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Home My WebLink AboutHomestead_WagonerCLAIM FOR HOMESTEAD PROPERTY TAX FORM YE�R CREDIT/STANDARD DEDUCTION Hc�o S1ala Fam 5473 (RB ! 7-07) � •'� Prestnbed fry Ihe DeparlmeM of Laai Govemmenl Finance INS7RUCTIONS: See ieverse side /or fiirng insWctions. �(WB) certiy Nat on the i st day ot March, 20_ I(We) occupied as our principal place of resi ence the fWbwing described real property fw which a Homestead Property T�c Gedit is hereby daimed: �(VJe) owned ❑ Pre buying under contraU riave a benefidal interest in the entiy that is liable fw the property taxes on the property and that owns ihe property or is buying under a contrad. Counry Twnship T�cing distnq (cify, town, Is Ne property property ❑ Mobile Fbme (IC 6-7.7-7) sWCtura or Uie land not exceedirg ane (1j acre �hat immediately surtounds Ihat sVUCtura is used b produce incortre, describe Ihe use and portion ice income. L.�O��cA� 3�{I -.. . . : . . Counly Tavnship County Townahip I hereby certify the above sfatements are true, correct and complete. r o( ai t � u sheeL fe. ndL � � •- • � � . � • � ��'. • Land not ex�rg �(orre) acre immediatety (� � surtoundirg residential improvements. � - • OtherWnd (2) ,. - . Tdai land (line 1 plus 1'me 2) (g� Residential improvements or Mnualty Dwelling (4) . . � - � - .. Assessed Mobile / Manvfach�red Home .-_,;� ",',�,� - .. . . - Garage (5) . , � , ' Other improvements i5) . . . . . Tdal improvements (I'me 4 through line 6) �7) TUaI vafue (line 3 pl/s Gne � �g) 1 hereby certify the above is W e, twrett, and Signawre of Assessor Date signed (month, day, yea� canplete. Verifyirg aciion - SipnaWra W Auditnr Dale signed (mmfh, day, year) 2b pay 20 _ qs.ppp for 2007 pay 2008 42.000 for 2010 pay 2017 Lesser of 12 qq.000 for 2008 pay 2009 41.000 for 2071 pay 2012 Homestead ValuaUOn « 43,000 for 2009 pay 2070 40,000 payable aRer 2012 7AI11(stI SY ,R'/.aul 1111-ASUREP.FORM IS-IA ANIMUS BISISTE 301R1111,Al I IL Ars:oy /RIMPINllllY TODITARIMEAT OF tocsLc T}uesrust uICURMN-I_`+.I Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N. Main Street Individuals and married couple.are limited to one homestead standard deduction.As the receipt of dintsreeduction becomes Princeton. IN 47670 .-- more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher Las bills for ell therefore. S IIIiA 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the tenth and to provide additional identifying inhumation necessary to allow county government to better nxmltor home lead filings.This information will be kept confidential and can only be accessed by authorized county officials.The Derailment of Local Government Finance will use this information to ern.to:orals that will help county officials criminate homestead fraud. PART 1:PROPERTY INFORMATION Taxpayer Name Location Address Envision Financial Partners LLC 202 S WALTERS ST FT BRANCH IN 47648 7746 Envision Financial Partners LLC 11 10111.11111 [III 11I II 11111111 ii ii II 111111_II�Illfill III-1 io111Ii VIIII- II 13111 Cricket Trace EVANSVILLE IN 47725-6819 "111 IItR1111I11I1'II'II"11II1111I"IIII'1III'1111111'IiI' State P. mber Legal Description 26-1 8 03-100.189-026 WALTERS ADD 341 1 03 76 ti ry�,oti �o� , �Si S _ z2- 0s ► of + (el\Ck This form MUST be returned to Countyauditor's office. Please do NOT send this form back with your tal�$ayment to the county treasurer. _ - - - PART 2:TAXPAYER INFORMATION a 1 First - - M i d d l e e - •E Nv)s.• F, ,.le;a l PAZ-f7lu t -LS.- Mailing Address(number and street,city,state.and ZIP code) . ❑ Same as property address 1 >1 i aR;c,k el halt., EVANSv', ale, iN 41-7-79-6. _ Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Spouse First Middle Last • Mailing Address(Number and street,city,state,and ZIP code) ... - - El Same as property address - Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digis) Other(please specify in Part 4 below) ll I I I I I Sea PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties. Owner 1 Signature 6wv,s 4..r' F/NAstml r/T4I'�$ Date \ ) PART 4:ADDITIONAL INFORMATION —1-a x. a> C a 1u \N \ k.'Cfito\L_Q - _3 A "Cf STATE FORM 51509/31&10) MEASURER FOLMTS-tA APPROVED BY STATE BOARD nr ACCOUNTS.IIW PRESCRIBED BY THE DFPARTME\l OF LOCALooVERNMEVr FINANCE IC 41.1-214.1 • Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N.Main Street , 1 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes Princeton, IN 47670 more beneficial,that is more incentive than ever for homestead fraud.Homestead fraud causes highfi:as hills for all;therefore. ' HFA 1344-2009 requires taxpayers who tutihe 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. �� PART 1: PROPERTY INFORMATION — r Taxpayer Name Location Address `� �� ' Envision Financial Partners LLC l/��(t 202 S Walters ST •n Bran IN 4764 . 7887 `, ' n a- . Ala( 1 A v & ,aat.- b kagkAio- . Envision Financial Partners LLC III 101111[III nll IIII DII I1IIII IIIIIMIIIIIIII�II_IIIIII oII I I IO�II I IDIII II EVANSVILLE IN 47711-6918 - 7!( "� 'lll'11'11111'l1'IIIIttlllulll'11111'llllll'llll'lllll111'11111i State Parcel Number Legal Description. 26-19-18-303-000.189-026/WALTERS ADD 341 1 1, H 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-'_:_TA\PAYER INFORMATION_ First Middle Last -. Vise Ord PVNANClAI a'a(,�enc ..ling Address(number and street,city,state,and ZIP code Same as property address A— = cz!• 5. J E&/Ar4SV; /k ZM V7--Ds Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) 11 I l 1 I I I Sr 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 t ignature Date (( - ) PART 4: ADDITIONAL INFORMATION