HomeMy WebLinkAboutHomestead_Blanton (3) HATE FORM 53!..IR_/Yrl 17.1-AST LEA FORM 75-IA
AFFROW'En BY CI ATE eipan OF ACC TEST,.`" PRFXIn3m BY tIn DFFARTH EVTS FLR'AL GOVERNMENT FINANCE M-4I4-U-I.1
Gibson County Auditor
101 N Main u IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than ner for homestead fraud.Homestead fraud causes higher tae bills for all:therefore.
illi HEA 1343-2009 requires tanpayers who receive the homestead standard deduction to verity that they are eligible to receive the
s benefit and to provide additional identifying mformanun necessary to all?county uLwrmrnellt to better monitor homestead
FILE i Blimp.Iris information will be Lept confidential and ran only h acre.std by authorvN county otTcials.The Depanntcnt of
1 Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 6 ZU1U Taxpayer Name Property Address
Bleeterol-
774 147,. /127%/c #/Pi-' 3o3 men ((((��
6753 G
IBSON 1!
CO NTY AUDITOR Fort Branch IN 47638`!
Lois M Blanton
304 W Ulen St — State Parcel Number Legal Description
FORT BRANCH IN 47648-1032
26-18-13-401-000.660-02 .011-00660-00 ROBERTSON ADD
"rn II tIt II nt I n II eiI nn IIII II nt I t II I.,tiI mI e.III
26PT/27PT/28PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
1 CZ/63 e C filn4 4)4)
g Address(number and street city,sue,and ZIP code) ame as property address --
3 u W 7iiton/ Al f/ -PA, 6/7C
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Spouse First f Middle Last
Mailing Address(Number and street,city,state,and ZIP code) O 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)
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.
Quna I Sienatuc V /� Date /
0
"' v CLAIM FOR HOMESTEAD PROPERTY TAX
la,._ � STANDARD/SUPPLEMENTAL DEDUCTION
State Form Sd73 (R72 / 6-09)
- �� 2 Pmscri6ed by Ihe Department al Laal GovernmeM Frence
� � YEAR
FORM �
M R 2��,ao�o
INSTRUCTIONS: See reverse side tor filirg instrtations. � " ���
. •
I(We) certify that I(we) ocwpied as my (our) prindpai
place of residence or am (are) buying ihe follovnng described real property for which a Homestead PropeAy Tax Standard Deduaion is hereby daimed
under convac[ on Ihe date this application is �led, (date of filing):
�J (We) own ❑ Am (are) buying under recorded contract
❑ Am (are) entltled [o occupy as a tenan4stockholder of a cooperative housing corpora6on
� Have a beneficial interest in the Wst or the right to occupy the property under ihe terms o( a qualified personal residence Wst
•• • •
Nama of daimant (kgal nemeJ -j.
�'f /Chq �°.� ��%�i /o
SatialSeariry nur�ri
�
Name of daimant's s se (legal neme)
^_-_I Seariry number ot tlaimant's spouse (lasf frve tligrts) D�ivefs ticense I Identifiralion I ONer number Issuing 9ate
of daimanYs spouse (las! frve d'girs)
• �•� �
If buying on contraq, Fee Simple ownefs �me
Remrdets ol&e where conVad is recorde0 Record number Page
..�. . � . �
���y Township Ta�ung d�sirirl(city, to fo ip
Pamd numbar d �D� �s Ne p�operty in question:
" Real yoperty � Mnuatly assessed mobile home (IC Gf.1-7)
�If arry portion W the resiCenlial strucwre w Ne land not exrced4g me (1) aoe that immediatey surtou Qs �hat sWCWre is used to produce 4rcane, Oescribe the use atW portion
of Ne pmpeM wT¢ed tn pmduta income.
I a�-i�-�3-5�o�-�. ��v-�a �
... . . : . .
Caumy Township Caunry Tmmstup
I hereby certify the above statements are W e, correct and complete. Sig t aimant �
� ss�num6erantlstraet.V��� L��e) ' `j'\ �� ��/
W
, . ., . ,
•- • �� .
Landnotezceedingl(one)acreimmediately � ��tiA,,�y�.��.t�t"J�.�>"�'�.'.
surtoundin residential im rovements. � � � Sm_i..._ ... x_ v 1�--s4�:
r�y:=�;s�`�.",'J'"-3�.rF.�.: F
Other land (2) }��>;� �'-;:i.4;,F
ToUI land (line 1 plus line � (3)
i�'-1 3 � �
Residenual improvemen5 or Mnualty �Iling (4) .,�,Y �-� z��.�.f-��ar ,G� j'ah„�
' ,. 5 r .a.,�.
Assessed Mobile / ManuFactured Home Garage (5) . �,+"�?�+ �..�C%'�� �,� j'�`�£�'�.
.1 �,x..�",.-i,� :.!r _i:'}?,iG_ . �4
Otherimprovements (6) F"*�.c - �� $..;';
7ofa1 improvemenb (Iine 1 Nroug� line � (7)
Tofal value (line 3 phs line 7) (8)
I hereby certify the above is true, cortect, Sg"'�� °��� �''e �� ���' �Y �`)
and complete.
Vailyi� acaon - Sig�ature ofluiditn Date signed (monfh. day, yea�
� �.-� � � • •
20 pay 20 _ Lesser of 60°6 of the assessed value of the homestead or $45,000
Notvnthslentlirg any olhei provisirn, Ihe sum o! fhe dedurJions pmvitled in IC 67.1-72 to a rtpAde home Net is g
not essassed as raal yoperty w ro a manufeUUred hwne Nat is rot essessed es resl pmparty may mf exceed
one-haH (7/1) O/Na as5essed rdlue o7Ne mobde /ame Olmanufdrluretl hortie.
Signature ol hMitw Date signe0 (monN, Cay, yxan
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