HomeMy WebLinkAboutHomestead_Seals (2)M CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
State Foos 5473 (R1216-09)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
tic
CERTIFICATION STATEMENT
I (We) certify that 1 ("� pied as my (our) principal
place of residence or am (are) buying the following described real property for which a Homestead Property %9tandard Immp ereby claimed
under contrail on the date this application is filed, (date of filing): SAN COUNTY
❑ I (We) own ❑ Am (are) buying under recorded contract AUDITOR
❑ Am (are) entitled to occupy as a tenant - stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
INFORMATION
Name m (legal na ) ,
—
Name of Ys s se (legal nam
If buying on contact, Fee Simple comers name
Recorders oftce where contact is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township)
Parcel number
Legal descdption
Is the property in question:
❑ Real property ❑ Annually assessed mobile tome (IC 6- 1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that stature is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY r BY CLAIMANT
IN OTHER COUNTIES
County Township
County Township
I hereby certify the above statements are true, correct and complete.
Sig me dairpani 1 11
Pddress (number rid street, city, state, aced LPCOde)
450 # � il76
01 3 �2 t� I O L:J 65
ASSESSOR ASSESSEDVALUEJ HOMESTEAD NON-RESIDENTIA
V�L AT 100% OF TTV I VALUE VALUE
Land not exceeding 1 (one) acre immediately - - xy -r1 "'T °4r- .•"`: u`w ";v
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Garage
(5)
r *h z,'.° {jam »�' ' °` Y-•Fv'
Assessed Mobile I Manufactured Home
'ki_�xz of .t'{wxy».v,..4.. :a
Other improvements
(6)
Total improvements (line d through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct.
Sgnatum of Assessor
Dam signed (month, day, year)
and complete. -
action - Signaarre of Auditor
Date signed (month, day, year)
�Verifying
STANDARD • r
20 pay 20 Lesser of 60% of the assessed value of the homestead or $45,000
Notw nstandirg any otherpmvision, the sum of the deductions provided in IC 6-1.1 -12 0 a nobae home that is
S
not assessed as mat property or to a manufactured home that is net assessed as mal properly may net exceed
one -half (12) of the assessed value of the mobr7e home or manufactured home.
Signature of Auditor
Date signed (month, day, year)
•
t ' STATE FORM 53569RJ/B-10) 1YFASCRER FOLM TS-IA
APPROVED BY STATE r AROOF ACCOUNTS 2CM IRscRIa1D BY THE DFPARTME\T OF ID(:SI.CAVFRSMEYT FINANCE IC 61.t-214.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 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 wilo receive the homestead standard deduction to verify that they are eligible to receive the
• F I Ii E D 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.
PART I: PROPERTY INFORMATION
•
APR 2 5 2011 Taxpayer Name Location Address
Seals, Franklin W/Risha L
2634 N 950 W
GIBSONCOUNTY AUDITOR OWENSVILLE IN 47665
320 • I II
Franklin W/Risha L Seals II I�III_�II�IIII I�III�II I VIII �I III uI DII�II_IIDIDII�III I DIII.III]III DII II II
2634 N 950 W
OWENSVILLE IN 47665-8776
'�'��I�"ICI'I'Illl111iii111ii iI'lll�"III�It�lll'I"I'I'I'�I'lll State Parcel Number Legal Description
26-03-28-101-002.316-0187 E MT CARMEL 35/36/37PT/38/39/40/41
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.
_/ I PART 2: TAXPAYER INFORMATION
....er lI First Middle Last
S E 9.1 S
Mailing Address(number and street,city,state,and ZIP code) aSrtme as property address
•R\4 ab3 4 N `15 0 �J uWcN s ;�\rt) tt. •. Al b L.%
Spouse First Middle Last
FRaNk\ A;3Ne
Mailing Address(Number and street.city,state,and ZIP code) [(.frame as property address
S4\en9 AS 'A\ei o J cr..
)
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
PART 4: ADDITIONAL. INFORNIA'I'ION