HomeMy WebLinkAboutHomestead_HouseI. — arVE,ORM 53'WIa2/ywt TREASURER FORV11A
rrM AID nr SIAtE BOARD OFMVt"BL\TS.m• rtr4-,mm9v THY DEPARTMENT Of LOCAL COVER.OSTT FINANCEfl-I.t-U-ti
Gitfson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires exposers who receive the homestead standard deduction to verify that they are eligible to me se the
benefit and to prm'ide additional identifying information necessary to allow county government to better monitor homestead
filing.h u t information will he kepi confidential and can only he accessed by authorized county officials_The l)epannent 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
House, Donald A/Mariette R
elt
Fort Branch IN 476-{8
3001
Donald A/Mariette R House
207E 780 S State Parcel Number Leval Description
Fort Branch IN 47648-8003
Itlullntltllntlullnitlnitllnrll ��t��nr�ur�n��t� 26-19-19-203-001.243-02 007-00219-00 INDIAN HILLS 24
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
Owner I First Middle Last
Donald Allan
House
•big Address(number and street.city,stare,and ZIP code) ® Same as property address
207 E 780 S Fort Branch, IN 47648
_
Spouse First Middle Last
Mariette Rose House
Mailing Address(Number and street,city.state.and ZIP code) ® Same as property address
207 E 780 S Fort Branch, IN 47648
-- -- -- -_- --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
•
�a�_-'�0
a.i � CLAIM FOR HOMESTEAD PROPERTY TAX
���,: CREDITISTANDARD DEDUCTION
�,� State Form Se73 (R2 / 5�92)
•�`.�.
INSTRUCTIONS: See rever5e 5ide for lilmg m5trucfions.
fORM
HC10
YEAR
,el /5,��[J)L�SL�/ / 7/(�����1 L� 1C � ceriify Iq3t on.�J�st_d.�� rc 79
e) occupied as our principal pl ce of residence ihe following described real property tor which a Homestead Prop CQredit is phe(�re�by claimed:
CI (We) owned ❑ Are buying under contract �"— �JJJ
❑ Have e beneficial imerest in the entiry that is liable for the properry taxes on ihe property and that owns ihe p�, eny or is buying,under a contrect.
I; buying on con;ract. Fee Simple owner's name
contraCi
CONTRACTRECORDED
PROPERTY DESCRIPTION
� I Ta.ing distric� f
Legaltlescription � 1 ,
Remrtl number � Page
II any por�ion of ;he residential simcwre or i�e land not exceeding one (� 1 acre that immedlatety surmunds ihat simcture is usetl io protluce income. describe the use and portion
ol IDe pmpeny u�ilized lo pmduce income-
��-�9-i9-��-���—oa�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Couniy � Township I Counry TownShip
�reby cenity the above statements are true. correct and complete. S�❑na;u�e oi cia�mam
��
Atldress (number and sneel. ci(y. state. ZIP code) _
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1 �one) acre immediately I(, I I I
surrounding resideMial improvemenis.
Otherland I�Z) I
7otal land (line 1 plus line Z� (3) I
Dwelling (a)
Residential improvements
Garage I(5)
Other improvemerns I (6) I
Totat improvemenis (line 4 through line � I(7) I I
Total value (line 3 p�s line 7� (g)
I hereby Certify the above is true. correci. and Sgnarore of Assessor I Da;e signetl (
complete.
png action - Sfgnature ol Autli;or Date vgnetl
L
79_Pay79_
Lesser of U2 Homestead
Valuation or 52.000
STANDARD DEDUCTION
S
SignaWre of Audi:or I Date signetl