HomeMy WebLinkAboutHomestead_Cowling •
Alin FORM A!M qR-/sPo MAiUD FORM 71.1A
APPM,T_O BY AI OE YARD OFM TIINR.ytr PRFSPJIQI BY THE DEPARIM:YTOF LOCAL.BOVERNMEOT FP'ANCE ICH.14:4.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 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 can for homestead fraud.I lomesread fraud causes higher tax bills for all;therefore.
HEA 1 344--2009 requires taxpayers who receive the homestead standard deduction to verify that they ate eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Depanment of
Local Government Finance will use this infonuation to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Cowling, Diane M
500 S Willard
Fort Branch IN 47648
2928
Diane M Cowling
500 S Willard State Parcel Number Legal Description
FORT BRANCH IN 47648-1662
lllllllllll.11 llllllllli Ir III lli Illuillituil.11 li.ill.Irlll,il 26-19-19-101-000.698-026/ 011-00698-00 PT NW I9-}10.25 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
Owner I First Middle /� Last
IJICUAt rn Cowling
�ng Address(number and street,city,state.and ZIP code) R.Same as property addresj
S. ■Ji liar k 5f.
Spouse Fiat Middle Last
Mailing Address(Number and street city,state.and ZIP code) ❑ Same as propeny address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
__ sae
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 4:ADDITIONAL INFORMATION
ill[
�_ , CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
/ State Form 5473 (R6 / 403)
Prescribed by �he Departmem of Local Govemment Finance
INSTRUCTIONS: See revcrsc sidc lor /iliny inslrur.fions.
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.`x�—L?�:>. "�a�'��a. , .%c�5.+s-..f• '�.�?. -- �
I (�✓C) / / J
I(We) occupied as our principal place of residence Ihe following describ f
L
FORM YEAR
HC70 �
� :� 8
_ ,
11 � ''' '
certify lhat on the 1sl day of March, 20 ,
pmperty for which a Homestead Property Tac Ciedit is hereby daimed:
I(We) owned ❑ Are buying under contract ' /.% �,;g$C� 1 C ' "
Have a benefidal interest in the entity that is liable for the property taxes on the property and that owns ihe property or is buying under a wntraU.
If huyinq on contract. Fee Simple ownefs name
Rem�defs ofice where conVaa is recwded
'T.�Ys'�e-�3%:iit�:��c��``'':; i�?s:`;YG.�'��i�
�nty' . . TamShip
Parcel numher I
��������� I
I( any ponim of Ne residenllal sW cture w the
ot the properry utllized b produca inwme.
���W jh/ // _�• �� I Is the Proi
y,w
not e:ceeding one (7) aae Ihat im�i�cly yirt�unds that
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Record numEer � Page
fownSAiP)
o�oaartr ❑ n�oa,e Homo ��.c. s,.,-n
used b protluce income, describe the use and portion
��k�G:'� ;. -���'-�--�-3ti$�??�T��x�i`�"= `�'i���:T'STANDARD:DEDUCTIONALLOWANCE��w.s'�"..�.,i�uk .�i����:'nYi��'=r`'�" A�`"�_-��� K
20 _ Pay 20 _
Lesser ot 1/2 Homestead 5
vawauon w 535.000 .
SgnaWre oflwdHa ' Date signetl
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