HomeMy WebLinkAboutHomestead_Davenport (3) .
STATE FORM 53%B(Rif t-IC) TFASURER WPM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.HOi •PRESCRIBED BY 71IE DEPARTMEV1 OF LOCAL GOVERNMENT FINANCE IC 6-1.1-fl-S I
Gibson County Auditor IMPORTANT NO1'ICE TO HOMESTEAD PROPERTY OWNERS
101 1N.Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
1. FILED
HEA 1344-2009 requires dition l i who receive the anon homestead standard deduction to verify that they art eligible ni to receive the
benefit and to provide additional a endfying information necessary to allow county goiemmcat to boner monitor homestead
filings.This information will be kept confidential and can only be actessed by authorized county olbciats,The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
. PART 1: PROPERTY INFORDIATION
AUG 112011
. Taxpayer Name Location Address
C- Davenport, George B/Kristen °
262E 780 S
GIBSON COUNTY AUDITOR `
FT BRANCH IN 47648
2619 - vim 11 i ll 1 III all nin llll [ ll_v i I I
IIvi Ii[III]IDiiIGeorge Davenport
. 262E780S
FORT BRANCH IN 47648-8003 '
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II'Illrllil'I'II'Ililltlrrllllli"II11I"I'tlllittr1il6i1llll'I State Parcel Number - Leyal Description
. 26-19-19-203-001.239-026 /INDIAN HILLS 32 PT NE 193
10.195 AC D-27
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.
r PART 2: TAXPAYER INFORMATION • - .
First Middle Last
or9e lnsa� ven�or�
Mailing Address(number and steel,city,state,and ZIP code) .20..... .20....Ile as property address
a�a E . 1 go •S. H .(eDicul B\ , 1+?(4;
-
Spouse First - Middle - Last
lri s-Feg- _ Rtnaci Dcc vex,po r-I-
,—Mailin gA ldress(Number and meeei starea tniP mde) -
- - , -I�1-:a:.c• prct�..ty'�dur•ss - .,- ---
' . - - .
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 1 Signature - - Date
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. CLAIM FOR HOMESTEAD PROPERTY TAX A FORM YEAR
aft
CREDIT/STANDARD DEDUCTION ten` ` HC1D
t t State Form 5473(R6/4-03) \\
Prescribed by the Department of Local Government Finance \ `
1 -T UC TIONS: See reverse side for tiling instructions.
`'..:-i- ' .... J'3t jrr:`. r.. - .'. ,. hw.-- - CERTIFICATI�.TATEMENT •
I(We) �� • •2 s ! •�It '� L► A = r
�� . ► �� emfyt .nt 1s4•ay .f a t r
I(I ccupied as our princip.-�lace of resid•nce e following described real property for whi a Homestead Property Tax Credit is . : ld:
e)owned ❑ Are buying under contract APR 5 2005
•Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property o buying under aJcontract.
If a-fl on contract.Fee Simple owner's name r) � 44 CONTRACTRECORDED :t, ` - SON CO(JNTy DI lug
-
Recorder's office where contract is recorded Record number Page•577,`-- CIF: CS.Kf C.:o-,, - s=.-e!:ri 411•¢_N7:-.- PROPERTY DESCRIPTION:.- - _ - `'f" 'If'• - .-. ••
County Township Taring district( ty, w ,tow ship
``�
r
r L yd
ey��ayescri o on Is the property in question:
JC eel property ❑ Mobile Note(I.C.6-1.1-7)
If any portion of the residential structure or the and not exceeding one(I)acre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
at -/9-i9 oTo3 - 00% 0' i9--6c2
,� Thic
,�,,.. arc •_;,.F> .„. ' - -`' -P,ROPERTY-OWNED BY CLAIMANT IN OTHER"COUNTIES- : :`": 4++0 V-.,.?_a '- :'_°_ ,"- i'.'
County Township County Township
r
I hereby certify the above statements are true,correct and complete. Signa re ofglairyagt ��/V��/-�
dress(number and�reet,city,stale,ZIP code) �� `r
$'o > 1-15 R \ (o ww�cIIt 0c1 F-I . 1irm -c /- , 1A) £[7/, L/
.vv-,t- � i" ASSESSOR USE ONLY t TRUE TAX ASSESSED VALUE HOMESTEAD - NON-RESIDENTIAL,,
i`.r, �+.hr 4 ,.. . ",.6.,,-E;- _ ''VALUE AT 100%OFyTTV VALUE - !;a> VALUE;- .•
Land not exceeding 1 (one)acre immediately - - ,..
surrounding residential improvements. (1)
Other land • (2) - - - -
Taal land(line 1 plus line 2) (3)
Dwelling (4)
Residential improvements or Annual ty «.F 'r..• -..-+'w- . .,
Assessed Mobile I Manufactured Home - '`y .;
Garage (5) -.
Other improvements (6)
Tctal improvements(line 4 through line 6) (7)
Tctal value (line 3 plus line 7) (8)
I hereby certify the above is true,correct,and Signature of Assessor Date signed
complete.
Verifying action-Signature of Auditor Date signed
® } e, 1 :. . _. -STANDARD DEDUCTION ALLOWANCE _ - - •---4'..
20 Pay 20
Lesser of 1/2 Homestead
valuation or 535.000 /S
Signature of Auditor .07 !� / Date ejngtf /"-- 0 V
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