HomeMy WebLinkAboutHomestead_Haig a1.AE FoRM!IM tie/•-•7.11 WWAURfl FORM 73-IA
VBmEn BY AIL BOAROOFMY:tJ'tc.yn Per9AIBFD BY TIE DEPARTMENT OF LOI:LL rOVEEt'MEFT FI:A.CE K I.l-r4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2009 requires ta'pa'ers who receive the homestead standard deduction to verily that they are eligible to receive the
• benefit and to provide additional identifying information necrnury to allow county government to better monitor homestead
filings.This information will he kept mnfidential and can only M:aeee:ud by authorized county officials_The Ikpanntau of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property-Address
Haig, Bryan J/ Elizabeth A
106 Williams
Fort Branch IN 47648
6793
Bryan J/Elizabeth A Haig
106 E Williams State Parcel Number Leeal Description
Fort.Branch IN 47648-1128._ _
II III I II I II II III III II III 26-18-13-402-000.669-026 11-00669-00 GENUNG 8 WALTERS
t o nt I nl n n nu ur u r u r rut stn I 183/184
PART 2: TAXPAYER INFORMATION
Owner III First ���� ��//�1/�nn ��----xx Middle Last
I./
sing Address(number and street,city,state,and ZIP code) 'Same as property address - -- - _ ' - — -
) o IP E. u� t 1( ; nt S F{_ Aura,v�di iN 7/c44S
Spouse Last
77��11�1EA1 First /n Middle 14 14/1
Mailing Address(Number and street,city,stale.and ZIP code) Q Same as propel'address
— 10 (0 E 0;((iavi13 St. rf,satodi. its 1-(:)to s�.
•
PART-3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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
•
•
STItp
�� �
; �,i
r s
i
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sta[e Fortn 5a73 (R2 / S92) .
FORM
HC10
YEAR
INSTRUCTIONS: See �everse side lor filing instructions. _
�� � � . CERTIFICATION STATEMENT -" "� -
1(We) certify that on the 1 Sfif� of ATdreh �19U
I(VJe) occupied ur princi lace of reside the following described real property f hich a Homesiead Property x Credit is hereb laimed:
❑ I(We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entiry that is liable for the property taxes on the property and that owns the prope r��� �� f�,�(j�f+�OR
CONTRACTRECORDED
If buying on conVaa, Fee Simple ownefs name
Recorders offrce where contract is recortletl Record number Page
PROPERTY DESCRIPTION
Counry Township ' Ta�ting disinct (dry, mwn, lownship)
Parcel number � Legal descdpti ^ � �
C�
It any portion of the resitlential structure or ihe land not exce one (7) acre that i e ia ey sunountls that struciure us usetl to protluce i e, tle ribe ihe use arW portion of
the properry utilized ro produce incrome.
PROPERTY OWNED BY CLAIMANT IN OTFiER COUNTRIES
Counry Township Counry . Township
Signature of claimant
ereby certify the above statements are true, correct and complete.
Atltlress (numberandstreet, ciry, st9te, ZlPcode) -
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
tand not exceeding t(one) acre immediately (��
sunounding residential improvements.
Otherland (2) _
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements
� Garage (5) (
Other improvements (6)
Totai improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify ihe above is We, conect, and Sgnature ot hssesor Date signed
complete.
Veritying acGon - Signature of Auditor Date signetl
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead S
Valuation or $2,000
Signature ot Autlitor Date signed