HomeMy WebLinkAboutHomestead_WhitledgeCLAIM FOR HOMESTEAD PROPERTY 'TAX
CREDIT /STANDARD DEDUCTION
State Forth 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse sire for filing instructions.
FORM YEAR
HC10
�9'
\ // Ij I (We)
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.
i0-xVcoNTRACT.REC0RDED� }.°<
If buying on contract, Fee Simple ownees name
Recorder's office where contact is recorded Record number Page
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County
Township
Taring district cifyi to , township)
Parcel number
Legal description
Is the property in question:
� r�
C> { .-
property C-1 Mobile Homo (I.C. 6-1.1 -7)
H any portion of the residential structure or the land not exceeding one (1) ace that immediately surrounds that struct a is used to produce income, describe the use and portion
of the property utilized m produce income.
t'r`' sx '¢ �,k< '"'`' . `- -.-�`a yPROP.ERTY:OYVNEDI.BY CLAIM%1NT IN OTFIER` COUNTIES? %.. _;; x.a r 4-;�
County Tavnship
County Twvnship 19
hereby certify the above statements are true, correct and complete.
Signatur f clat ant
Address (nu er not street, state,
city, V-0'
O �L
'ASSESSOR�USE ONLY x it
-TRUE TAX,,, i
VALUEY
ASSESSED VALUEHOMESTEADi
: AT 100 /o:OF TTV.
..
`:
{jtVALUE`
1 �.
NON= RESIDENTIA h.
-..? `.a%VALU i„�+y.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
P Y
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
wa''S1G`
.
Assessed Mobile if Manufactured Hoare
Garage
(5)
_ _ c,
'
..
Other improvements
(6)
A l
i
%:.�'. _ due_ ,s
Total improvements (line 4 through line 6)
(T)
Trial value (line 3 plus line 7)
(0)
I hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Dale signed
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DARD.DEDUCTION 'ALGOWANCEw��i��
® 20 _ Pay 20
Lesser of 10`2 Homestead $
valuation or 535.000
Signature of Auditor Date signed
3 -I
f UIt FtltU ai!w,0.1 s_l•I IRIASIIRLA FYXl4 IS-IA
APPROVED 51'afc small OF Atrn Nla.➢.n PRLSCRIRED11Y Ills.OIPARINL• 01-LOCALCIWLAUR4t I LSVKE IC b!.114.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS'..
101 N. Main Street Individuals and married couples ale limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670
g more beneficial.then is more ircnniw than ever tic homestead fraud.Homestead fraud causes higher tax bill:for all:therefore.
III ILEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify tat they are eligible to'rune the
benefit and to pro'idc additional identifying information necessary to allow county government to better monitor homcuead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depanmert of
�z Local Government Finance will use his information to create toolc that will help county officials eliminate homestead baud.
PART I: PROPERTY INFORMATION,
h'.+ Taxpayer Name Location Address
_ Whitledge, Joseph RiChristi L
MAY 16 21112 7297 N CUNNINGHAM RD
C HAZLETON IN 47640
201 \
AUDITOR II 1111,.l11i11 IC VII I 1 I0s fill 0 _Iimil III Il Ifni I Joseph R VedgeOUNTY
7297 N Cunninghan Rd
HAZLETON IN 47640-9245
1111111111"111111111111111 III'I'llllllrlfllllllIlflllflll State Parcel Number Legal Description
26-02-58-029-002.346-018 PT MD 29 1-10 1.865 AC
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
er I
707 5 7 4/ Cu`th e -z_., w, C/ . 4z/4f /il/ 97z,/l1
Spouse First Middle Last
e /, S7,. 40 Lee. vi,:// P
]lailintt Address(Number end suttt,vin•,sure.and ZIP code) r�me as property address
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 d substantial financial penalties. c,
Owner I Signature ��� Date
PART 4:ADDITIONAL INFORMATION •
•
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