HomeMy WebLinkAboutHomestead_Fenton MATE FOAM'3N'IR2/!wl TREASURES PORN IS-IA 17E 11CMIWOf PRESCRIBED BY IMF APPROVED
NOTICE TO HOMESTEADrP PROPERTY OWNERS t
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ricer for homestead fraud.Homestead fraud causes higher tali bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filintea.Phis information will be kept conlidential and can only he accessed by authorized county officials The Department of
Local Goverment Finance will tie this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Fenton, Stephen
606 E Walnut
Fort Branch IN 4764S
2888
Stephen Fenton
606 E Walnut State Parcel Number Legal Description
FORT BRANCH IN 47648-1236
1r1n11ntlt11nt1u11u 1n n11u1t1t t11u11n11tntlluuilt� 26-19-18-304-000.275-026 011-00275-00 EASTVIEW 35/36
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 2:TAXPAYER INFORMATION
Owner I First Middle /
Last
aEPIFFAI p A w AJY&N
g
Address(number and street,city.state,and ZIP code) Same as property address
606 F �,✓� cn/v`
Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) drag u property address
Social Security Number Bast 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
_ see _
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 PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Form 5473 (R614-03)
Prescribed 6y Ne Oepartment of Local Govemmerrt Fina�e
INSTRUCTIONS: See �averse side fw filirg ins6uctions.
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FORM YEAR -
HC10
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:.M:,_- - ��.•:ec?-?'✓..�."3�i,�:*:,, .� _ _ -_,- ..
� �e) - � mH! �Y i�Y�s —
certi that on the 1sl da o 20
I(We) o ied as our principal place oi residence lhe following described real property for which a Homestead Property Tat.Credit is hereby daimed:
I(VJe) owned ❑ Are buying under contract
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' Have a benefidal interest in ihe entity ihat is liable for ihe property taxes on the property and that owns the pr perty�o�isU�ying7ti(i �cp��act,
I( buying on conVad, Fee Simple ownefs name
Recorders office whara conVaIX is reoorded
3'�-�` X`� et•yF.;..`S�+ .h�4°,,,�.-�v::.�3
' r:�'.lr.+�E�::[','s*.�R"=�.t„�:l'i'�"'S�2�_V.'�'T�
County � Tamship
RecorO number � Page
r m r Legal description Is the m �
� I 0 7enY �n question:
� T 0 proDerty ❑ Mob'le Homo (I C 6/ 7-7�
N any ponion o( ihe ntial sW Gure w Ne land not ecceeding one (1) aae Uat immediatery wnounds Ihat swaura is used to produce income, tles�ribe the use and portbn
ol lhe property uti'¢ed tn produce irrcame.
To.vnship
statements are We, correct and comptete.
and
Land not exceeding 7(one) acre immediately
surrounding residential improvements.
Other land
Tdal land (line 1 plus line 2)
�ResidenGel improvements or Mnualty
Assessed Moh�e / Manu(acwred Home
Other improvements
Owelling
Garage
TUaI improvements (line 4 through line 6)
Total value (line 3 phs line n
I hereby certify the above is W e, corred, and
complete. '
Veritying aclion - Sigruture of fwditor
(�)
Iz)
(3)
(4)
(5)
(6)
(�)
i8)
SignaNre otASSeuor
County
signed
Date signea
� �`F � r.C'�?�`�•• .�t's�.:i`ey`.rr�"'�"c,,,?�'?��''_��:3�.�`5TlWDARU;DEDUCTION�ALLOWAIJCE-� `.s.,£w'";='
° s��:�a'��.��.sa s -�f$'�;��+.�.��'�'�e-r�`=�'
20 _ Pay 20 _
Lesser of 1i2 Homestead
vawauon w 535.000 S � �
Sgnamreot/uMdw � Datesigned