HomeMy WebLinkAboutHomestead_Fordeck •
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.UrrtwEO BY TM BOARD OF ACCOUNTS.`ow PlIFAXTIBED BY TIE DEFTIMEENT(rt LOCAL GOVERNMIM FR:A%CE ret`LI-r-tl
Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and o nied couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than e'er for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 requires taspasers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.Fins information will he kept confidential and can only I accessed by authorized county officials.The Department of
Local Doscrranent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
- _ -- -- -- .- j'- --- .I —Is---s• P,SRT 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Fordeck, Trent S/Melody A (���/
R2 Box 330 `c-A
lilberfeld IN 47613
3304
Trent S Fordeck -
8134 E 900 S State Parcel Number Legal Description
ELBERFELD IN 47613-8431
IFlttilttllFll IlllllFlttllFlllltllllllllllllllFltFllllttl 26-20-28-200-000.316-001 0001316-00 PT NE28-3-92.50AC
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
YeAA-- s7c4.0 Le 17/ 1 rciecK
•se Address(number and street,city,state,and ZIP code) me as property address
8l3y r SOoS' e/lec-ce1Gl -- -- /) _ - -L/Tl15 -- --- - - --- -
/
Spo a First Middle ) Last
L /°j ft 4i �r fc1C
Mailing ddress(Number an street,city,state,and ZIP code) aparrfeccpmperty address
St3ct & 500 Ell 14.44, iAJ qi(, 12
PART 3:CERTIF CATION — --- - ---�
Each undersigned certi der penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the h gad standard ded do on this property. :ch undersigned also understands that,by claiming additional homestead deductions
unla y,he or she may,.: 'aale f ack taxes d s j,tantial financial penalties.
Owner I tigna��e / Date
PART 4:ADDITIONAL-INFORMATION
•Nn CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Forth 5473 (R4 18-00)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
I (we) r K-�J - / / U I ce a n e lsti�y�gf rr� 20_
I (We) occupied as our principal place of resider the following described real property for which a Homeste Pro redh is hereby dawned:
V (We)owned El Are buying under contract c C p 14 2001
I
ilave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buyip§ under ;hwnVoct.
If buying on contract, Fee Simple owners name
Record number ,I Page .
'r`_s. ,tea w - -•shag mr'°�`
n , ;•~ PRQPERTY.�ESCRIP�TIQN�t°„s+' `,zr,R a 'ty
: '3i - NIRL. -r
County _ r
Township � � Taxing district
hereby certify the above statements are true, correct and complete.
Signature of dal ant .
Parcel number
- bo
tLgaId1=puF1n . -
If any portion of tine 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.
Land not exceeding 1 (one) acre immediately
-- -�
i?��_�"v+>?r�xs.p •�.s ..� � � PROPERTY- �OWNED:BYiCLAIMANT
T r, _
IN,OTHER CCOUNTIES t„_� - �'`°�„„�y.`��;,-rz,%-�ij
County Township
County - Township
hereby certify the above statements are true, correct and complete.
Signature of dal ant .
•zss (number and s6eeL'dty, state, ZlPCOde) '
z -Ii/c/ .: '.o �0/3
.-rt2:s°++�W3i -`'
r�F'- �dSSESSOR DSE(ONLY - - - -t�
,.,,e. `-o
mac- zL °T. 'S^
•'=,y c• ys
fASSESSEDYALTUE
K! 0 �a . _
/ TiiYVAInaEa
�';THOMESTEAD� -�
�m��rt'
ANON'= RESI�ENR7AL,
Vi,ALUE`..' -
.zcn� Y sirfia,.t"i'L-E
#V's'Ia�:`a'
(8100 o_ tOF,
Signature of Auditor
...'•`�F..,-'•„.-
Land not exceeding 1 (one) acre immediately
r��r
surrounding residential improvements.
-
-
Other land
(2)
Ev:6 DIY
K1;`'r.
Total land (fine 1 plus line 2)
(3)
Dwelling
(4)
;mac
11101-1 ��" -.
Residential improvements
Garage
(5)�
u•
WON
N
Other improvements
(6)
_
r� w
j�$yy;fy�..";`:•r;.
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
Signature ofAssessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
"` ^'�°�"���� — .�Z' ' < 'z 'STANOl1R�:DE000TION
ALLOWANCE ' `°'''�,r '�"�"'����:�ji- ±•'`�r
20 _ Pay 20
Lesser of 12 Homestead
$
Valuation or $6,000
Signature of Auditor
Date signed