HomeMy WebLinkAboutHomestead_Farris (2) <WE r00.MAW IR'/✓+'I TREASURER FORM:11A
.ArFRrf EDDY STMT WARD OF ArrOI<'T<,!Wig PlallIBMBY air DEPARTMENT OF LAAL r&eEtatrnn FESSOE K'6-I.1-22.1 I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
{ PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
/ mute beneficial,there is more incentive than ocr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
lilints.This information will be kepi confidential and can only he accee ed by authorized coney officials.'Ilw Department 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
Farris, Lois A
RI HON 158
Oakland City IN 47660
8593
Lois A Farris
R 1 Box 158 State Parcel Number Legal Description
Oakland City IN 47660-8555
26-20-11-300-000.147-001 001-00147-00 PT NW SW 11-3-93.67 AC
0-8
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
�o /s /}NN FA_ 2R /s
cling Address(number and street.city,state,and ZIP code) — Same as as oddr¢i- —— — - — — —I --
�17a7 E CaCO S 011-x -nip c ; r- tN 5176,66
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as properly address
Social Security Number(last 5 digits)) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
- ' Sur
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
)
PART 4:ADDITIONAL INFORMATION
eCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
l i State Form 5473 (R215 -92)
INSTRUCTIONS: See reverse side for filing instructions.
IF16 Mznj.Y� 0
JAN 31 2000
CERTIFICATION STATEMENT
�p .i.
l toyf �
I (We) z cerify t a(2ii.Rel1 sfday M�a'rrcfi'111iR
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) 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 owners fume
Recorder's office where contract is recorded -
Record number
Page
- PROPERTY DESCRIPTION
County
Township
Taxi distriG ' con, township)
Parcel number
Legal description
in - b
It 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
Signature of claimant
.ereby certify the above statements are true, correct and complete.
Address (number and street, city, state, ZIP code)
/ z d x
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
$
Valuation or $2,000
Signature of Auditor Date signed 1 _