HomeMy WebLinkAboutHomestead_Fitzlaff MATE FORM}!N BL'/Y1ra TPLStLrR FORM TIA
.APPROVED BY MATE BOARD OFNYYRISTA 9M PatYAiBFD BY nil DEPARTMENT OF L(cAL riwrtw AT re:A:fr—r-I.Y_J.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become,
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat bills for all;therefore. I
HEA 1344-2000 requires taxpayer+who receive the homestead standard deduction to verify that they am eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by authorized county officials.The Depanntent of F
egad --. nee will u c this information m create riots that gill help county officials eliminate homestead fraud.
' '-. PART 1:PROPERTY INFORMATION
Taxpayer Name Property Address
•
APR 7 2010 Fitzlaff, Timothy A/Jennifer L
804 Creek DR
`Yriaa. /J _ Fort Branch IN 47648
7627 11 N °C/
GIBSON COUNTY AUDITOR
Timothy A Fitzlaff
804 Creek Dr State Parcel Number Lesal Description
Fort Branch IN 47648-9500
26-19-18-101-001.169-02 11-01169-00 LITTLE YORK VIL PHASE II
I n II nI II II DuI n II n II II I I I I I t I I nI II fi nn I n I ll III I 40
D-27
•
PART 2: TAXPAYER INFORMATION
Owner I Middle Last
11moihy Alan Filzkill
reag Address(number and sheet,city,sate,and ZIP code) — - —M Same as property address -- — "-- —— - -"— -.—"
Last
JR_nnI- ler rst Lytin fl fzlq-(f
Mailing Address(Number and street,city,stale,and ZIP code) ® Same as property address
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 Sign,re — !Date
III
' CLAIM FORNOMESTEAD PROPERTYTAX
CREDIT/STANDARD DEDUCTION
� / State Fam 5a73 (R6l d-03)
' Prasaibed by Ne Department W Local Govemment Finance �
INSTRUCTIONS: See reverse side fo� filing inshvcfions.
FORM YEAR
HC70
�..._.<,'eem-JT�_zC-"v f--f2.2fs"t.ilwren.. ._-_" F..�.,<az.,, w.•a ' . . '
_ .a. ...,. :'"." _.. . . ':. c., : : . <� r. ......�. . . .
. . _ . . .. _ _ . _ _ . ., . . � . � � r. t .
��8) � certify that on tha 1st day of.March, 20_
I(We) occupied as our prind lace of sidence following descn al erty for which a Homestead Property T�c Credit is hereby daimed:
�I(We) owned ❑ e buying under contract
Have a benafidal inierest in Ne entity Nat is liable for Ne properry ta�ces on the property and that owns Na property or is buying under a contrect.
f buyinp on convaq, Fee SMple awnefs name
Recordere ofice where conUaq is recorded
Ll> 1 I
Parcel number
�
If any pwlion o
otthe ProDertY
Tpwnship
admtial 5tiucWre a the land not
b produce incane.
one (1) eve that
RaWrdnumber �Pape
Tacing
Is Ne pmperty in Quesllon:
� �teal properry ❑ MobOe Home (I.C. 67.7-n
wnnunds Nat s cWre is used to produca Income, desaibe dia use and portion
� .�; _ - _ . - _ _ . - _ _ _ . '•,� � -
-'?�t••.._�..�:'�^'ti.'�.�.�.;`.m�..'`h^.�`�'z`�R��:�n�:PROPERTYOWNED`iBY:CLAl1YlANT.IN�OTHERCOUNTIE3°-���...��s_h':.;��'^='�C"!"-_j ;,�.�,_�
County Toxnship County Tvxnship
I hereby certify the above statemenLS are W e, Cortect and complete. SlgnaNre ot Gaimant
d(ess (number aiM sUaef, [ity, atate, ZIP code)
�='�''�'�,t��r���"`x�'�`'"��'����y`v�Fy'�'�TRUE�TAX.�` ASSESSEDVALUE c HOMESTEAD ��(NON;RESIDENTIAL�-
x,�.�' s�' ASSESSOR USE ONLY � }3�..� � .. �,:�'+�?� � " ` .. ��?"'.;:� „rt� � VALUE "`°� �
v�� �°��`x.�l:a.�:_.�ir.£>+'_:?a:'s .,��ct�`���4F�� ��!�VALUE�`� AT<100%OFj'TTV .�VALUE .+.Y a,, _.£i: _ .,w�?.. �>
Land not exceeding 1 (one) acre�immediately - - _` _ �;� �`�,�,� � � "" z '7".� -�. -
surtounding residential Improvamen4s. �� � ` 7 �'�y �y r �._ � ,�.. :�' ��
Other land (y� F .. �',, � ,
: r�. �. �;'.
Tctal land (line 1 plus llne 2) (g�
Residential improvemenLS or Mnualy �Iling (4) -' -� � =-� �, t Y� �� � �;� ; 4
Assessed Mobiie / Manufactured Home Gare e " ' ,�' �4 ��
O �
9 5 i v� e 1�,iw-'��
i
Ojqer�improvements (6) -
6'
Tctal improvements (line 4 Mrough lirre 6) (7�
Tdal value (line 3 phs line n (B)
I hereby certi(y the above is true, conecl, and � Signaare arASSessor Dau signed
complete.
Verilying acUon - Signawre of Auditar Date signed
ZY�°"•�,t �Gsc1'' :'`��t�� i•"`�-�?_:'�s �?�';,,_�x`l,y: �,y', �,`STANDARD;OEDUCTION'ALL:OWANCE : ..'iti * - --` � s�;' E' �. �; = '
z
20_Pay20_ .
Lesser of 1f2 Hwneslead
Valuation w $35,000 S �
Signetura of Puditw Date signed
3- -0�
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