HomeMy WebLinkAboutHomestead_Henning . STATE FORM 5E69(R3/8 10) TREASURE(FORM RIA
r APPROVED BY STATE BOARDER ACCOUNTS.20:I4 PRFSOUa1D BY THE DEPARTMENT OF OCAL GOVERNMENT FINANCE IC 61.1-311
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,
FILE t and t p ovide additional taxpayers identifying enti yingne the homestead standard a y to allow can to government that they are eligible to recrive the
M efit and to provide additioml idrnlifiing information necessary to allow county grnernmeDt to better monitor homestead
lings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
,oval Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFOR.\LATION - ._
QPR'i 5 2011 Taxpayer Name Location Address •
C .. , Henning,Anthony G/Margaret J
807 TRETTER PARK DR
GIBBON COUNTY AU TOR FT BRANCH IN 47648
2456
Anthony G Henning 11111 hiI11[Iii 1111I VIII II Ill1IIII11II1H1111111111IDIIII-IIiIHfillIkI 11:1111
807 Tretter Park Dr
Fort Branch IN 47648-1223
III'IIIIIII'II"'IIIIIII IIIIIII'IILI'I'lll"I'IIII"III'II'III'I State Parcel Number Legal Description . ..
26-1908-302-000.042-0294RETTER PARK 14
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.
T • PART 2: TAXPAYER INFORMATION
ov_ t . First Middle Last
Anthony Gorcion inns -
Mailing Address(number and street.city.state,and ZIP code) Er Same as property address =
207 I rcteer Park Dr; vc Fort Brr_Tnck, IN -976118
Spouse First . - Middle Last
A IL
A - -
newg nuL,cssiLlmk.-arm' i:..-r;ap:ara4]-p6Uo - —
'uproperryacaaL�- '°---.., -
- WA
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) ,,
t f H t -HI I 1-5 .
PART 3: CERTIFICATION .
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and coiiect and that he or sheds 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 takes and substantial financial penalties.
Owner I Signature Date
'
NA �( )
PART 4: ADDITIONAL INFORMATION
A
ia ■. I� le. V . � i A - •a • • - lb a ..
pt.Jne.r
A ""�
? ` t CLAIM POR HOMESTEAD PROPERTY TAX
�'4-'�" � CREDIT/STANDARD DEDUCTION
` f State Fortn 5473 (RS / 10-01)
Presriibed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side lor7iling insvuctions.
0 YEAR_ �
H 1� �
APR 2 a 2002
I M�e) !�l i fy thatl3if-tRL�Wsf,it3ry,qFAlar���2B�
I(We) occupied as our principa� place e idence lhe following des -bed real prope for wh a Home ead Property T�c Credi� is hereby daimed
�(We) owned ❑ Ne buying under coniract
Iave a benefidal interest in lhe eniity that is liable tor ihe property taxes on the property and that owns the property or is buying urder a conhact.
' _� s ci:- �� -' -'"���:CONTRACT'RECORDED_'�e4:` . yr;� . '- • ::"
rt:_.�1 °�.c�`'. `` � �_..,�'� r;av'� ..c S �s ..�_ . _ ,
If buying on tontrad. Fee Simple ownefs name
Recordets olfica where wnUact is recorded Record numher Page
Counry
Tamship
towq fownship)
1P�arceIl number Legal descnption Is the property in queslion:
J l\ - aac�� a" ❑ Real pmperty ❑ Mobila Homo Q.C. GiJ�7)
I( any portion ol the resiCential sWCWre w the Wnd not exceeding one (1) aue ihal immetliately surrounds Ihat sWCNre is usetl to protluce income, desUibe Ihe use antl ponion
ot the property utilized to produce income.
� � �'""�7 '' - ` • 'Y �"'�-; ' '�+� ' i TRUE TAX i ASSESSED VALUE yHOMESTEAD ��NON;RESIDENTIALT'�°� :•
���. y�ASRESSO�SEONLY 3' � � '} VALUE= �� AT:700%OF-TN -.-VALUE��.sr ��`�'J_ `"•'VALUE' �- `''��`}'
� ��c''s i�.;_a':>r_ ..a?. �s J� ...v .-.?r..3
Land not exceeding 1(one) acre immediately ��_ 7� s� -�:N� ��} =-g,'�, �s� � r
surrounding residential improvemenis. (� � t'�4`'�J°�� ��' � ��}�'���:.
�
Other land � *�`'=�'�''� "� ��,5� �
(Z) ?x'=�'.: - ���yi.'i�.
. ,2..
Tqal land (line 1 plus line 2) (3)
Dw211ing (4) .u�� k�.��F "y4t'��i �ay� .!.
Residential improvements -s- rt.k '� �rrx Ka5• �w:?�i
t � - y�" x... .c�,, a'y ...
Garage (5) +_'-`��r �.�`��� � 1 r�'Y,'.
. -,.-_,�_..�_
Otherimprovements (6) �- -,`� i�•� s ��'
, 3"-. �.?f;�'�x:�•-
Tatal improvemenLS (line 4 through line 6) (7�
TUaI value (line 3 plus line � (g�
I hereby certify Ihe above is W e, correct, and signawre ot �sseswr oate signed
complete.
Verilying aclion - SignaWre otlwditor Date signed
-..�'i`..�aP.k'�'.--d!v ��'�"=.�.ez�'fi�� �1.'�`'_::-_```.3��i`s`s?�.:'_'� .:STlWDARD�DEDUCTION��ALLOWAIJCE ��.s��a`.'a...>,�r :x';it''_` 'z� :``'.':..^�`s.-��i-°��.,.,� .�: ��'.
20_Pay20_
Lesser of 1/2 Homestead
Valuation or $6,000 S
SignaNreoflwdflor Datesi ne0 ��
�i� a �l-o �