HomeMy WebLinkAboutHomestead_Falls (2) MATE FORM535.•I R_r•ni • -•TREASIMEA FORM 75-IA
.VPRnvEO BY M tit WARD OFMIT*:N1a.E:,x PFl4NAmnyillr DtPARMENT OF LOCAL rovERNMrKT F esNCE IC I,l.13.4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple,are limited to one homestead standard deduction.As the receipt of this dedttnion becomes
more beneficial,there is more incentive than net-for homestead fraud homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recehe the
benefit and to provide additional identifying infornuuun Tlemvrc to allow county government to better monitor homestead
tiling. This information will be kepi confidential and can only be accessed by authorized county officials.The Ikpanmem of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Falls, Ray 0/ Elinor Trust
603 S Ilillcrest
Fort Branch IN 47613
7881
Ray 0 Falls
603 S Hillcrest State Parcel Number Legal Description
Fort Branch IN 47648-1619
III I II II I II II III I II I I III 26-19-19-102-000.098-026 011-00098-00 PT NW 19-3-10.9919 AC
1 11 III 1 rrl 11 1111 t 11111r111 1,1t
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
A FMLL- s
•`ne Address(number and street.city,state,and ZIP code) - �Same as property address - -
(�3 s . {� I LLGIQ 5T ?. PoR t lac -TK. 4t7/o(if
Spouse First Middle Last
• R. < R. FA )- '- 5
Mailing Address(Number and street,city.state,and ZIP code) Et Same as property address
403 3 . µ;ct ck€5-r fi-r FDR-r 5 Ri*nQci. '7d 412
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 PROPERT FOFiM
d/�!` .
•� y ; CREDIT/STANDARD DEDUCTION Hcio
�•`.,�� State Form 5473 (R2/1-90) �
INSTRUCTIONS: See reverse side !or (iling instructions. .
! CERTIFICATION STATEMENT /��! '�DD i
YEAR
1qR0
I(We) �'lC�-�lJ� °E" C�'I I" )��.C�X�- certify that on the 1st day of March , 19 �
�Ne) occupied as ur principal place of residence the following described real property for which a Homestead
operty Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is I able for the property taxes on the property and that owns the
property or is buying it under a contract.
Caunty
on contract, Fee Simple
where contract is recorded
Township
CONTRACT RECORDED
PROPERTY DESCRIPTION
Record
ParceiN b Legal Description
>li -o�`��(g-oU � �� N t.� I�-3- In • q R Iq �
If any portion of the residential structure or the land not exceeding one ( 7) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of ihe property utilized to producyincome.
;
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
, VALUE
land no� exceeding 7(one) acre immediately
surrounding resideniial improvemenis (�)
Otherland (2)
Total land - line (1) plus line (2) ' (3)
Residential improvemenis Dwelling (4)
Garage (5)
Other improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is irue, Signature of Assesor Date Signed
correct, and complete
Verifying Aciion - Signature of Auditor Date Signed
1989 Pay 1990
sser of 1/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pa 1991 1991 Pa 1992 19 — Pay 19 —
Y y
: Lesser of 1/2 Homestead Lesser of 1l2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or $1,500 Valuation or 51,500