HomeMy WebLinkAboutHomestead_Wrighty CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
i; CREDIT /STANDARD DEDUCTION HCIO
State Form 5473 (R215-92)
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INSTRUCTIONS: See reverse side for filing instructions.
-- . -:... w_::CERTIFICATIONS'TATEMENT_`.. t
11 [We) Lk certify that on the 1st day of March, 19 52
upied as o r rinci al place of residence the fotiowing described real property for which a Homestead Property Tax Credit is hereby claimed:
I 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 the property or is buying under a contract.
.. _ CONTRACT RECORDEDc, - - It buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
- PROPERTY DESCRIPTION
County
Township
Taxi di s 'ct (' ,town, township)
Parcel number
Lega npGon
Signature of claimant
Address (number and street, city, state, ZIP code)
If 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.
rj,02n
\ A /
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
�reby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city, state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately"
surrounding residential improvements.
(1)
Date signed
Other land
(2)
Total land (line I plus line PI
(3)
Residential improvements
Dwelling
(4)
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
complete.
Signature of Assessor
Date signed
tying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE -
19 _ Pay 19
Lesser of 1/2 Homestead
aluation or $2,000
Ztureol
$ — 7
r
Date signed
sulE FORM.)!M10.1.aY1 TRLWi&EB FOP,M11a
.1rPRT'EL BY A■E ROiRD Or ACCOUNT!,10N rRr RBm BYntr DEPARTMENT OF LOCAL r aNMran r0.As[E IC4-1.I-2241
Gibson County Auditor
tOt N Main - RTA\T NOTICE_T.O,HOMESIE.ADYRORERtY OW ERS_
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.Homestead fraud causes higher lax bills for all:therefore.
® FIFA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive 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 be accessed by authorized county officials.The Ds-panment 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 Y -.
Wright, Bill G/Sandra L
I
Patoka IN 47666
66 `)
Bill G/Sandra L Wright PSVdI
1012 W 550 N State Parcel Number Legal Description
Patoka IN 47666-9057
ititliittlitiittt�irttiit t�t�rr��rrrr�tiritttitttiitt iti�tt t�� 26-04-12-300-000..1149-018 010-00149-00 PT W 12-1-11 1 AC
.11?— X - — — –
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
'NQNdrat %P . (1)E (ohr
Address(number and street,city,state,and ZIP code) eme as property address
/N)72 w cc it
Spouse First Middle Last
–7)P �e(�Cz ill - - — - _ -
Mailing Address(Number and street city,state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sate •
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 I Signature Date
4
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