HomeMy WebLinkAboutHomestead_Biel TOTE FORM 5300IR'I oo TREASURER FORM a-IA
AEPRMEO 111'STAEanARDO.NEMI.NTs.L.M PRCSWmEDBY THE DEPARTMENT Or LOCAL GOVERNMENT rn1A9CEMN.tt4.1
Gibson-County:4uditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
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 more incentive than es Cr for homestead fraud.I tomeslead fraud causes higher tax bills for all:therefore.
• HEA 1333-2000 requires taxpayers who receive the homestead standard deduction to.erily that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling:,This information will be kept conlidetuial and ran only Kt accessed by audit-wind county officials.The Department of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Biel, Lohrean Life Est&Wayne
805 F Locust
Fon Branch IN 47648
8704
Lohrean Life Est&Wayne Biel
805E Locust State Parcel Number Legal Description
Fort Branch IN 47648-1217
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PART 2: TAXPAYER INFORMATION
Owner I First Middle • Last
WRy /_42 lAA'of I3fe ,C
•.e Address(number end street.city,state,and ZIP code) [-S6tue as pfopeny address — - —
o5 ElLveurr YorrerpiveJ/ TIkr N769J
,•
Spouse First Middle Last
Mailing Address(Number and street,city.state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
set
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 Dale
( /
PART 4:ADDITIONAL INFORMATION
POflM HC 10 1979
PreSCriDeO 9y $tate 8wrtl ol ia. fqmmissioners
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 1922
To Be Piled in DuD����e
/ SEE BACK FOR FILING INSTRUCTIONS
%� ,, L
�(We) /�-�-�-, ��— �`! �� certify that on tne 1st day of
�vlarch, 19? 9 I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: �
I, (We) ❑ owned �//'DDO �D �D�
O are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in ,�-�----�-�-' County Z�-�--�-•^- Township
Taxing District (6+6y, Town, �ewaship): �cwt �,��
Parcel Number or legal description shown on tax statement:
7q� Q.Co� . 6 8W ��z d- ��
If buying on contract: Owners name �'� "'"o1e °""e`�
Contract recorded in Recorders Office - Record No
If 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
Any other counties in which individual owns or is buying real property:
fy the above statement is true, correct and complete.
Address
County Township
�.��� 77��J
Ciry. Sate ana Zip Coae
Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash
Value
Land not exceeding 1(one) a � dia�
surrounding residential imp ejts (�) � �
Other Land � i' (2)
Total Land
Residential Improvements
Other Improvements
�u� � 1919
� A�
��
Total
T^�,' Improvements - Line (6) plus (7) equals (8)
��aby certity the above is true. correct. and complete.
_. , .
Signamie ot
(3) �l 3- o
(4) 7 0
(5) -f--o—av_s.�
(6) -1-�-�-`�o-'
(7) —
(8) �_•�--� :L�=
Assessed
Valuation
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27v
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-��
Homestead
Valuation
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>= ��
�Q,ua^ �� /97�
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- ACTION BY AUDITOR -
Approved: J\+� i9^ 911� Date: •/� /7/ /`