HomeMy WebLinkAboutHomestead_Walker (15)0 } CREDIT /STANDARD DEDUCTION HC1D
CLAIM FOR HOMESTEAD PROPERTY TAX �� FORM YEAR
State Farm 5473 (R6 / 4-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing insinictions.
ERTIFICATION_STATE ENTrhZ��l:.;,t�� ?a's�r '!��-s+�j'r } fr". �,;- `
County
I (We) CL certify that on the 1st day of March, 20_
1 (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
'1 (We) owned ❑ Are buying under contract {{((..j
( fying
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pre& rty aids uM1�deya ccn�trait.
M
1
4- _ _
:;�.¢fi�a�._...r -� . �°: �;- �; za��itx3:, ��y�j5�,;^.?CONTRACT;'RECORDED� - ,fi��?:e: i. m�'�-^ ,�'-:'
l ..4`T Wirer bf7x%i
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded
Re`co`rifnumbei ! i:T'f
"Page
'.a <8&W- PR6P. ERTY, OWNE66YCL` AIMANT( IN:OTHER'COUNTIESaP�,.x'`���«,• "
County
IP.T
County
Township
I hereby certify the above statements are true, correct and complete.
Taxin Oi Iri d wnshipy�
ar I mber �1
Legal description
Is the property in question:
(V\),
ASSESSED VALUE
HOMESTEAD
❑ Real property ❑ Mobile Home(I.C.6f.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediatety surrounds that structure is used to produce income. describe the use and portion
of the property uWized to produce income.
100%ORTTV
'.a <8&W- PR6P. ERTY, OWNE66YCL` AIMANT( IN:OTHER'COUNTIESaP�,.x'`���«,• "
County
i Twvns '
I hereby certify the above statements are true, correct and complete.
Si nature f daima t
Address (number and street, city; state, ZIP code)
Ales y
�.
ASSESSOR(USE ONLY x�```�`5
,aTRUE TAXyy�,
�'
ASSESSED VALUE
HOMESTEAD
�
NON- RESIDENTIAL n. r�
1t
100%ORTTV
ALUE °
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
f'la :tm„vWa,
IN`��
Total land (line 1 plus fine 2)
(3)
Dwelling
(4)
NN
ResidentialimprovementsorAnnually
Assessed Mobile / Manufactured Home
Garage
: v" o
Other improvements
(6)
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line 7)
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Data signed
complete.
verifying action - Signature of Auditor
Date signed
"STANDARI) DEDUCTION ALLOWANCE.
20_Pay 20_
Lesser of 112 Homestead $
valuation or 835.000
Signature of Auditor igned m
STATE E0/1M IJ!M I Rr!V I iar Smf1 FORM ti-IA
AFIKOV W BY STATE&& Dr*VRt!NTS.3m PRISCRIBM BY iiIL DEIAane!r rf LOCAL t 2RNMDr FINANCE MN.l-U41
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 1344-?009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying infomtmmn leassary to allow county government to better monitor homestead
filings.This information will he kept confidential and run only be accessed by aulhnrimd county officials.The Depannent 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 Property Address
Walker, Richard A/Darlene E
405 Cottonwood
PATOKA IN 47666
577
Richard A Walker
P O BOX 22 State Parcel Number Legal Description
PATOKA IN 47666-0022
26-04-25-101-000.326-020 018-00326-00 PT NW 25-1-11 .5227 AC
r err l
K
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
rI
/I > ci1.rcl LA a/ k /XKr1
ug Address(numb&and street,city,state,and ZIP code) - - - - ' — - -- -'� Some as property address —
,itolA 905 c4:17‘071/1441•0 c - B - a2
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) I I Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sex
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is lore 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