HomeMy WebLinkAboutHomestead_Reed (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM
°a t CREDIT /STANDARD DEDUCTION Hcio
i
State Form 5473 (R2 15-92)
v r�
INSTRUCTIONS: See reverse side for filing instructions. —iT_.1_ j" F'_{ 4 1i
I. � . '_ l n _. n - - - . V=1.LLrrcAnunasAkrMl=N1 . " — " u— _ I
c1WeT certify thj"" tl� b;f ffly March, 19
_) pied as our principal place of r idence the f owing descri d real property for which a Homestead Property Tax Credjt is hereby claimed:
(/ /t
J I (We) owned ❑ Are buying under contract
rt'r�; I
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that own 4�ffa tiy,`tuti1�"6vymg yrltle7,51 contract.
CONTRACT RECORDED
I buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- PROPERTY DESCRIPTION •' `' "." -
County
Township
Taxing distd
to o
/t(ajcy
heOOl O
Legal description
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
" PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township I county Tnwnshin
®ereby certify the above statements are true, correct and complete. I "': P'' " " ° "' t\ I,l',
1 Address (number and street, oily, slate. ZIP code) I ,C,u -QJ '\
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL,
VALUE -"
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line Z)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
_ -
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 p.bs line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
drying action - Signature of Auditor
Date signed
19 Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
of Auditor
STANDARD DEDUCTION ALLOWANCE"
$'•ATE FORM 53569(R3l5-1e) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE ICbl.l 22-5.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS = 'Wx
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 ever for homestead fraud. Homestead fraud
•auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
standard deduction to verify that they are 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 be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
PARTt PROPERTY INFORMATION 4t-r _ ?:7'r :; , " via
Taxpayer Name fronerty Address State Parcel Number Legal Description;
Richard K/Jennifer C Reed 6709 S SR 57 26-20-14-100-000.132-001 PT N NW 14 3 9 1.21 AC
OAKLAND CITY IN 47660 D-8
Complete and return to: I0111IUh1I1E1111ftlD1M11 11711111 DODD11I1111I11Il1
Clgcnnj COUNTY n UDITOR, 101 N MAIN PRINCETON IN 47670
i , a 1 t 1 a 1 \ n w t
Owner__I // First Middle `(��/� Last
Mang Address(number and street,city,state and ZIP code) Same as
property address
'6 ` o 5 4-& P � S `7 Oci&1Anto e,1- , L/ 76l c< O
Made Last
•
Madirp Address(number and street.city.state and ZIP code) Same as
IXOpeRy address
70% 5; -a 40 ?a 51 Oc e/iwi d j 70 `/7(6 r]
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foreaoing 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.
Owned Signature Date
..air„f:PART 4ADDITIONALINEORMAT10Nrs " :._,._ #a; -.`S twey..
• FILED
NOV 8 2012 •
GIBSON COUNTY AUDITOR