HomeMy WebLinkAboutHomestead_Hall (6) SLATE FORM'11t nKf5Ut TREASURER FORM 71-1A
.A•rwwto BY ST TE BARD OF AMES6.2IXW MfBIDtD BY THE OFYAR136_YRF LOCAL GOVB NMnCr FINANCE ICH.t-r-n
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 becomes
more beneficial.there is more incentive than eta for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed hp authorized roomy officials.The I)epanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Hall, Jeffrey D/Deborah A
701 I:Oak
Fort Branch IN 47648
7890
Jeffrey D Hall
701E Oak State Parcel Number Lezal Description
FORT BRANCH IN 47648-1655
�llil llItIlIll IIIltIllIt�tt Ill11111 rtlI111111.11 11111111 26-19-19-102-000.536-026 011-00536-00 PT NW 19310.5854 AC
PART 2:TAXPAYER INFORMATION
Owner l First Middle Last
/-7--;--et �- .g,t1 /14 (
ng Address(nu bcr and street.city,state,and ZIP code)-- - — — 004ame as property address -" -" -" -- —- -
1'70 1 g O4/: sr ,Cr 44—,C
(
Spouse First Middle Last
Mailing Address(Number and street.city,state,and ZIP code) aSitme as property address
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
-� os o
PART 4:ADDITIONAL INFORMATION
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sfata Form 5473 (R4 / &00)
INSTRUCTIONS: See 2verse side for filing instruc6ons.
� F ? r� ,
1 �
s • � �� 1�� �
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�/1�,(�/�PDL[ll /.L. /�"f lC L/ ceAity that on the tst day of March, 20_
place of residence the toliowv�g described real property for which a Homestead Property Tac Credit is hereby davned:
❑ I(�le) owned /� Are buying under contrad
V
�ave a benefiaal interest in the entiry that is liable tor fhe property taxes on lhe property and that owns the property or is buying under a contract.
�'' ��,�,' ,��s._'��'i3�t�F�'".u%s'� ;,:�'� �!,;� Td�? CONTRACTnRECORDED � °-�+:: ' � �- x �,`"
� �- �� _�<"�L+��"-�-�'i� ... � _ �
If buyiig on wnVact, Fee Simple ownefs name �� �
Remfders ofice where contrad is recoMed
� �
Township
Legal description
Recortl number � Page
II arry portion of the resiCential sW cWre w the land irot exceeding one (1) acre ihat immediately surtountls Nat sVUUUre is used to produce inmme, deuribe Ihe use aM pw6m
oi the property uWized to protluce i�xome. � ' -- - g •
'"�_-c�.,;�.=f��(�"�`�t�-'�a��'�; .�"-�ryST/WDARU.DEDUCTIONALLOWANCE.�,�"`��`s�n-"`�,�i,�:FV�.��-','..c�`�-'_,,,,:��'�u�wi3��`�,i"*,x„x,�
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or E6,000 $
SignaWre oflwditw Date signetl