HomeMy WebLinkAboutHomestead_Englehardt STATE FORM 53500(PJf-to) TREASLYFY FORM 73-IA
•• APPROVED BY STATE MAIM OF ACCOUNTS,M% PRESOUBED BY Tilt DEPARTME\T OF LDGLCOVERMAEYT FINANCE IC 6-It-224L1
• '.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,
F a HEA 1344-2009 requires who receive the homestead standard deducon to verify that they are eligible receive the
benefit and t o p rovide additional identifying information necessary to allow county government to better moni tor 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.
'AN ���� PART 1: PROPERTY INFORMATION
—_- Taxpayer Name Location Address
Englehardt, Larry/Sharon
8461 5 SR 57
GIBSON COUNTY AUDITOR
ELBERFELD IN 47613
8903
Larry/Sharon Englehardt IN IhiIIIIIiuiIIIIhill[it II IIIIIIDII_II Gilt IIIII1IIIIII hi 11111IMIIIi_Iii III Ili
8461 S State Rd 57
Elberfeld IN 47613-8441
ItIIIlllltlllll'I'IIII'I'lll'III'IIIIIIIII"III'IIIIIIIIIII'IIIII State Parcel Number 0 Legal Description
26-20-21-400-000.196-001 PT SW SE 21-3-9 5.78 AC 0-8
4/
•
" 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.
`•� ___-_ PAR1'..2:JA\P�, IERINFOREMATION_
Os..._ IA.&K R I t� -'rc" ' First R p !. e�/.. Middle e N g / e hie d/ Last
Address(number and'street,city,state,and ZIP code) 1 Tj sl ® Same as property address
5 61 5 , s, 1(� 17 Ei,C P6111110 -703
Spouse First / ee-- Middle Nq / P.A R e '�' Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
6 / 5 157 es/ierle 4 76/3
- - - .
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
ems' a CLAIM FOR HOMESTEAD PROPERTY TAX
a CREDIT /STANDARD DEDUCTION
State Form 5473 (132 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
n _ - CERTIFICATION STATEMENT
Now.
1-1 (We) _ certify that on the 1st day of March, 197�=
Vo upied as our Wincipal place of residence the followin6bescdbed real property for which a Homestead Property Tax Credit is hereby claimed:
LJ We) owned ED 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 OWNED BY CLAIMANT IN OTHER COUNTIES -
_ PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township) ,
Parcel n umbe l°►
ob I- o (a
Legal description
+ Su) se- S,
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.
aG -
- cam- coo. /9G -obi
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
Coumy
Township
County
Township
y certify the above statements are true, correct and complete.
ig
ure f claimant
(number and street. city. state. ZIP code)
k /tT� -Z 76/3
LM
►A
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 pis line /)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
ying action - Signature of Auditor
�f
Date signed
Signature of Auditor
19 _Pay 19_
Qr of 1/2 Homestead
STANDARD
S