HomeMy WebLinkAboutHomestead_Blackard (5) •
MATE FORM!)M,R_r SAN) WRLASUIFA FORM 3:A
APPROVED By MALI RlMRnoryTOI 2I■ PREANBW BY THE DEPARTMENT OF LOCAL tASE0.4MrNe FINANCE It 61.1-L`AI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sin dani deduction.As the receipt of this deduction becomes
more beneficial.there is more inerrant than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to pta'ide additional identifying information necessary to allow county government to better monitor homestead
filings.Ibis information will be kept confidential and can only be accessed by authorized county officials.The Depannent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Blackard, Larry K/Judith M
805 E Walnut ST
Fort Branch IN 47648
2906
Larry K Blackard
805E Walnut State Parcel Number Legal Description
FORT BRANCH IN 47648-1239
It�u��ur�r��ur�u��u�un��nlr�n��r�t�n��nrrl rinnlll 26-19-18-304-000.953-026, 011-00953-00 PT SW 18310.30 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.
PART 2:TAXPAYER INFORMATION
Spouse First Middle Last
Ub )7N M Jc421)
Mailing Address(Number and street.,city,stale,and ZIP code) Same as property address
- /) W AL- J v r sr l-Lf2,-r7 /2 C/voj) .7C,v 916 9e
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.
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Siata �orm 5473 (R6 I4-03)
P�esuibed by Me Department of Locel Govemment Financa
INSTRUCTIONS: See rererse side !w filing insfiztions.
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APR 1 S 2006
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. G,( �,_,��
� (YVe) ' � '� _"T/ � cert�'I��p �'OdN�9Y�0(10�Qi320_
�e) occupied as our principal piace of des ed real property for which a omestead Property T�c Credit is hereby daimed:
I(VJe) owned ❑ Are buying under wntracf
� Have a benefidal interesl in ihe entity that is liable for ihe properry taxes on the property and that owns the property or is buying under a contraU.
If buying on conlrad, Fce Simple owners narne
Recordefs ofice where conVad is recorded
County To.vnship
Parcel number Legal descnption
�(- 53-Z�iS
If any poAion of Ihe residmtial sWdure w the land not exceedi
ol Ue property utilized tn produce income.
Record number Page
'�`x�� �"�-�„' C �� ^' � -'r=i�i�.s�e�-`p'�,.,,`^�.i
town, townshiph
Is the Oroperty i question:
�eal property ❑ Mobila Homo (I.C. 67.7-�
one (1 � aae ihat immediatety surrounds that swcture is used to produca income, describe tha use and portion
�
� +�-
� �?��„'�-�qSSENSSORUSEONLY� -�'��y���,'�i��TRUETAX ;-�� ASSESSEDVALUE HOMESTEADY'r NON-RESIDENTIliL�r�'�,.>�.
u:'.�a`&'.''3�:....r.**i.i.'c..e._i"i i , � ���':f _ .c 1ui-��°'&r.��� z��VALl1Ew"i�.vh,y� ��AT�100%OF..'.TTV.I �:VALUE�� ��c"�x:-.�'.�=:VALUE�>.. �"�����
Land not exceeding 1(onej aue immedialely z:ri.��?� f��°'3 ��.�'��� ��
surrounding residenGal improvements. (�� Y � ,.�`'���„4�+y • ���-i
+�,la.-`u- y°p ., _
Other land (Z) � ��� ��
«
� k r.,..}. �
Tdal land (line 7 plus line 2) �3�
.a y:�-3�F+�*'�y =,��
r
Dwelling (4) i�xa�x�.-.��.%-�:e,.�r ��:,..���5�
Residential improvements or Mnualty .iy �
Assessed Mobile / Manvfaaured Horrre Garage 5 �s�„t5; �,s„u �'V`�
( ) � t,��'��;���;
Other improvemenls (6) _��t�„'����
Tcial improvements (line 4 through line 6) (�)
Tctal value (line 3 pl�s line n (g)
I hereby terti(y Ihe above is We, coned, and Signature of Assessor Date sgned
compiete.
Veritying actbn - Signature of /wtlitor Dare signed
20 _ Pay 20 _
lesser of 1r2 Homestead
veuauon or E35.Wo
3
Date signed