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HomeMy WebLinkAboutHomestead_Belcher STATE FORM!)M IR_r Y•I TREASURER FORM TS-EA .APPROVED BY AVE PICARDOFM[rt OTS.bm PRES[WBEDBY Tilt DE/PA Y:Ma OF LOCAL WYER'MlATFn:AYCE1c 6-1,13Y11 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is mote incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 1114 7009 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 filing.This information will he kept confidential and©n only be accessed by authorized county officials.The Dipannrnt of Local Government Finance will toe this information to create tools that will brig county officials eliminate homestead fraud. PART 1: PROPERTY ENFORMATION Taxpayer Name Property Address Belcher, Phillip R/Kelly J 508 N Polk Fort Branch IN 47648 2482 Phillip R/Kelly J Belcher 508 N Polk State Parcel Number Legal Description Fort Branch IN 47648-1020 II III ' II I IIII I III nII nI III nI 26-18-13-401-000.737-036 011-00737-00 ROBERTSON ADD 20121 f u of f of n n nu t t i t F .1// 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 7/1 I. II p c�ay e Icl tee long.Address(n bet and street city,state,and ZIP code) 12-Same as property address Soo t`I . c- c, I k s+. R04 ., S N 4-7 G 4B Spouse First Middle Last I(e I Ix Jo 3a lc k� Mailing Address(Nu ber and street,city,state,and ZIP code) I'Same as property address ; 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 • .^, ' � CLAIM FOR HOMESTEAD PROPERTY TAX s��'� CREDITISTANDARD DEDUCTION ' �,` �� SWte form 5473 (R2 / 5-92) rsu INSTRUCTIONS: See reverse side 7oi /iling instructions. FORM AR HC70 � � � � - ERTIFIC I NSTAT MENT� � �- � � � � - �) � certify that o 75f d� of �ah. 9 ) occupied as our principal pla e of resitlence the followin d scribed real property for which�a Homestead Prope� G�edit�h, re ai : r (We) owned ❑ Are buying under coniract . . . f�Qpj� ^ p [ ❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and ihat owns the property or fs bu�in�iiride�e� �Atract. �fT A4, .. .. - CONTRACTRECORDED � � A(�n11'pfj��"" It buying on contract. Fee Simple owner's name � . y� _ �. , - ' PROPERTY UP,{kel �u�.ber � a,�3 � Legal descriptior� , J ( 7'� 'v` � �� I( any ponion of the residential simcture or Ne land not exceeding one (1) acre of (he property u�iliZEd to WoduC2 inCOm2. ✓ s Record number � Page �, . �2�1 : � 0 / ,� / surrounds that swcture is used to produce income, escribe the use and portion PROPERTY OWNED BY CWMANT IN OTNER COUNTIES - - Counry Township �Eby certify ihe above statemenis are true, correct and complete. Signa � im � Address (number and sbeet. ary, state. ZIP code) 8 . Ol S+. '�-E . �u ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD � NON•RESIDENTIAL, - VALUE VALUE VAIUE VALUE -. Land not exceeding 1(one) acre immediately surrounding residential improvements. (�) � Other�and (p) . 7otal land (line 1 plus line Z� (3) Dwelling (4) . . � Residential improvements Garage �5) Oiher improvements (6) Total improvemenis (line 4� through lina � (7) Total value (line 3 p�s line 7) (g) I hereby certify the above is Irue, wrreci, and Signawre ot Assessor Date signed camplete. %irg action - Si9na:ure of Auditor Date signed v 19_Pay19_ Lesser of 1/2 Homestead Valuation or 32.000 . Signature of Autlilor \ l STANDARD S