HomeMy WebLinkAboutHomestead_OliverCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION Hcio
Slate Fonn 5473 (RS 110 -01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
I (We) w _ certify that on the 1 st day oo -- March, 20
1 (We) occupied as our principal place of residence I ng described real property for which a Homes tea /d,r�o'pe`rt'y`T�a'z C�dit (whereby im
D I (We) owned ❑ Are buying under contract 0" 1BSON OUN i 1gU01 I OR
.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.
1z�'t?`5zW'".t' ` _,. -rv� -1 CONTRACT' RECORDED : ?: :.
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
„ - °, PROPERTY DESCRIP - -_
County
Township
County
Taxing We ity, fawn, f nship)
Parcel nu m r
I sc
/(� Q s the pro rty in question:
—,3
Z{/
'l `VALUE
/ i / I 5� Real property ❑ Mobile Homo (I.C. 61.1 -7)
If any portion of the residential sWclura or the not 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 CLAIMANTiN OTHER 'COUNTIES
County
Township
County
Township
1 hereby certify the above statements are We, correct and complete.
Si^ alure o imant '
dress (number aM street, city, state, ZIP code)
/1 f2R�_ aor/,,I4A 1)Ak1knd (?rfat -
r
►A
?y,ASES50RPUSE ONLY
, TRUETAX -
ASSESSED VALUE
+' NON-RESIDENTIAL ,-
y.
- ,, VALUE;
AT 100 %OF..TTV
VALUEr`
'l `VALUE
r
,g
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Otherland
(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)
(6)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_ I -�
Lesser of 1f2 Homestead
n Valuation or $6,000 S
•
STATE FORM 53560(R3/&I% TREASURER FORM fl-IA
•
APPROVED BV STATE BOARD OF ACCOU`rTS.IDA PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 61.1-U-RI
Gibson County Auditor - IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
c.+ 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,
T HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
s^ �j , \ benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
L L 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
PART I: PROPERTY INFORMATION
APR 7 2011
Taxpayer Name Location Address
C. .� Oliver, Eurie E/ Peggy L
6609 S SR 57
— IBSON COUNTY AUDITOR
OAKLAND CITY IN 47660
8764
Eurie E Oliver 11.10111_OIIIIII11110111 III 811101111 ILlillIl 11/ 01101 III fill II 0110111111111 III
6609 S SR 57
OAKLAND CITY IN 47660
State Parcel Number Legal Description
- 26-20-14-100-001.717-001 PT NW NW 14 3 9 1.746 AC
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.
F. -.-- 1�.__—_._____:_PARL?:TA?PQl'ERINFORNIATION
First ' „_, Middle _ . Lau _
ei9th1i/ ,L'atie ter
Mailing Address(number and street,city,state,and ZIP code) %g Same as property address
•
e Z Id 7 sk/e a/$7 Ike/4/' e , zn y7d/d
Spouse...--1 'First Middle r Last
Mailing Address(Number and street,city,state,and ZIP code) l yl Same as property address
G Ca F )rf Pic? D,9i ,7/e ` 4'
S� a /t'I r f�� ��e - 5/7did
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
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PART 4: ADDITIONAL INFORMATION