HomeMy WebLinkAboutHomestead_Hartig (4) . STATE FORM 53569(Rl/&10) TREASURER FORM T$-IA
APPROVED BY SWF BOARD OF A atUNTS.200) PRESLRIBID BY THE OEPARTKE'f OF LOCAL.GO'tRNMEYT FINANCE IC 6-1.1-338.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
,�
FILED T E T benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
1 ■Y../ Y,L filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
. PART l: PROPERTY INFORMATION
APR Z 5 2011 Taxpayer Name Location Address =
CJ.n Harlig, Craig ,
104 E JOHN ST
GIBSON COUNTY AUDITOR - - FT BRANCH IN 47648 -.
2110 II II
Craig Hartig (Illalll��lII III UBill�III��II�II�II.I�IIDIIDII�II�IIIDII II I.II[�IIDII I�III_ III
104E John
FORT BRANCH IN 47648-1139 •
IIIIUIIIl11'IlIil'il'IIiIIIIIIiiIIIIIIIiiiIiiHtllltttilIII.Ill State Parcel Number Legal Description
26-18-13-402-000.153-026✓DOUGLAS ADD 20 ,
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 '
•0 I First -Middle [ast
Ca k c\ a np- \ i .
" 6, -b,:g' : .,Mailing Address(number nad.8t,city,state,and ZIP code) `I Same as property address
1 F 3t ,N & - `�-� - f C mci,1-, t r '�4-,cPL4 .
: _
Spo�:,L.{1231 First /� Middle ' Last
- Mailing Address(Number and street,city,sstate,and ZIP code)— - _ _. -.__ —- _-_ ' ame as property address'' —_ __-
- .
Each undersigned certifies, der penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead stand. d deduction on this property.Each undersigned also understands that,by claiming additional homestead deductions
unlaw y,he or she may be iable for back taxes and substantial financial penalties.
Owner
Ina
t )� - Date
}-
,.
� � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
j State Fwm 5473 (R6l!-03)
Presriibed Gj Ne DeOartment ol Local Govemment Finance
INSTRUCTIONS: See Bvcrsc sidc !oi lilinq inslrur.ffnns.
FORM .
HC10
YEAR
�-l$-03
I(V✓e) ~-� certify that on the 1st day of March, 20_
,I-,(W,�e) occupied as our princip place oi residence Ihe foll n9 described real property (or which a Homestead Property Tac Credit is hereby daimed:
t� I(We) owned ❑ Are buying under contract
' Have a benefidal interest in the entity Nat is liable for the property taxes on the properry and that owns the property or is buying under a conUaU.
If buying on conVad. Fee Simplo owners name
Rerordefs offica whera contraq is recordeC
��,r� z.
t-9r::e.,:"�'�.»x"���'K�nfi����r'�ifi:fc&��
Counb Twmship
Taing
Record number � Page
Parcel numher Le al description /^/, Is the property in q stion:
o i i- ao i53 - cd �/� !�[Q� � � D operty ❑ MobilB HO o(I C 61 1 7)
H any poNOn o11he resitlrntial sW qure or ehe land n ceeCing one (7 � aae that immetliatety wrrounds that swUUre is used W produce income, desaiba 1he use and pwtion
W Ne property uL7aetl b produce income.
F��-r+ -• ' : '
��'"�.�'��-�-���-�'�"'� �?�.;�:`.�FROPERTY,OWNED`��.B$�CLAIMANT,IN:�OTHER'COUIJTIES,�`,''`,,,- 5�.��:�_p?S?-p€���..��„� �.�%'�l�s -:,�
County Twvnship County , Toxnship
I hereby certify ihe above statements are W e, wrred and wmplete.
(numberaiM sheet city, sfate, ZlPCOde)
� ' �. �{�` '�°-'�''�'^'` '3n{>''�'��-�;-. ; �'TRUETAX; t� ASSESSED VALUE � HOMESTEAD'�' � T�, �NON�RESIDENTIAL n ,2�
�A�SS�SSD' R USE ONLY'x�� � .� � b �yp�UE;_ *s; y :/1T t00Y�OF�TN �' ".VALUEr [{ �w���VALUE�'�, -�
:S_`s.''�� .::. � �i .2�i�{.-�, t4 '.c�'::, r� �.'� K��3
Land not exceeding 1(one) acre immediatey �,��??�#y'�.t�'���� a��� �
surroundingresidentlalimprovements. (�� ��-i�'�i,�,$� -o;.;
,.�zv:. _ t
x
Other land . ��`-�-�' �'��r�"s �
IZ) '���_.�
TUaI land (line 1 plus line 2) (3)
�' �.,'�Pi`� a.'S �"� � �—'�'`'
Dwetling (4) 'a,�„r��.n�aq:�N��` �,--
Residential improvements or Mnuatly ���' `��'�'�'�'�t�� �
Assessed Modle / Manufac�red Horrre Garage � ," aa�rE �
�5� �-:�s�:�r�. �'��
���{��
Other improvements (6) � a.
-.��-� r.fi:'v3�
Total improvements Qine 4 through line 6) ��)
Tctal value (line 3 plus line n (g)
I hereby certify the above is We, coveG, and Signamre otnsseswr Date si9nea
complete.
Verilying actbn - Signature of PLditnr Date signed
C, •c rSEe:hS' e2�3 - r'-' r�' a++•,.-s' F�a+Za Srre?i�
'_�.�'�?�r�� .x=a33+ti�tez.,n±aae:r.za�Z:aSTlWDARD:DEDUCTION/LLILOWANCE. �^.i:,�,.4.y,�," .:�rr°i�ti4��'"'ss�,"1,.':,�sl5.?'�yt�t ��^`'`'`�'^
20_Pay20_
Lesser of 1!2 Homestead
vauauon or E35,000
5
SignaWraofAuAdor ' Datesigned