HomeMy WebLinkAboutHomestead_Flaningam SLATE FORM!!!Mltit4X1 TREASURYS FORM'MIA
•P,1tOCEO BY MATE BMRDOE nCINC Tl.9n PRr9(A®ED BY TIIr DTrAsn :stn OF LOCAL CAIrRNMrNT FINANCE r VI.IS_-..r
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 net for homestead fraud.homestead fraud causes higher to bills for all:therefae.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to ricene the
benefit and to provide additional identifying Information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be 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 I: PROPERTY INFORMATION
Taxpayer Name Property Address
Flaningam, John R/Cindy K
RI Box ISO
Patoka IN 47666
746
John R/Cindy K Flaningam
///''' 136E 400 N State Parcel Number Legal Description
/ PATOKA IN 47666
(\ 26-05-20-200-000.744-018 010-00744-00 PT NE 20-1-10 7.24 AC
D-12 C-1
133
.
CInd�/1 K Ftalnlnla0^
Mailing Address(Number and keel,city,sure,and ZIP code) f El Same as property address
1336 E E . 9-OO N Pa-F-ak-c-- 1 ZN 476C7 e
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 sign lure Date
PART 4:ADDITIONAL INFORMATION
•
iCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
I
State Form 5473 (R2 15.92)
INSTRUCTIONS., See reverse side for (ling instructions. _ _ " Ia
FORM
HC10
YEAR
y
(n
I (We) r - - - _ rOm1 ___ eh t d arch, 19_
I (We) occ i d as our principal place of residence th Ilowing described real property for wh c a Ho ead Property O Tax 1{�IS hereby claimed:
❑ 1 (We) owned ❑ Are buying under contract Nov 1 U
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns t e property or is mouna tr act.
CONTRACT RECORDED
IJNTY
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taring district (city, town, township)
Parcel number
Legal description
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 me use and portion of
the property utaized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
�ereby certify the above statements are true, correct and complete.
Signa a of claims t
C ddre
(number and street, city, state, ZIP code)
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 52,000
S
-
Signature of Auditor \
Date signed