HomeMy WebLinkAboutHomestead_RisleyCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for filing irlstructiorts.
FORM YV1, YEAR
HC10 I
FIT ,FT)
I (We) V certify that on the 1st day of March, 20_
I (We) occupied as our principal place of residence t e following described real property r hich a omestead Prope7ty Tax Credit is hereby claimed:
OO ��(6�
❑ I (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 t IBSON COUNTY AUDITOR
e property or is buying under a contract.
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Rex:ord number Page
I
�u;' �''- �.�.-�m4:ee= �-?r.- w-'... , .v rr!€-�5� -. ..� -'�. P ,ROPERTY:DESCRIPTIONn`�'•�fa.;i ., °a.�' ,,,;,_. �.�u'"a„�ZZW�.�6?('; r`
County Township
Township
Taxing district (city, town, /
Par I n ber
J
9 `'J`W+ s epm rt)'
Le al des 'J t —/
ueslion:
eal property ❑ Mobile Homo
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds hat siructure is used to produce income, describe the use and portion
of the property utilized to produce income.
?x`-.• rr a4` e�PROP. ERTY, OWNEDIBYCL' AIMANT; IN. 6THER000NTIESb ,�1y+�..i1�'�",- "`;�'"�r
County Township
County Township
hereby certify the above statements are We, correct and complete.
ig lure I . ant ,
s ( mber It"I, city slat- ZIP code)
Q_I (�_ 1 al i T 7 66
. -t f
-- (� >ASSESSOR :USEONLY .,v'{� x'
I[,"..
.e ne
ry TRUE TAX �,'r
MOVA_LUE";,, -yk
ASSESSED VALUE
AT'.t00Yo'OF TTVz
s
HOMESTEAD
A>;VALUEni�
t M.
?' - O - RESIDEtyTIIiL
bVALUE'�
Land not exceeding 1 (one) acre immediately
(1)
u of
Of
surrounding residential improvements
Other land
( 2 )
rth' mk
Total land (line 1 plus line 2)
(3)
'Residential
Dwelling
(4)
v: w+�uk, C+r.'� ".+
�"`
improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature ofPasessor
Date signed
complete.
Verifying action - Signature of 7wditor
Dale signed
° a ' .i.•z'.: =i7m y;,"�?.` -per a u'(s = STANDARDDEDUCTION',AL'LOWANCE? i'PI'�
20_Pay 20_
Lesser of 112 Homestead
valuation or 535.000
$
u of
Of
Dal
. . -ir -ir _11" '9_111K
[EVE FORM,3,0.11e/urvl MA-WM HMV YIA
nrlRm'ED BY MATE WW1) ArOUNTf.9.v PUS-TUBED BY 1111 DEPARTMENT. 14 LOCAL CAWCRNMn.T rP'SGCE IC 6-1.14:4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited m one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
FIFA 1344-2009 requires taxpascrs who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Department of
Local Cosrm:a t Finance will use this information to create stele that will help county officials eliminate htmlcstcad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Risley, Christopher R
1630 N Martin Lane
Princeton IN 47670
880
Christopher R Risley
1554E 410 N State Parcel Number Legal Description
PATOKA IN 47666-9215
III I I I I I I I I I I I I I I V I I I 26-05-38-003-000.759-018 010-0075300 PT SUR 3&4 1-10 13.814
I n nt t set nt se t rut t set t t n t n n t t r AC D-12 C-1
PART 2: TAXPAYER INFORMATION
Owner I First Q Middle ,
e Last
_
tg Addrev(numtier iaidstreet;city;state,and ZIP code)'—- --— —- -- - Sant as prop: j address -- -- — -- --—
j5s � • qio N. P ioX a ,zN (174o(o(O
Spouse First Middle Last
Sarah Jane 15 lei
Mailing Address(Number and street,city,state,and ZIP code) ante as propene add
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 1 Signature Date
i