HomeMy WebLinkAboutHomestead_Friedtar _•, CLAIM FOR HOMESTEAD PROPERTY TAX_ FORM AR
CREDIT /STANDARD DEDUCTION--- HC10--
' State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions. /
CERTIFICATION STATEMENT
I � Ify that on the 1st day of March, 19
our principal place of residence thhe, following described real property for which a Homestead
PWe) occupied as roperty Tax Credit is hereby claimed: Li I (We) owned ❑ Are buying under contract
F-1 property a beneficial interest in the entity that is liable for the property taxes on the prop t e
property or is buying it under a contract. rr
CONTRACT RECORDED nAq� nns
If buying on contract. Fee Simple Owner's Name '996
Recorder's office.where contract is recorded . Record t?Afi P, s•
AUD TOR
IJt:K I,T
County–(
a c N�rne LegaVDe cktionW t I _/ 1 O\ n
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
o?�- aria- 36a- �a.a9� -oil "
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township. ,
County Township
—�
ereby certify the above statements are true. correct and
Si ature `
plete.
(2)
re s t. numbr,city, state d Z c e)
N
IStr
l
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
. "Residential improvements - Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19— Pay 19 —
Lesser of 112 Homestead
(2)
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
-(4) _
Signature of A ' or
(5)
Date Si ned
(6)
(7)
(8)
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19 —
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2.000
Valuation or $1,500
Valuation or $1,500
Signature of A ' or
Date Si ned
v
0
t:
STATE FORM.;3569(8315-10) TREASURER FORM TS-IA
AFFROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-1-8.1
IMPORTANT NOTICE:TO HOMESTEAD PROPERTY OWNERS
`ndividuals and married couples are limited to one homestead standard deduction. As the receipt of this
action 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.
': - PARTI: PROPER Y INFORI\IA ION - ' ..
Taspaver Name Property'Address State Parcel Number Leal Description:
Joseph D/Vonda K Friedt 830 W 550 N 26-04-12-300-000.296-018 PT W I? 1 I 1 3.00 AC
PRINCETON IN 47670
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Complete and return to: 1111111[1[11011M11111111 lo Di mI IW I1111nll ll110®
GIBSON COUNTY AUDITOR 101 N MAIN PRINCETON IN 47670
r. PART,2.TAXPAYERIi\FOIttIATION
a
Owner I vv e2 1 First �a v t vl Middle F cd Last
Mailing Address(nu
rrtrr and street.city.state and ZIP code) I
Same as property address
730 W 650 N lR-to°ka. CjV 1176.6 •
�
SP:use VOncdo ' Firs Kay Middle F; e � Last
Mailing Address(number and street,ay,state and ZIP Code)) . / ��/Jly/ /I�/•�/y//-
?3o I�/ 5 o N ou 1\- -1 / 7 (J ��I � as property address _
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 Signature Date
-. .PART 4: ADDITIONAL INFORMATION - - -
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