HomeMy WebLinkAboutHomestead_BakerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
` State Form 5473 (8817 -07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
(I ' """p�� FORM Y�R
IV ` F l
MAY 1 S 2009
dsI (We) i day of March, 20
I,(We) occupied as our principal place of residence the following d m ed real property for which a HMMtD* f e *g0( 1TEAMKd hereby daimed:
'II I (We) owned ❑ Are buying under contract
t.J Have a beneficial interest in the entity that is liable for the property taxes on the property and that awns the property or is buying under a contract-
CONTRACT RECORDED
If buying on contract, Fee Simple ownees name
Recorders office where contract is recorded
•�� • (� Record number Page
PROPERTY
DESCRIPTION
surrounding residential improvements.
()
PROPERTY OWNED
- t . Y +:• -, ~F - - r?,<-'
County Township
(2)
County Township
I hereby certify the above statements are true, correct and complete.
Signatyte dapant
[�
it
Jr ess (number and street, colt: state, and LP code)
r Ij
x/54 N 1 N 185 �✓ pcztokct ,)J
7 4 (o C�
ASSESSOR
r
AT rr'. OF
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
()
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Other land
(2)
�yYG3'��F
Total land (fine 1 plus line 2)
(3)
,
Dwelling
(4)
.`t.•J rr f3 J� N wa. SS -
Residential improvements or Annually
Assessed Mobile I Manufachlred Home
y{-
Garage
5
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus fine 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
STANDARD DEDUCTION
20 _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead d Valuation S
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Date signed ( nonth, day. year)
STATE FOpSi 53569(R2/5-09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS,22009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I 1 22-8.1
i3af' , PORT T NOTI @E TO HOIVIE.i Elp AD�PR® ER OWNERSI``.4:47 ,40 r:
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
' 'eduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor homestead filings. This information
will be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
4: if i jR xA`" ;. PAR..Tit• PROPERTRYINEORMATION
Tamaver Name honest Address State Parcel Number Leeal Deserintion:
Mike Baker 0 26-04-11-100-002.437-018/ PT FR II-I-11 .55 AC
Complete and return to: - 1I111111 1!!]IiI131 E111 0 111 111 111ll11E.MIEM01111 HIER
yy GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
+� -.. i .:. .. ... r. .. 4�`
- PART 2c:TrAXBAYER INFORMATION
Owner 1 First Middle Last
e re) A
Mailing Address(number and street city,state and ZIP code) Same as property address!!!
Spouse First In � A,t�n,� Middle p Last
Mailing Address(.11 es-street,city,state and ZIP code)
!�I
se Y/ " S cu' P R To k 5^ T N (17 ‘ (e (, I� Same as property address
FIA ; GE.Rif:1CA ION'_'
tip tee.__
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 1 Signature Date
�iD
MAY 18 2011
c.�.
V
GIBSON COUNTY AUDITOR