HomeMy WebLinkAboutHomestead_Angermeier (2) _ ,,..J+ R3I STATE FORM 555e0( B-10) TREASURER FORM TS.IA
APPROVED BY STATE BOARD OF ACCOUNTS.2M MESMERIZE)BY TEE DEPARTM.ET OF LOCALOO'TA\MEVT FINANCE IC 61.1.214,1
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 who receive the homestead standard deduction to verify'that they are eligible to receive the
FILED benefit and to provide additional identifying information necessary to allow county government to hen=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-INFORNIATION
_ APR 8 2011 Taxpayer Name Location Address
C Angermeier,Lynn E Trust
•
12183 W 700 S
GIBBON COUNTY AUDITOR _ OWENSVILLE IN.47665
6484
_ LynnE.4ngermeier —----------- "El 11 II[[MIT II 111111HO-1111 ii1111111 .1111111 rIHIHOl11111111111111 1
• 12183 W 700 S —Owensville IN 47665-8809
I'lll'llllll"III"I'III'IIllllIlIlIlllllI'IIIII'IIIIIIFII"111'1 State Parcel Number Legal Description D
26-17-18-300-003.762-021 /¢T E SW 18 3 12 37.62 AC 0-20
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.
- 1 _. — PART 2: TAXPAYER INFORMATION _ - —dil ON I / VAW Fuse id
� Middle � c
m Last
Mailing Address(number and street,city,state,and ZIP code) Same as property address
- .
Spouse r First Middle - Last
S1N 6L e. •- -
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
SocialSecurity_Number Cast c digs) I fr:ve?s Liens-State[D Nu.:Sec _` i_ - - .• I Other prase speti&in Part 4 below)
11 1 1 I I H I sme - r
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 attue /I .1.421e
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM NEAR
CREDIT /STANDARD DEDUCTION HC10 q
State Form 5473 (R215 -92)
ui.
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT - ` e '
-
certify la 19J
foe) occupied sour principal place of residence 1e following ribed real property for which a Homestead Property��teb�y claimed:
e) 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 RECORDED /
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Townshi
County
Taxing di
(city, town, township) -
Parcel number
Legal descr_ip i _
If any portion of the residential structure or the land not excee mg one (t) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
Other land
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
eby certify the above statements are true, correct and complete.
Signaprepilklaimant x
F
Address (n band stre9t-fi -)r- slate, IP code) n 06f5 Q LVe A.1 f !e q 766 r
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 plis line 7)
(6)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
Wg action - Signature of Auditor
Date signed
ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000 1 S