HomeMy WebLinkAboutHomestead_Minton (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
' State Farm 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
I:N._?.. _w M
` 1. CERTIFICATION STATEMEffr�,,.t,, :_ ;-. _�,,, .,.
I (We) ����� ing x}„ certify that on e
/e) occ ed as our principal place residence the following described real property r hich a Homestead PrTai '"IJ�9 y claimed:
�,, `(��A'�I((
y�
l(We)owned ❑ Are buying under contract
Taxin isirict (' ,town, township)
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns rt e ra
I N U YA
I R
- OU - tool. 001
CONTRACT RECORDED•
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded
Rader tl number
Page
i=
- PROPERTY DESCRIPTION _
County
Township
Taxin isirict (' ,town, township)
Parcel number
Legal description
0k� p
- OU - tool. 001
It any portion of the residential structure or the land not exceeding one (1) aue 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 COUNTIES -
County
Township
County
Township
®Ireby certify the above statements are true, correct and complete.
Signature of claimant,
o
Atress (number and street. city. stare, 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)
Valuation or $2,000
Signature of Auditor
Otherland
(2)
Date signed
' -"r .
Total land (line 1 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 plus line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
rdfying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE'":
19 —Pay 19_
Lesser of 112 Homestead
$
Valuation or $2,000
Signature of Auditor
Date signed
STATE FORM 53569(8315.10) • TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-I.I-222-8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
uction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor homestead filings. This information
will be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
PARTIT PROPERTY-INFORMATION ' -
Tasnayer Name Froperly Address State Parcel Number Leeal Description:
John UBrandy Minton 8549 S 950 E 26-20-27-200-001.725-001 PT NE NE 27 3 9 6.94 AC
ELBERFELD IN 47613-9308
Complete and return to: Ilu911610illu 1111131i1I�0III111i11II1Ililtiiiiilillll71]illl[Illll
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
• . . 1 • : u : • u ( j
Owner 1 First Middle last
Jbtrs., L e DA.`? ies
Marling Address(number and street,city,state and ZIP ode)
Same as property address
49t 5'
) - -
Spouse _ Middles Last.
Mailing Address(number and street,city,state and ZIP ode)
Same as property address
_ 65 IN 9So &C1-crV U -V A\ Lokt3
__PART$: CERTIFICATION:: _; ., : _'_ , -. • ' 3r `:: -a> ,,
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 Signature Date
,PARTtai-ADDITIONM,INFORMATION,.-:-. : .:. - p je e.
•
1\N\11) A �2