HomeMy WebLinkAboutHomestead_McDowell1�
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CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
=lE CREDIT /STANDARD DEDUCTION HC10
.:' State Form 5473 (R2/5-92)
INSTRUCTIONS: See reverse side for filing instructions.
e - - certify that on the t st day of March, 19
T
a) pied as our principal place of residence the following described real property for which :a Homestead Propert yyTaiq t else g{e$y ed:
._I l(We)owned ❑ Are buying under contract - �jj�'!,'!
❑ 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.
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CONTRACT RECORDED- i• -
It buying on contract. Fee Simple owner's name - ' b . if rl v
AUDITOR v
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township -
Taxing dis i (ciry, own, tov
r
0ber
Legal description
It 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County Township County
eby certify the above statements are true, correct and complete. Sign lure of d a
Addres;,�mberand street. ,lit, state. ZIP code) �-
I rRR1l < �
N
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I 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 pbs line 7)
(S)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
'yirg action - Sgnature of Auditor
Date signed
Signature of Auditor
19_Pay 19_
Lesser of 112 Homestead
Auation or $2,000
STANDARD DEDUCTION
3
MU IOLM•).'(1R22/W+1 ral.M1sum Po0.V:11A
APPRO.'EO BY MATE BOAROnf M-liEAT(2011+ PIUY(41BM BY nil BrPARTMF:Virt LOCAL GOVERNMENT FINANCE le 6-1.1-rai
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 eer for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receke the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
Kline,s.This information will he kept confidential and can only he accessed by authorized county officials.The Depannmcnt 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
McDowell, Jackson B/ Eleanor Trust
Life
Old I lwv 41 N
Paloka IN 47666
•
382
Jackson B McDowell
5386 Old Hwy 41 N State Parcel Number Legal Description
PATOKA IN 47666-9061
Illttlltttlllltttiltttllttlllttllllttll Mullin III 26-04-13-200-000.059-018 070-000594)0 PT NE 1311131.83 AC
PART 2:TAXPAYER INFORMATION
Owner I First ` Middle �p Last
Q
-g Address(nuinber undstreet;city,- te,and ZIP code)' - — O'Same as property addre.. —- - - • -- —
�3 ? Old 4 . y7
Spouse ile Rr e First /14— Middle !/ Last
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Mailing Address(Number and street.city.stale.and ZIP code) l21 Same as property address
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjuy.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.
I Si naanp, \ Date/
PART 4:ADDITIONAL INFORMATION
11111 ,
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