HomeMy WebLinkAboutHomestead_Phillips (13)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION 1D
m
` Slate Forth 5473 (R817 -07)
Prescribed by the Department of Loral Govement Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (we) �/LiD ri /� i � �� �/ ad Y certify that"d(elhc 1�,','°�!' f March, 20
I (We) occupied as our principal place of residence the following described real property for which a Homesl&g�2��e�c f�redAN�herebv claimed:
I (We) owned ❑ Are buying under contract Y ITOFi
Have a beneficial interest in the entity that is liable for the property taxes on the property and that awns the property or is buying under a contract.
ONTRAC T RECOR • r
I1 blMn9 on canlrec4 Fee Simple owners name
Recorders office where contract is recorded Record number Page
Twmship
I hereby cerlfy the above statements are true, correct and complete.
(number and sfrast city: state, and ZIP code)
7
ASSESSOR •
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County
Ta mship
Tedn dist' (city, to , fownship)
0—k
VALUE
Land not exceeding 1 (one) acre immediately
Parcel number
L mption Is the property in question:
— I Real property ❑ Mobile Home (IC 6- 1.1 -7)
If any pW6n of the residential strucbue or the land not exceeding one (1) acre that immediately sunounds that str6dure is used to produce income, describe the use and portion
of the pli6perty utilized to produce inane.
A 9- Zo -CW- /0 3 -00/
Twmship
I hereby cerlfy the above statements are true, correct and complete.
(number and sfrast city: state, and ZIP code)
7
ASSESSOR •
•
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• r
$
or 43,000 for 2009 pay 2010 40,000 payable after 2012
AT 100% OF TTV
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Otherland
(2)
Total land (line 1 plus Me 2)
(3)
Residential improvements or Annually
Dwelling
(4)
-
'
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Trial improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature ofAssessw
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditw
Date signed (math, day. year)
STANDARD
[o —pay 20_ 46,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay
Homestead Valuation pay 2009 41,000 for 2011 2012
$
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
to signed (math. day, year)
J,
ti l/AR MIMI,)!edit/ 1 TITAN:REA FOAM 75-IA
'./ APPgw11)BY STATE IXNP0 Of+CYYt WS.yin PRISMIBI DY 111T OEPARTMENT(F LOCAL rAVEIt.YMrwr FINANCE IC 6-1.1-2:4,1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married coupes are limited to one homestead standard deduction. As the receipt of this dcdttnion becomes
more beneficial.there is more incentive than ner for homestead fraud.I lome teal)fraud causes higher tan bills for all:therefore.
• HEA 1344-3009 requires taapa■ea who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to pnwide additional identifying information necessary to allow counts-government to better monitor homestead
- tiling.This information will be Leg.confidential and can only he accessed by authorized county officials.The Ikpanment of
Local Government Finance will use this information to create Wins that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
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Phillips, Heath RIGloria A
R3 Box 196 Otj- Oakland City IN 47660
9277
Heath R Phillips -
do Gloria Phillips -
9195 S 1300E State Parcel Number Legal Description
OAKLAND CITY IN 476607769- :..-•. ..
(tlttlltrtltllittllttlIll111F llltt11111111111111111IltIlliltll 26-21-29-300-000.103-001 001-00103-00 PT N SW 29-3-a2AC
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PART 2: TAXPAYER INFORMATION
Owner I First ^ � Middle Last
,� {. -
lag Address(number and street,city,irate,and ZIP code) -- - --- U-Same as property addre s-- -- - —
\-\�3 E. 1 54 11u�k.,t,c\5u.% ) IA X1-7 57-1a a.
.
Spouse First Middle Last
Glop;6 MA A
1� ;l/, ,c
I I
Mailing Address(Number and street,city.state.and ZIP code) Same as properly address
C1/ -5 6 (-200 C_ (kt4;a�,P 0 T n./ y71e(r, Q .
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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
PART 4i ADDITIONAL INFORMATION
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