HomeMy WebLinkAboutHomestead_Dodd + - • • STATE FORM 5]YN(0.1 FIB) - TREASURER PERM TS-IA-
APPROVES)BY STATE BOARD Of.M'000YFS.200N PRESCRIBED BY TIE IIFPARTITET OF LOCAL CAvrRNMEYT FINANCE IC(-1.1.12-I
Gibson 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
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes 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
Local ove information Finance will be kept this in confidential and can create only be accessed that will by authorized
help o county county officials.
elimi eliminate The Department
adfra of
Local Government Finalrce will use this information to create tools that will hel county officials eliminate homotead laud.
PART I: PROPERTY INFORMATION
MAY 1 Z��� Taxpayer Name Location Address '
., Dodd, Denny R/Jayne L •
C.J.n V 7860510E
FORT BRANCH IN 47648
GI®09,COUNTY AUDITOR .
I IhI DI I IimIDI I I II I I f l II I II11111111111W:u 11111hIIl I OH T III Denny R/Jayne L Dodd
7860510E
Fort Branch IN 47648-8001
IIIIIII11IIIIIIIIIIIIIIIIIIIIIIII101111111 1rlllrl1111119119I ° State Parcel Number Legal Description
26-19-19-203-001.250-026 INDIAN HILLS 12 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.
PART?:TAXPAYER INFORMATION
O. .I --- First Middle - Last
beNN lad •
Mailing Address(numbei and street,city,state,and ZIP code) lame as property address
t
Spouse First Middle s - Last
Mailing A (Number and street,city,state,and ZIP code) - El.-Came as property address
•
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
p
�� R�� � CLAIM FOR HOMESTEAD PROPERTY TAX
i; CREDIT/STANDARD DEDUCTION
State Form 5773 (R2 / 5-92)
•��f
INSTRUCTIONS: See reveae side !or /iling instructions.
-� — . . . _- , _-r,'CERTIFlCATI
. .. : \ .. �._ . ;.., ,.. ., � _ _.. ....
i ner,.i i�L� �O M M � A �- �l
•-� � �
��. � � ��
that
``�occupied as our principal place of residence t e f lowing desc it d real �perty for which a Homes � Taz�C�edit i��vereDy.claimed:
' GI ���
I(We) owned ❑ Are buying under contract
❑ Have a beneficial inierest in the entiry ihat is liable for the property taxes on ihe property and that owns the property or is buying under a contract.
- .. � �- CONTRACT�HECORDED,__�. - _ •.-:� . � � �,;,':-.,,,:..
If buying on contraa, Fee Simple owner's name
Fecortler's oflice where contraa is recortled Record number Page
County Townshi�
Pareelnumber ���. te de!
�
If any portion of the resmennai siruam< or the Wnd not
ot the propeM utilized to produce income.
PROBERTY DESCRIP'T10N � - � s- � -
Taxing tlistriq (ciry. lown. rownship) ':
one �1) acre that immetliatety surtounds ihat struc[ure is used ro produce income.
use a� portion
��� ASSESSOR USE ONLY .� .� TRUE TAX ASSESSED HOMESTEAD NON-RESIDEN7IAL-
- . -� � VAWE VALUE.; VALUE VALUE
Land not ezceeding 1(one) acre immediatety ` �
surtoundingresidentialimprovements. (�) - � � -�
e=
Other land (p) <� � � ' �
�9rn 3
Total land (line 1 plus line 7� (3)
Dwelling (4) � ' . ° '
Residential impmvements � .
Garage (5) . � �
Oiher improvements (6) - �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I her0by tertify the above is lrUe. Corrett, and SignaNre of Assessor Date sgnetl
complete.
�lyi'g adion - Signature ol Auditor Date sgned
19_Pay79_ t
Lesserof 7/2 Homestead
Valuation or 52,000
S
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