� J . I U r yi n
-is Address(number and street.city,stare,and ZIP code) E-Same as property address
1 Dy S
S . OId cn+DVA U Ca,4r� .- Li~ It;iii
Spouse First Middle Last
.. Y\ L"C fine_ I LIr ?iv\
Mailing Address(Number and street,city,state,and ZIP code) lit<une as properly address
ThbLC S- b\ \ SI*o17i1 S1ct, P -12(A2u -\. . Lb bup
•
PART 3:CERTIFICATION - r- -
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
so
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