HomeMy WebLinkAboutHomestead_Dickinson F
STATE FORM 53T 1F.2(.wl T EAR`[rn FOXY TS-IA
APPROVED BY FRT.WARDS "al t.t(2n pRry,mm BY no DEPARTMENT OF t ATr vttMMP+FO:ANCE ML I.1-taI
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 in bills for all:therefore.
.0 HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing_This information will he kept confidential and can only be accessed by emboli/61 county officials.The Depannlent 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
Dickinson, Benjamin B/Deana S
CR 500 S
XOAKLAND CITY IN 47660
3238
Benjamin B Dickinson
{}} 3g-ift -t(SS 5°0 S
FRANCISCO IN 47649-9155 State Parcel Number Legal Description
Itlrtllttrltllrttlttlltlttltlttrrrjlrltlrtlrlrtrllrtltlttrltll 26-20-05-400-001.907-001 SASSAFRAS LANE 4 SPECH HOUSE
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle '� Last
I. ilswsr`Um s^ S\C..v\ 5 )lee..— A/tC.y�^
•Ig Address(number and street,gin•,state,and ZIP code) Same as property address
1135 a 5CCD S ( F2Ar,cc iSGU , Irj 11--)CACI
Spouse First Middle ^ I Last
i/-eal ywl S.-� KE�MGI- `-Jt,-Ac., nS,,/,
Mailing Address(Number and street,city,stale.and ZIP code) jSame as property address
?sue SOO S , C2��c--ts r , J tlicyC1 LPL
." ' ._, ' ' '_-- _ _ _- .
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 liable for back taxes and substantial financial penalties.
Owner I Signalize Date
PART 4: ADDITIONAL INFORMATION
-7-
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION
rm Hc�o
State Form 5473 (R614 -03)
Prescribed by the Daparonent of Local Government Finance _
INSTRUCTIONS. See rewrro aido I r Mhg nabucdlorso,
ry.0 r
e".°-.. x^ `3.s?�'cis:CEfFICATIONSTATEMENT du,.i t`�'_�'+ - J,
I (We) W r rw v VU AL certity 1)y-xlpndheLls<gag of March, 20_
(We) occupied as our princl al place of re ence the following described real property for which a Homestead. ro, �pVerty Tax �rVelVit is hereby claimed
❑ 1 (We) owned ❑ Are buying under contract
. Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the rope 0r'i&s g under a contract
_
- CONiRACT.;RECORDED.?��'Y'�-
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
icz„ a
�up!t(� -z°WM
P.ROPERTY-1jESCRIPTION�,
I hereby certify the above statements are true, correct and complete.
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Township
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/o.OF.T7Y„�
Testing district (pry, town, to ip
Parcel ry�pbsr ,yr
Legal de
Date si ed / /) n
Is propqrty to question:
O�
Land not exceeding 1 (one) acre immediately
Real property ❑ Mobile Home(I.C. 6- 1.1 -7)
H any portion of the residential structure or the land not exceeding one (1) aa&4hat
i n` " cis that suucture is used to produce income, describe the use and portion
of the property uWlzed to produce income.
surrounding residential improvements.
`'vx, t +,�.Sco °•r� °:'= PROPERTY, 61NNE67.61'CLAIMA14TINiOTHER`000NTIES f%xi?+ --ik4r 2ra4- ';?<Y`- .t,�„�?:'?s°
County Township
County ship
I hereby certify the above statements are true, correct and complete.
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ress (number and street, city, state, ZIP code)
het a D)( 33 c a c t� ---:)
'... �..''i`yr" ?L r_rt''+s
g'ASSESSORiUSE ONLY
="TRUE TAX in
rfis
ASSESSEDVALUEHOMESTEAD`F
-e r
Lesser of 142 Homestead
N- RESIDENTIAL R
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/o.OF.T7Y„�
-�
VALU tu'
&lYd'Z1`s'
Date si ed / /) n
_ATt10g
y4,nh.:VALUE�IR3ri?*
Land not exceeding 1 (one) acre immediately
''`"%�- ;.;�'-
surrounding residential improvements.
Other land
Total land (line 1 plus line 2)
(3)
-P;
'Residential Improvements wAnnually
Dwelling
(4)
`"32 V°'y'" -L
Aaseatbd Mobile I MarIIJ%cWrad Home
Garage
Other improvements
(6)
5,14 '�
3.r
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify, the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
'^."R' ">: - r�•":1 T 1 5#!% w YSTANDARM.DEDUCTIOWALLOWANCE
20 _ Pay 20
Lesser of 142 Homestead
5
valtlebon or 535.000
Sign ur or
Date si ed / /) n
ri