HomeMy WebLinkAboutHomestead_Esarey SUTE[ORM`MI. r NYI TNASUIUJI TORN 73-1A
Aryn(A'ED BY MATE BOARD OF N?"YR(vla._nx PAE ClUBtD BY no.DEPARTMENT OF LOCAL CA\rrt'ottAT TALE C V.r-s.'
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to nor homestead srandanl deduction.As the receipt of this deduction acmes
_ more beneficial,there is more incentive than eter for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necesan'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 Gaud.
PART 1: PROPERTY INFORMATION -
Taxpayer Name Property Address
Esarey, Cindy
605 E Oak
Fort Branch IN 47648
7849
Cindy Esarey
605 E Oak State Parcel Number_ _Legal Description
•Fort BranmhiN 47648-1653-- — -- -- -- - -- - -- -
1t1n11nt1r11nt1n11n1nn11t11nt1r1nt11r11nn1t1rnt111 26-1919-101-000.540-02 011-00540-00 CLAR-ENCE TERRACE B 14
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
CIndL{ • 1;•e ,,try ESEuL )
•ng Address(number and street,city,state,and ZIP code) ® Same as property address
LcosE D0k S � ) t�re- c_12-
S First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ 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)
sole
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
•
_ ' CLAIM FOR HOMESTEAD RROPERTY TAX
CREDIT/STANDARD DEDUCTION
t State Fwm 5473 (R614-03)
� Prescribed by the Departmant ol Local Govemment Fnance
� INSTRUCTIONS: See �everse side ior (ling instn�ctions.
FORM
HC10
YEAR
•:.�z� ?S#':��.'a-s�ti?+�}::j!23+.s>! 3i.�3i� . X:'.; ".vYV:�TGtKII�I(.AiION'STATEMENTI.C: :.Je� - �t:t - y',:�� : ,.. i�� ,• . `....
��01 certiry that on the 1st day of..March, 20_
I(We) occupied as our prin al place of residen e fdlowing described real property for which a Homestead Property Tmc Credit is hereby daimed:
� I(We) owned ❑ Ne buying under contrea
, Have a benefidal interest in the entiry that is lieble for the property taxes on the property and that owns Ne property or is buying under e conVact.
II buying an conVeG, Fae Simple owners name
Rocortlers ofice where conVeq Is recwdad
Counry
Patcel �umber
L
Tprnship
strucNre u the land not
Keincome.
Rewrd number
Tming distriC (ciry, t wn, to shlp)
Is Ihe propeRhy �n p,uastion:
)d ueal pmperty ❑ Moblle Home p.C. 67.7-7)
rne (t ) eae that immediatey sunwnds mat strucwre is usad �o proauca income, dascnbe tha use ena pwtion
7S!S$ -°\S'VP.t? Y °R°� Y. '- ,R'� . . - ,� _ � . . , - . . -n .
�N.:r_..r,.a'y`•,:a-,z� r�"5>'S.��'�d-�'?�i�P,ROFER7Y.�OWNED�BY_CLAIMANT;IN'OTHER'�COUNTIES}�aC.ia.?<�°;.�a.,''�;',H;"��� 5�5._`„s�.�`:�
County Twvnship County Toanahip
I hereby certiry Ne above sietements are We, cortact and complete. Signature ot ueimant
ress (number arM sUeet ciry, &ate, ZIP oode)
` `+�''���a� �'�```� ��'���"���;� Ef'� TRUE�TAX�r '�' ASSESSED VALUE '� HOMESTEAD�� � `�* '` � * : "`
��,,� «��SSESSOR.USE ONIY,n , � �-� � �..t NON-RESIDENTIAL 4
��7;�s}+t,+.���<,�L:G.�':'Z�.s«�`4�Ir„a„_.. ,,. a.�s . VALUE?�,� �AT:100X OFsTTV6 „..# V/LLUE-3+*-.�.E �+� � sT'+` VALUE�, C��a� -'
...fa�i--> . �
Lend not exceeding 1(one) aae immedietery � Y�..P�� r�' ��^ x�`� ��+N -
surroundingresidentialimprovemants. ��) ��; '�c,,'�;����y ^Y�.y,r�;� �s
z� _
Other land y � s�` '� _
( � $fi-K; "�+:u�'gks.;,��1
TUaI lartd (Ifne i plus line 2) �g�
� : �����; �"`�.� ��` �,
Residential Improvemenfs or Mnuairy �Iling (4) `� � , � �-�? �-`:'� y�
Assessed Mobile / ManuFacNred Homa .-�r„�,� F
Gd2 @ �� � 9�'tN�:^ Ni y'2.�.� T°L`� .�
9 $ '?'" � cuf�T "��v..� i ���-';.i .'
,�
O�her improvements (6) � '?
`�. .,
Tctal improvements (line 4 through lirre 6) �7)
Tdal value (line 3 phs line n (8)
I hereby ceRi(y the abova is We, cortect, end � Signaw�e of nssessor Date signed
completa.
Vsify'u�g ecUon - Signature of Puditw Data siBned
�:, 4�,-f,�- ;; a +- �=:3, �i.`.�:°:sra+oafeo;oeoucnoN'a.�ow,nNCe
20 _ Pay 20 _
Lesser of 1!2 Homestead
ValUalio� of $35,000 5
SlgnaWreo(lWditw Date,WgnedJ /�/��'
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