HomeMy WebLinkAboutHomestead_KerrCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (Re 14-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
FIM
OCT 07 2003
I (We) /
t�s " l March, 20
I (We) occupied as our principal place f esidence the followi g escribed real property for which a Homestead Property Tau Credit is hereby claimed:
❑ [(We) owned El Are buyi under contract
contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
=•r "' ``v''.g, - i.4``.' ,e .3 t �a�s. `.c`1CONTRACT. *RECORDEDs -.
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
� .>, .z. �"NA� �' Y-•h "�' z STANDARD'.DEDUCT)ONIALLOWANCE
IW 20 _ Pay 20
Lesser of 1/2 Homestead
vauation or E36.000
8
Signature of Auditor Date signed
County
County
Toxnship
7atin distd , town, to n ipf
Signature 4l claimant
dress nu and street city, stare ZIPcode)
'17666
Q 1A)
Parcel nu ber /'
L description
D
Is the property i question:
ZlO
L0 — v
Real property ❑ Moblle Homo (LC. 6L7 -7)
Harty portion of Me residential structure or the land not exceeding one (1) ace that immediately surrounds that s c m Is used to produce income, describe the use and portion of the property utilized to produce income.
- o�G - G6a . a9/-
� .>, .z. �"NA� �' Y-•h "�' z STANDARD'.DEDUCT)ONIALLOWANCE
IW 20 _ Pay 20
Lesser of 1/2 Homestead
vauation or E36.000
8
Signature of Auditor Date signed
County
Twvnship
County Twvnship
hereby certify the above statements are true, correct and complete.
Signature 4l claimant
dress nu and street city, stare ZIPcode)
'17666
Q 1A)
WE N `'ASSESSOR`�USE ONLY
'',r`,
TRUETAX
eVA_C_UE
ASSESSE VALUE
°
HOMESTEAD
NON- RESU)ENTU\L
�a:�
x-- - a-iy�
-= A00 /a`OF71.T5TV>
ct' ;VALU.,E. _.�-
a"z.- i�:cVALUE..
Land not exceeding 1 (one) acre immediately
(1)
'•` 3 ?
T
surrounding residential improvements.
<
Other land_
-.
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
.jyy'.1
ys;
Residential Improvements or Annually
'�`'"_
Assessed Mobile / Menufaciu ed Home
Gars a
g
(5)
r _ _
A �!���F?
Other improvements
(6)
W
"A'
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 pits line 7)
(6)
1 hereby certify the above is true, Correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
� .>, .z. �"NA� �' Y-•h "�' z STANDARD'.DEDUCT)ONIALLOWANCE
IW 20 _ Pay 20
Lesser of 1/2 Homestead
vauation or E36.000
8
Signature of Auditor Date signed
SIAM 101515■5.1R:/%.MI rcrwsutmA CORN TS-IA
knIkriVED BY 51a[YMRO0,7n,r:■ra.y.r et.L`YWTWD BY Mr DrPAa-W.0. "OF raAL r 'TLsMrici FPn'ITlf 41.1-22-t1
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 ever for homestead fraud.I Iomestead fraud causes higher tax bills for all:therefore.
HEA 1 344--20119 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to incise the
benefit and to pnn'ide additional identifying information necessary to allow county government to better monitor homestead
filing.this information will he kept conlidential and ran only h:accessed by authorised county officials.The Department of
Local Government Finance will the this information to create Owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Kerr, Timothy J/Terri L
Steelman Chapel Rd
PATOKA IN 47666
— __. _ ___ -- ___ . .. _ —_
Timothy J Kerr
895E Steelman Rd State Parcel Number Legal Description
Patoka IN 47666-9105
26-05-58-026-000.291-018 010-00291-00 PT N MD 261-10 22.50 AC
111111118111111111111111111e1 urn I I I I nn I t I t I t I nt I t I nt It II 01
PART 2:TAXPAYER INFORMATION •
Owner I First Middle Last
-�; � a
l � M o he y J r e-r,-
--111,g AdatessirmmDCr andweer-crty,sate•anti uP oode) Some a;prup,atr Or- 6. tS Ee el pt a4,_ Pa iv,b , /A/ V-%
•
Spouse First ' Middle Last
Mailing Address(Number and street city,state,and ZIP code) (Sane as property address
g ealSr. &telel„n a rc Akita , /N I/76Z
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. - c-
Owner I S. tare Date /
PART 4:ADDITIONAL INFORMATION