HomeMy WebLinkAboutHomestead_Callis (3) •
STATE FORO`iw,Rt/5-101 IR ASL'Rid FORM 6:.1
.VPROSlD BY CVE BOwO OF ACtOrNtt.O$ /RLYRDIFDOY PitWd.OR3@1 OF L(tM.COt1Af1Ll 1 Lw.CC IC t:1r-it
Gibsoi County Auditor IMPORTANT NOTICE TO HOMESTEAD.PROPERTY OWNERS.;
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
c Princeton. IN 47670 more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud Lanes higher tae bill,for all:therefor..
r � • IIEA\ 1344-2019 requires taxpayers who receive the homestead sandarJ deduction to serify that they are eligible to receive the
�� benefit and to provide additional identifying information necessary to allow county government to better monitor homesead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tool,that will help eounry ofcials eliminate homestead Baud.
PART 1:PROPERTY INFORMATION •
— Taxpayer Name Location Address
Calais, Norma M
— 604 E LOCUST ST
FT BRANCH IN 47648
2484 I II II
Norma M Calais II I�IILDIII nil IVOIII ull I��IIII _ II II QII�II_II�II!Ihi III III�nIIOII-I�III II
604 E Locust
Fort Branch IN 47648-1214
1IIII1III'111'1'lll11l1l1llll1lll'I1 tllt1tt1l11l1l'I1I111"11I1II State Parcel Number Legal Description
_— — — — c — 26-19-18-304-000.013-026 HOrde1146
g{� � . c
MAY 3 2012
This form MUST be returned to County Auditor's bi3 feeC.OUNTYAUDITOR
Please do NOT send this form back with your tax payment to the county treasurer.
.r I • PART 2:TAXPA • s' '1 '
First Middle Last
r�l r, ,,, a, rtii C a_k I , :s
Mailing Address(number and street,city,stare,and ZIP code) ® Same as properly address
✓ 0k I LE�cus't5i- Fr bro-ti,c11 .t/J AiI‘ ziS' - lzl 'N
Spouse First Middle Last
Mailing Address(Number and street.city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (las:5 digits) Other(please specify in Pan 4 below)
I I I I I I Stile
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.
Owne' I Si•n ure Date
- - - •
,.. • •
� � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION - - -
State Form 5473 (Rfi / t-03J •
.. .:. Prestribed by ihe Departmenl of Loral GovemmeN Finance
INSTRUCTIONS: See revcrsc sidc. �or lilinp insliuclions.
FORM —_ _ YEAR
HC1 u _ � �.
N 0 V 0�i 2003
/n , �" ��� �[ // //
IM�e) `� )0'j/Yill7. li1�J�f�, Gew""�'id$'UNe�t�{`d��ivta T�c�-�'
I(W�upied as our principal place of residence the following described real property tor which a Homestead Property Tmc Credit is her�y �imed
I(We) owned ❑ Me buying under wniract
� Have a benefidal interest in the en6ty Nat is liable for the property taxes on the property and ttiat owns the property or is buying under a contraU.
If buying on conVad, Fee Simple owners name
RemNers olfice whare conVacl is recordetl
c�'�"''.'�'.���xr.i:t��a" � _._ �%sk1.'.f�iC�-�.4h�K
Caunty � Tnmship
Tating disVid fci�; to�n, townshiP)
Record number � Page
yarcel number �.`1 Legal deQscription Is the pmpert�y in �question:
O �� - QG� ��' �-(� � � 7 .5 � LLd'Rea� DroDertY � b{eMF�HOmo (/.C. 6/.1-7)
ion of Ne residenUal sWCWr tlie lan not exceetling one (1) acre that immeCiatety wnounds that sWCture is used W produce income. desaibe Ue use antl portion
o, �,a ao, �„�. �yo-Z�,o-�.G- .Qel� 'f�/
/n /f .v�. aao 3 a.a.o
� � � .
_`Yli_�v���n_ � ,�� � �i�.��-v, ) nm� D�7-A�n� �c
Caunty
Caunty
I hereby certify ihe above statements are We, wrred and complete.
(num6u erM sUaef, dty, sfate, ZIP cnde)
6 v �1 � �.g�.r-s- .S�-
'����r���`�'x`��'��� ���,��"TRUETAX+''�� ASSESSEDVALUE iHOMESTEAD^`. NON;RESIDENTIAL �
aAS$ESSOR�USE ONLY �x'�' s+ ,� �. v`i t
��.����� ��;.-� ��,���� ��VALUE��;� �ATS700%O �N� ��,3�VALUE�� ����'r-,.VALUE`��'r;�
Land not exceeding 1(one) aae immediately �� ��� 3'�F��'-�`° r',��
surrounding residentlal improvemenis. (�� �aY�,�r�.�'"��.���-.`ti - .,�, '^
�� �`
Other land �p� ��`�����
' _va - e
Tdal land (line 1 plus line 2) �3�
Dwellin ) �� �' � �'� �' �����
9 (4 �� s—'F�L��� �%�x_'aa,t.�F1''xx.
Residential Improvements wMnuatly
AssessedAbhUe/ManuFadu�edHarne _ �'.-:� ,�os�� -',.�'��.:
����-
Garage (5) '��: ` ._`".��`a�c"sa. '��"„g�
�3#�
Other improvements (6) �� '� �y
7_iz� z*i,�_' i Er:�w�,.
TUaI improvements (line 4 fhrough line 6) (7�
TUaI value (line 3 plus line � (g�
I hereby certi(y Uie above is W e, mned, and Sgnah�re of Assessor Date signea
complete.
Vairydng aclion - Signature of /wdiW r Date signed