HomeMy WebLinkAboutHomestead_MoserCLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HCto
t State Fonn 5473 (RS 11001)
�•� Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
03 0
I (W • certify that on the 1st day of March. 20
I e occupied as o r rinci al lace of residence a followin described real roe for which a HomesteS Pro � Cred' he ub imed:
(We) P P P 9 P P rh/ PBR1Y jjj(aaaccc {I Y q
�i(We) owned ❑ Are buying under contract �i �J rt J
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prope Aohf,is N.ngryy>¢gr a contract.
k ? o LUUJ
� &. s�� - 5 -: t* _ e °kx 'i}.i.' .CONTRACTRECORDEO
If buying on contract, Fee Simple owners name
Glg� TY AUDITOR I
Recorders office where contract is recorded Record number Page
""-'�' F'k`'"` "- �'°-= ;a- "}"�.�' Utz' c`'` PROPERT, YOYVNED; BY,CLAIMANT:IIJ,'OTHER'000NTIEB
£?PROPERT,Y�OE ' - — TION?? �i;'': :a�1'!-`'`_'r::">`.�i-rr''—`t -y
County
Township
County Twmship
Tacin 'ty unship)
,
n
ber
1 O �J
Legal description
�'
EONLY
Is the property in qua lion:
property ❑ Mobile Homo (I.C. 61.1 -7) .
H 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.
qo - OG - /C[� - 00 /. 232 -00
""-'�' F'k`'"` "- �'°-= ;a- "}"�.�' Utz' c`'` PROPERT, YOYVNED; BY,CLAIMANT:IIJ,'OTHER'000NTIEB
x`-`Er' ,� ti �';z -q
County
Twvnship
County Twmship
I hereby certify the above statements are true, correct and complete.
ture of daima
ress (number and street, city, state, ZIP code)_ —
G
�'
EONLY
'TRUE TAX' c
ASSESSED VALUE
�sHOIAESTEAD
'` NON'RES(DENTIAL
".'A �..a
'`M�VAIUE'ir
"'AT�t 00 %_:OFrTfV,rVALUEI'-
'?1.,.VALUE
;_: 'tTti'E
- -RrS, ..�.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
2
� ;k
(2)
,��w'x,�„�
Total land (#ne 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
?v- a?.' 1 x. .x
()
Other improvements
(6)
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 of Assessor
Date signed
complete.
Vedhying action - Signature of Auditor
Date signed
•
S ACE FORM 53569(8318-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6.).1-2 22-8.1
a' IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS ,
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
deduction 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.
`,-si$ `PARTI:'PROPERTY INFORMATION et :.i; • _--- .1,:q,- v,=*`_'
Taspayer Name Properly Address State Parcel Number Leeal Description:
Donald L Moser 550 E 26-20-06-100-001.838-00I PT NW N\V 6 3 9 .737 AC
OAKLAND CITY IN 47660
Complete and return to: IQIIIIIPIIillIIIIM fD111lu J 1111111111111 ft13ICJllailllllll _
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
a v • . . I . s 1 1 u I I - : ;'r' :ctrl
Owner 1 First Middle last
ADEx�4AUT L usoe
Mailing rase(number and street city.state and ZIP code)
eme as property address
y530 S. 550 E • M2Si jc e r-a4 /TN 14-1 70
Oppose First Middle Last
C Alio l, ,t M05ER
Mailing Address(ntsnber street,city,state and ZIP code)
I I Same as progeny address
11530 5 r 556 G e P ITAterrnv %N 417670
...4,,,,f ,T. PART3;CERTIFICATION`;, ; . 1a^, + ?r<Ar•L3CU&i
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 . lure Date
•
FILED
• JAN2
14 013
GIBBON CODITOR