HomeMy WebLinkAboutHomestead_Basinger slot TORM'!:.IR:/w'1 TREASURER FORM ZIA
AFPRINCED
C.OVERNMFMT FINANCE 24
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-3080 requires tatpayers who remise 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 he kept confidential and can only be accessed by authorized county officials.The D epanmmnt of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1:PROPERTY LNFORMATION
Taxpayer Name Property Address
Basinger, Yvonne L
209 N Mccrcary
Fort Branch IN 47648
2549
Yvonne L Basinger
209 N McCreary State Parcel Number Legal Description
FORT BRANCH IN 47648-1010
II I I( f I I ' II II 'll' II I I II I 26-18-13-404-000.673-026 011-00673-00 SYMONDS ENLG
200PTI201PT`
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
VI)0 r1 e Bas n Q P.
fang Address(number and street,city,state,and ZIP code) ® Same as propc-6 address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) l] Same as property address
Social Security Number(last 5 digits) ( Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
ISea
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
S
�• , CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� State Form 5473 (R6 / 4-03)
Prescribed by lhe DeparVnent of Local Govemment Financ_
INSTRUCTIONS: See revcisc side !or /iling ins6uclions
�� FORM YEAR
"'—` �j FIC10 � � �
� ra
����
� 9 2004
��e) certify,that.on, h;Jst da'y"of�Ma ch; 20
/,i '"iP��vnli��iT(�R �.
I(We) occup as our principal place of residence Ihe following described 1 property for which a Homestea2�Pioperty TarCredit is hereby daimed
❑ 1(We) o d ❑ Are buying under conlract
� Have a benefidal interest in the enlity that is liable for the property taxes on Ihe property and that owns the property or is buying under a wnVact.
If buying on coniract, Fee Simpla owneYS name
Recorders olfice where wnVad is recorded
��' �`,��6�F�..::'fJ' k:�?,�.�''s`���,��
Counb Tawnship
Parcel number
n ��-nn /.,��_
H any poAion of the resitlentlal sW cWre w Na land no� e�HeeOing one �1 � aae
of the property uGlized to produce income. V
02 00�-7
Tating
Is the
Record number � Page
�yneal pmperty ❑ Mobile Homo (I.C. 67.7-7) .
ihat swcture is used to produce income, describe the use antl portion
+�`��'� '�� - ��"'"-�'#`°3��`°� �-;'-'�°''� '���-...,-y„�c9 ��'TRUETAX's' � -ASSESSED VALUE � -HOMESTEADK' � NON=RESIOENTIAL ��
.R-��; s������*��,.Yr.�,�, cz:�i VALUE;Tt���/1T100/eOFr'TN� �VALUE* ��"`�`�t".�� '�"; �
� .�;t `"��'-`� �.. � ' � �,.�. YALUE�
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Land not exceeding 1(one) acre immediatety �.� 5���'�'�.,t��;:�.� '-W�
suvounding residential improvements. (� � ���'�+'•`� �'" '` '�°�
.. tsf r'^.�� �um,��" -
Otherland . (2) ���--,����
� _��
Tdal land (line 1 plus line 2) (3)
ac ��^�" ry�� -s� ��e.i'
Dwelling (q) �"� "�'�.s'��-ss-,�`o'�i�?T �'��
Residential improvemenLa or Mnualy ���a'���.r.s ���.�
Assessed Mobile / Manufactured Hane Garage (5) C;-���` ..s-,�,'�a�
�n� '��#� ' . "'+"„ ..'�i
4S
Other improvements (6) �„> ����
�
Tcial improvemenLs (line 4 fhrough line 6) (��
Total value (line 3 plus line n (g�
I hereby certi(y the above is We, corred, and Signature of Assesmr Date signed
complete. .
Vrrifying aGion - SignaWre ofAudimr Date signed
:`���'-�qGa3`u' F.u�3�����'�a��STANDARU'.DEDUCTION`AL'COWANCE.E�F-�:?d�'{.''"�.�,�^'.';fi�...�st-".^�`�;��`r.,'�'a�'`"�`.o-��`3�a',�xfi��
20 _ Pay 20 _
Lesser of 1l2 Homestead 5
vaivanon or E35.000
Signature oflwdROr � Date signed