HomeMy WebLinkAboutHomestead_Evans (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R215 -92) -
iau
INSTRUCTIONS. See reverse side for filing instructions.
CERTIFICATION STATE M ENl
FORM YEAR
HC10
4— in v A&k /— certify that on the 1 st day of March, 199-7
I�) occupied as our principal Ace of residence following described real properly for which a Homestead Property Tax•"edit is herti y Gamed:. J
l(We)owned El Are buying under contract AUDITOR
Have a beneficial interest in the entity that is liable for the properly taxes on the property and that owns the property or is buying under a contract.
CONTRACTRECORDED
-
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County _ Township
PROPERTY DESCRIPTION
County
Towns p
Address (number and street. city. stale. ZIP code)
PR-tokA �L 7
1 X B4 Pk -
Valuation or $2,000
Taxing dislr' t
T
n, towns p)
Parcel number �� �IR
0O �p
- vim u 1 0
Legal description
� 09 etc_
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 property utilized to produce income.
- Q
ao -060. l90 -d /�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County _ Township
County Township
®eby certify the above statements are true, correct and complete.
Signature o aimant
Address (number and street. city. stale. ZIP code)
PR-tokA �L 7
1 X B4 Pk -
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
'.
Otherland
(2)
Dates netl
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 pUs line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
lying action - Signature of Auditor
Dave signed
" STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Dates netl
STATE 10101!35"I IC F 1 MRE\SU&U FORM Yla
ArrNxEB BY FATE BnaRD OFMTTWT,.205 rrE%NBm BY nil°FPMT e4T IF LOCAL GDSRL`1MrHT FINANCE IC 4-1./-224.1
Gibson ON County Auditor 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 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the a
benefit and to provide additional identity-mg information necessary to allow county government to better monitor homestead
tiling..This information will he kepi confidential and can only to accessed by authorized county officials.The Depanntent 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
Evans, Garold Ray/Kathy fJ�/ /
?25 W �`
Patoka IN 47666
435
Garold Ray/Kathy Evans
3600 N 225 W State Parcel Number Legal Description
Patoka IN 47666-9026
I I I I III I I I l 1 1 1 1 I l l f l l I I III 26-04-23-300-000.190-018 010-00190-00 PT SW 23-1-11 1 AC•a n 111 t 111 nt u t u tut t t n 111 1111 n - --- - /- — - C 1 ----- --- - - - -
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
G P\e of d_ Ev A t.3 S
'lig Address(number end street,city,state,and ZIP code) - - Same m property address -
b00 N . aa5 We SA- - PRA-0 kI,T1- 41b(o(o
Spouse First Middle Last
\<rslh\ee se EvA1._) s
Mailing Address(Number and street,city,state,and ZIP cock) xR, Same as property address
3 l c 0 0 N , as 5 U e - Pp ca 5 -"="13 4,(ocD(-co
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 Sigma �e Date
r. o • W0-
PART 4:ADDITIONAL INFORMATION
•