HomeMy WebLinkAboutHomestead_Bivin cIATE FORM` M.Ir/>AM TPE1AIl1A FORM T11A
a. APPRncED BY STMT.en:RUOr ACIUISTC.10.0 PRES(RInED BY THE DEPARTMENT OF LOCAL G'ctNMm'r FP:A\'CE IC 4l.1-14.1
^ 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 more incentive than OCT for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2600 requires taxpayers who remise the homestead standard deduction to verily that they am 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 he accessed by authorized county officials.The Depannlml of
Local Government Finance will the this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Bivin, Charles W/Sarah Lee
- 200 S Main
Iron Branch IN 47648
2541
Charles W/Sarah Lee Bivin
200 S Main State Parcel Number Legal Description
Fort Branch IN 47648-1312
ItiuiintitiiurInIIuIu uIInIInrlIInlrillrt tllttt tlt tll 26-18-13-404-000.501-026 ,011-00501-00 OLD PLAN 8PT/9PT
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 s Middle Last
C.I∎AirtleS Up 1 \ k1 Aug B1UIQ
Wiz Address(number and street,city,state,and ZIP code) 2,<Tne as properly address
Spouse First Middle t 1 Last
SA-124-1 LEE- — /�J, I vJ
Mailing Address(Number and street,city,stale.and ZIP code) I�1 a 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 sh may be liable for back taxes and substantial financial penalties.
Owner tg;ore \ Date
7
d�p•9 CLAIM FOR HOMESTEAD PROPERTY TAX
, . - ; `: CREDIT/STANDARD DEDUCTION
� .' State Form 5473 (R2/1-90)
�'°�• � INSTRUCTIONS: See reverse side (or liling instructions.
CERTIFICATION STATEMENT
FORM � AR
Hc�o p
O/�- a�-�D/-DO
I(We) �a> �• `� .�4�.� d1.a�_�certify that on the 1 st day of March , 19 �
';We) occupied as our principat place of residence the follo described real property for which a Homestead
Property Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
� 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 it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
County
r
Legal
PROPERTY DESCRIPTION
a q Al'a
If any portion of the residential structure or the land not exceeding one (1) acre that immediately sUHbur��rdt'STruc=
ture is used to produce income describe the use and portion of the property utilized to produce incomeAPR 3 0 199�
County
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
certify the above statements are true. correct and I Signat �� ./� /
, v � i`-r � y°�
>(Streei. number. city, siate and ZIP code) �
ASSESSOR USE ONLV TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvements (�)
Other land (2)
Total land - line (1) plus line (2) (3)
Residentiai improvements Dwelling (4)
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through line (6) (7)
7otal value - line (3) plus line (7) (8)
I hereby certify the above is true. Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
7989 Pay 1990 1990 Pay 1991 1991 Pay 1992 .
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2.000 Valuation or $7.500
�
19_Pay19—
Lesser of 1/2 Homestead
Valuation or $1,500
e of Auditor D te Signed
).._� i�. t'Vl�,�,.o '�-3o-q O